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The carcinogens present in tobacco smoke can damage the DNA in lung cells and lead to the development of cancerous tumors

Young adults (individuals ages 18 to 25 years) have traditionally been less likely to initiate smoking behavior than adolescents, but their initiation rates also declined, from an annual level of 89.4 first-time smokers per 1,000 people in 1965 to one of 67.5 per 1,000 in 2003 (SAMHSA 2005)

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