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4 1.6.2 Trends over time in smoking prevalence among teenagers Reflecting patterns among adults (see Section 1.3), smoking among secondary students has fluctuated over time

For example, nicotine-containing e-cigarette aerosol increased the production of a mucin that causes airway obstruction in asthma (MUC5AC), while nicotine-free aerosol did not [41]

This pattern mirrors the lower scores observed on the commitment subscale of the mental toughness scale among smokers, indicating reduced persistence and difficulty sustaining long-term behavioral goals

Many women associate them with smoother inhalation and a more controlled nicotine intake

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