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National survey data in the US, including findings from the Monitoring the Future (MTF) survey and the Youth Risk Behavior Survey (YRBS), have consistently demonstrated the role of school-based violence and victimization in shaping adolescent substance use 13,19,24-26

So we are exceedingly grateful, Friedman said

Additionally, the impact of school-based violence on tobacco use may vary depending on the frequency and severity of the violence encountered 12,16

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Anti-smokeless tobacco campaigns still highlight these risks, urging cessation and creating awareness of the dangers posed by using smokeless tobacco