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doi: 10.1176/ajp.156.11.1751) the following findings were startling: The rate of smoking in the general population sample, 28%, is similar to that found in other countries in the developed world

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In contrast, in Costa Rica, shows lower smoking intention, likely linked to stronger family and school-based prevention efforts: most adolescents discuss smoking risks at home, and over half receive information on tobacco harms at school, which may contribute to delaying or preventing initiation 36

Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease prevention and Health Promotion, Office on Smoking and Health, 2006