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Adham Hanafi completed this work as part of Clinical Psychologist training on the University of Baths Doctorate in Clinical Psychology, funded by Health Education England

The lower esophageal sphincter (LES) muscle, which maintains a barrier against acidic stomach contents, becomes weak due to the impacts of smoking

Meanwhile, the smoking rate among high school students nationally has fallen steadily in recent years, reaching about 9 percent among high schoolers in 2014, according to the Centers for Disease Control and Prevention

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But how do European countries compare in terms of smoking and vaping rates