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The following factors were included as covariates for potential confounders or risk factors: sex (male or female), grade (7th, 8th, 9th, 10th, 11th, or 12th), academic performance (high, middle, or low), area of residence (metropolitan, urban, or rural), residence type (living with or without family), economic status (high, middle, or low), subjective health condition (healthy, normal, or unhealthy), physical activity over 1 h and five times per week (yes or no), drinking experience (yes or no), smoking status (never, ex-smoker, or current smoker), sleep satisfaction (satisfied, regular, or unsatisfied), stress perception (high, middle, or low), depressive symptoms in the past 12 months (yes or no), and year (2020, 2021, 2022, or 2023)

Sacred Smoke of the Ancestors

In the present study, 81.9% of the population was using ECs (e-smokers, dual users) for the same reasons mentioned above (Table 3)

Light the bowl with a lighter or match and inhale from the mouthpiece

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