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Longitudinal Association of Tobacco Product Use with Health-Related Quality of Life From Waves 1-5 Reference Group: P30D Exclusive Cigarette Use: When evaluating the longitudinal relationship between tobacco product use and change in PROMIS scores over the four 2-wave pairs, cigarette and e-cigarette dual use at baseline wave was associated with worsening overall health over time (beta=-0.08, CI [-0.16, -0.01]) compared to exclusive cigarette use

Stronger efforts to prevent tobacco use in adolescence should be a priority for policy makers

Before Planting: The tobacco seed is very small, so it must be started indoors

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