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An independent review of the evidence by Sir Cyril Chantler found that branded packaging plays an important role in encouraging young people to smoke and in consolidating the habit. 51 Sir Cyril concluded that standardised packaging, in conjunction with the current tobacco control regime, is very likely to lead to a modest but important reduction over time on the uptake and prevalence of smoking and thus have a positive impact on public health . Initial evidence from Australia, the first country to introduce standardised packaging, suggested that it would contribute towards a reduction in smoking amongst adults
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Therefore, this study aims to (a) examine responses to the CRAFFT screening tool among Costa Rican secondary school students, (b) classify substance use risk into low, medium, and high categories based on internationally recommended CRAFFT thresholds and describe their prevalence, and (c) analyze the associations between CRAFFT risk levels and potential predictors, including sociodemographic factors, family history of SU, sexual activity under the influence of substances, and exposure to various types of violence (i.e., physical, psychological, and sexual)
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Other research, however, has examined the type and quantity of toxins present in the vapours produced by heated tobacco
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