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Although this approach does not provide any definite evidence about a causal link between smoking and the disease, it can at least show whether there could be a causal relationship

Having certain underlying health problems like graft-versus-host disease or a genetic syndrome like Fanconi anemia

One thing the bill could help prevent is the distribution of vape and other tobacco products to minors, as there are much less 19 year olds in high schools around the state than there are 18 year olds

While these subpopulations have important overlap which we do not assess here due to data limitations, it is clear that the harm of smoking is particularly acute in the subpopulation with SPD and potentially even more so in those with both low SES and SPD