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Before this survey, had you ever heard of this effect of added sugar? Participants also had the option of providing open-ended comments at the end of the study

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"Formaldehyde-releasing agents may deposit more efficiently in the respiratory tract than gaseous formaldehyde, and so they could carry a higher slope factor for cancer." Peter Hajek, director of the Tobacco Dependence Research Unit at Barts and The London School of Medicine and Dentistry, said the study did not reflect real-world conditions

In other words, while the article quantifies the gender difference in use of different tobacco products, it is not equipped to address what causes the gender differences in smoking among the surveyed youth