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Creating an expectation of parental disapproval or social shame around smoking strengthened pupils resolve to avoid it, particularly in a collectivist culture where group opinion carries weight in Egypt and countries with similar context ( Enhancing automatic motivation: rewards and healthy alternatives Adolescents behaviours are also shaped by emotional associations, rewards, and habits

People have an increased risk of lung cancer, coronary heart disease, stroke and sudden infant death syndrome

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Studies have shown decreased sperm quality in men who are heavy tobacco chewers