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Yet lower smoking intensity gives rise to African Americans having fewer average pack-years calculated by multiplying the number of packs smoked per day by years of smoking which is a criterion used to determine eligibility for lung cancer screening

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Introduction Experimenting with tobacco products during adolescence increases the likelihood of developing long-term nicotine addiction, with the majority of active adult smokers having started using tobacco before the age of 20 years ( Adolescent experimentation with tobacco products is influenced by their limited experience and understanding of the nature of addiction, and their beliefs in being personally able to avoid or control addictive behaviors at will ( Factors influencing these key health-related decisions and behaviors are described in the Health Belief Model ( It is expected that this form of intervention would both compensate for the lack of warning exposure from cigarette sharing, and supplement current anti-tobacco interventions such as cigarette packaging warnings and mass media campaigns, thus enhancing reader knowledge and improve on the health-related decisions and behaviors of both adults and adolescents

4th ed New York: The Free Press