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8 In addition, none of the prior studies cited above accounted for secondhand smoke exposure, 8-12 which has been associated with increased COPD risk independent of lifetime smoking for adults who currently smoke cigarettes

Seeing images of diseased lungs and people suffering from the negative health impacts of smoking appear to affect smokers in ways that simple text-only messages cannot achieve. All but one of the studies included in the review lacked data on how the images or texts might impact behavior, the researchers acknowledge in the journal Tobacco Control

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