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Although it is hard to refuse an offered cigarette, if only we learned how to say No in such situations we wouldnt be smokers. (Rural smoker, grade nine, 15 years) The main reasons considered for smoking were: having a family member or a friend who smokes, lack of alternative pastime, availability and affordability of cigarettes, denial of smoking effects on health, and smoking being tasty

The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest

After Phil told Mrs

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