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As the results of the questionnaire were easily influenced, we added a more objective indicator, serum cotinine, which could reflect the extent of an individual's exposure to smoking (12)

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Schatz has introduced legislation to raise the tobacco age every year since 2015 when his home state of Hawaii raised it to 21 and said in a statement the measure is a "big win for public health." Vaping industry advocates have supported raising the legal age to buy tobacco amid criticism that e-cigarette companies targeted minors with marketing materials on social media and flavored products