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Along with depression, anxiety is recognized as a prevalent mental disorder among adolescents 10 , with a prevalence of 11.2% in Korea and 717% globally, depending on area 11,12

However, the duty-free allowance for tobacco products is limited, and exceeding this limit can result in additional duties being charged on the full amount

Exclusion criteria encompassed participants with cardiovascular or respiratory disease history, acute respiratory infections within the preceding four weeks, diagnosed allergic conditions, traditional tobacco use history, or dual product usage patterns