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Secondhand smoke exposure may cause a buildup of fluid in the middle ear, resulting in 790,000 doctors office visits per year, as well as more than 202,000 asthma flare-ups among children each year

Mental health: There is a strong relationship between youth smoking and depression, anxiety, and stress.2 Personal perceptions: Expectations of positive outcomes from smoking, such as coping with stress and controlling weight, are related to youth tobacco use.2 Other influences that affect youth tobacco use include:2,8 Lower socioeconomic status, including lower income or education Lack of skills to resist influences to tobacco use Lack of support or involvement from parents Accessibility, availability, and price of tobacco products Low levels of academic achievement Low self-image or self-esteem Exposure to tobacco advertising Reducing Youth Tobacco Use National, state, and local program activities have been shown to reduce and prevent youth tobacco use when implemented together

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F*#& you, rookie!" Smoking Woman Stereotype In a subsequent scene, film director, Antoine Fuqua, continues a familiar smoking stereotype

1 The state average is almost 10% lower at 13.8%