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And maybe thats my place in this whole thing. Childers thinks often about that place, and about what the choices he makes meanabout how to use the position hes found himself in, as a representative of Appalachia, of rural America, as a white boy from Hickman

In five studies, a smoker was defined as a person who had smoked at least 100 cigarettes or an equivalent amount of tobacco in their lifetime [24,138,178,202,261]

You can imagine what the flavor is because of the colors (female adolescent smoker, low-SES)

Nicotine dependence can exacerbate mental health symptoms, creating a cycle where individuals continue to smoke to alleviate these symptoms, which in turn reinforces the dependence