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The risk of lung cancer is greater among those who start smoking at a younger age or who smoke high-yield cigarettes but is also strongly correlated with the cumulative lifetime smoking exposure [ 41 , 42 , 43 , 44 , 45 , 46 , 47 ]

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Similar to the trend in adults, tobacco use among US youth such as middle and high school students is also declining, with 6.6 percent of middle and 12.6 percent of high school students reporting current use of a tobacco product in 2023 (185)