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We hope to be able to identify modifiable factors that can help inform regulatory efforts, retailer education programs and overall compliance and enforcement to reduce and prevent tobacco use consistently among youth and young adults, said Amanda Kong, assistant professor of social sciences and health policy at Wake Forest University School of Medicine, based in North Carolina, and an author of the study.

The team also measured a property called oxidative potential (OP), which quantifies the smoke's capacity to generate reactive oxygen species, aggressive molecules that drive inflammation, lung tissue remodelling, and the vascular changes underlying heart disease