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Tribe-specific data also documents smoking initiation beginning before age eight and regular smoking beginning during the tween and teen years

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Support Networks : Joining support groups or seeking counseling can help manage the emotional challenges associated with chronic conditions

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Data collection involved a structured questionnaire and physical examinations to ascertain tobacco use habits, including cigarettes, non-cigarette smoked and smokeless tobacco, and environmental tobacco smoke (ETS) exposure, alongside physiological measurements and health history