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These strategies align with the Theoretical Domains Framework, which emphasises reducing environmental resources that enable risky behaviours ( Peer influence plays a central role in shaping adolescent behaviour ( Encouraging and recognising pupils who advocate for non-smoking was strongly recommended for helping to foster a culture in which abstaining from smoking is socially valued and is a strategy shown to be effective in LMIC contexts ( Strengthening reflective motivation: persuasion and conscious decision-making To support reflective motivation, pupils need opportunities to weigh the pros and cons of smoking and to critically evaluate their beliefs

How tobacco smoke causes disease: The biology and behavioral basis for smoking-attributable disease: A report of the surgeon general

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Results During the study period, 164,335 individuals (3.2% of the total population) developed diabetes

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The magnitude of changes for these demographic groups should be interpreted with caution