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All themes tested in this study including self-harm from using cigarettes, harming family or children with secondhand smoke, compliance with existing smoke-free policies, and cigarette gift giving practices were associated with increased reported intention to quit, with theme of self-harm having the greatest increase in increased intention

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Knowing that nicotine is used as a coping mechanism, and that youth of color, LGBTQ+ youth, and youth from lower-socioeconomic status communities face disproportionately greater stressors and barriers to health resources, it is important to implement policies rooted in health equity

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