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Eight items were developed or adapted from earlier work to represent four positive and four negative outcome expectancy domains

There have been over two hundred similar reports in the past fifteen years in neighboring New Smyrna Beach and Edgewater

Our general observation is that something related to smoking cigarettes appears to have been inversely associated with ANA and any potentially protective effect waned in the later time period, possibly because people were smoking less and vaping more, or because something else about smoking changed