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The school environment plays a critical mediating role, with students attending schools in deprived areas more likely to be exposed to peer vaping, less likely to receive comprehensive health education, and more likely to encounter pro-vaping content through peers and social media [58,59,60]

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Differences among PM10 and Total Smoke Exposure groups in potentially confounding factors, including anthropometric, reproductive, and lifestyle characteristics were tested with simple t-tests with PM10 groups as grouping variable

The exposure to second hand smoke has, fortunately, decreased over the years