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Due to the population size, law enforcement remains a challenge, though anti-smoking awareness has sharply increased in recent years

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In addition, there is now a growing epidemic of youth vaping where recent alarming data shows 27.5% of high schoolers vape, and 10.5% of those in middle school

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The causes of this inconsistent effect of education on smoking behaviors remain unclear, and further investigation is needed to examine the exact nature of the association between education and smoking behaviors in rural China