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Those who reported starting smoking before age 15 had the highest risk of MI or stroke (HR 1.13 [1.071.18]), stroke (HR 1.18 [1.111.25]), and death (HR 1.19 [1.151.23]), significantly greater than the respective risks seen in those who started at age 2025

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Hazard ratios for overall mortality and various causes of death in relation to smoking habits were determined after considering other factors such as age, employment and health concerns