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Conclusions Young adult bar patrons consistently reported a high smoking rate and a strong relationship between smoking and drinking, regardless of the different bar cultures and tobacco control contexts in each of the three cities

Mothers who use tobacco or e-cigarettes should be encouraged to quit

However, the absence of racial differences in current smoking-related COPD suggests that any potential protective advantages associated with race do not mitigate the detrimental effects of cigarette smoke exposure

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Quitting smoking at any stage can reduce the risk of developing cancer and other smoking-related diseases