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It's that common
Smoking is also linked with a lower quality of life, and worsening symptoms of depression and anxiety in people living with MS
Analysis of the yield data series captures this shift: tobacco productivity rose from about 821 kg/ha in 1968-69 to 1,425-1,486 kg/ha by the early-mid 1990s, and then to over 2,000 kg/ha in recent years, reaching 2,317 kg/ha in 2017-18 and staying around 2,109 kg/ha in 2023-24 (Figure 6)
Finally, population-level research similar to the present study has found, contrary to prediction from gateway effects, that smoking prevalence among adolescents underwent an accelerated decline as e-cigarette use increased [9,10,11,12,13,14,15,16,17,18] and has stayed at historic lows in the latest National Youth Tobacco Survey data [19, 68]
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