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The overall decrease in tobacco use by teens and tweens is very good, says pediatric hospitalist Rachel Boykan of Stony Brook Childrens Hospital in New York, who has worked to decrease adolescent tobacco exposure and use for years

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High dropout rates (61% lost to follow-up) raised questions about whether results apply to all former smokers or just those who remained in the study, with retained participants being older, less likely to be from England, more likely to be from an identified majority group, and having lower education compared to those lost to follow-up