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They influenced government officials to overturn or oppose bans and other restrictions, though that influence waned over the decades

This information is not intended to diagnose, treat, cure, or prevent any disease.

Strengths and limitations This study had many strengths, a nationally representative US sample, choice of a well-validated measure of global health that includes a physical and mental component 17,35 , testing of the associations between a novel smoking-descriptor (childhood smoking) and poor HRQOL, adjustment for many other aspects of cigarette smoking that also independently relate to HRQOL, and a sensitivity analysis that appropriately considers smoking-related disease measures as mediators rather than independent risk factors

Expert Review of Respiratory Medicine