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Extrinsic factors such as solar rays, tobacco smoke, atmospheric pollution, and other factors less studied but potentially harmful, such as nutrition, stress, lack of sleep and temperature, can contribute to the skin aging exposome

To further assist with interview adherence, interviews will take place at the participants primary care clinic or the site they usually obtain county-provided services

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The United States National Cancer Institutes coordinated research effort on tobacco use as a major cause of morbidity and mortality among people with HIV