global adult tobacco survey (GATS)-SA: Implementation, Results, and Implications for Policy The Global Adult Tobacco Survey

I don't want to diminish the anecdotal reports, because we've gotten the letters and the emails and I have no reason to doubt the individuals that said, If it werent for this product, I would still be smoking cigarettes. But again we can't make the regulatory decisions that we need to make on the basis of just anecdotal reports

It also has significant physical implications

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Sexual minority students are more vulnerable to school-based violence due to societal stigma and discriminatory behaviors that persist in school environments, making them a particularly high-risk group for both victimization and subsequent health-related behaviors like tobacco use