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Beyond the substance itself, individual factors include genetic predisposition (approximately 40 to 60 percent of addiction risk is heritable), age of first use (earlier onset dramatically increases risk), co-occurring mental health conditions, history of trauma, and the social and environmental context of use

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CONCLUSIONS The prevalence of traditional tobacco and e-cigarette use among our sample of college students in Zhejiang Province was found to be higher than the national average for Chinese college students in 2021 (6.73% vs 2.5% for e-cigarettes, and 9.20% vs 7.8% for traditional tobacco)

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