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Living with friends who smoke was strongly associated with increased likelihood of having tried cigarettes, and sharing a home with smoking siblings was also associated with a greater likelihood of having tried cigarettes These findings are consistent with the literature 20-23 identifying peer groups as the chief driver of smoking uptake during adolescence, which showed that older siblings smoking directly predicts tobacco use among younger siblings, whereas Low et al

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"Some studies have shown that although we psychiatrists know that smoking, drinking, and substance use are major problems among the mentally ill, we often don't ask our patients about those things," Dr

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