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Irrespective of electronic cigarette usage, 362 adolescents (four percent) began to smoke in the fourth wave, among whom 218 individuals continued to smoke in the fifth wave, belonging to the CSM-I group, and 133, 60, 27, and 12 individuals belonged to CSM-II, CSM-III, CSM-IV, and CSM-V groups, respectively

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Nicotine is a dangerous and addictive drug