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Predictors of smoking among primary and secondary school students in Botswana.

PLoS One · 2017 · PMC5393585 · PMID 28414757

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an increasing trendno p-value reported
Our results are consistent with data from previous studies in sub-Saharan countries showing an increasing trend on smoking rates as well as early smoking initiation in adolescence [ 20 ], suggesting that increasing youth smoking is a major public health concern in the entire region.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.