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We need to make it easier for individuals to access evidence-based approaches, and there may be opportunities to use digital technology like smartphone apps and text-messaging programs to deliver timely support. The study was coauthored by Serge Atherwood, research data analyst at UCSF, and Dorie Apollonio, professor in the Department of Clinical Pharmacy at the UCSF School of Pharmacy.

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Moreover, the General Assembly acknowledges that some in the public health community recognize that tobacco harm reduction should be a complementary public health strategy regarding tobacco products

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Discussion This study is the first in Japan to examine the prevalence of use of combustible cigarettes and new tobacco-alternative products among adolescents

Acknowledgements This work was supported by grants from the National Key R&D project of the Chinese Ministry of Science and Technology [2018YFE0205100]