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and (3) an endogenous propensity to engage in risk-taking behavior assessed via measures of psychological disposition (e.g., sensation-seeking personality traits, rebelliousness, depression) or risky behaviors (e.g., use of products other than e-cigarettes or combustible tobacco cigarettes, use of non-tobacco drugs of abuse, delinquent behaviors)

However, quitting smoking can significantly reduce frequency and severity

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However, many of those people do not feel as if there is anything wrong because substance use has become a daily part of life, and do not see the mental impact on themselves or their loved ones