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For tobacco and smoking, the correlation between SDI and ASDALYR was more complex: While higher SDI was generally associated with higher ASDALYR, in regions where SDI exceeded 0.5, additional increases in SDI were associated with lower ASDALYR

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Vaping carries much less stigma, so users are less likely to have deeply ingrained beliefs that everybody is against me. One of the unique aspects of incorporating protective behavioral strategies into therapeutic treatments for smoking cessation is the individuals ability to choose what strategies they want to use