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[18] [19] Since 2019, the smoking age in Alabama has been 21 under federal law

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The social circumstances put more pressure on female smokers, whereas, for male smokers, social opinion has a much smaller negative impact than for females, suggesting that the socio-cultural context have an intervening role in smoking

After providing them with information (as outlined further in this guide), ask What do you make of that? Explore with them their concerns about how smoking may be influencing their own mental health