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Understanding the underlying factors associated with substance use is critical in reducing its prevalence and addressing substance use-related problems among teenagers

It is important to note differences in smoking prevalence reflect inequities faced by some population groups, including Mori and Pacific peoples, as well as structural factors, such as the concentration of tobacco product retailers in more deprived neighbourhoods

Overall, the markets future will be characterized by a convergence of technological, regulatory, and consumer-driven forces, demanding a proactive, innovation-led approach from industry stakeholders to sustain growth and profitability through 2033

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Research Findings and Implications It is not only the smoking per se that impacts respiratory disease, but our data indicate that the smokers microbiota may also impact respiratory disease and/or infection