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"Studies of Factors in Relapse to Alcohol, Drug and Nicotine Use: A Critical Review of Methodologies and Findings." Journal of Studies on Alcohol 60.4 July 1999: 566-576

Your vocal folds (cords) also thicken and enlarge. This change is more noticeable in boys

As a result, ethnic differences between the risk estimates could be due to group differences in self-reporting, or to subtle differences in smoking behavior (e.g., cigarette type, puff size, and depth of inhalation) that are difficult to capture with questionnaires

Frequent vapers were also most likely to be smoking two or more cigarettes a day by the spring of their sophomore year 12% of them did so, compared with 4% of the students who were occasional vapers at the beginning of the school year and 0.4% of those who didnt vape at all