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Many even look like a cigarette

Because participants in Nairobi came from diverse backgrounds and had varying levels of English fluency, the team worked with local research staff to translate program materials into Swahili and adapted the materials, questions and overall approach to be culturally sensitive and relevant

Dimensions: 5295 x 3530 px | 44.8 x 29.9 cm | 17.7 x 11.8 inches | 300dpi Date taken: 5 June 2022 Location: Myrtle Beach, South Carolina, USA Available for Editorial use only

doi: 10.1093/ntr/ntq198

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Illustrations are produced as approximately life-size, unless stated to the contrary