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Additionally, age, ethnicity, race, grades in school, tobacco consumption by family members, second-hand smoke exposure, cigarette usage by best friends, usage of other tobacco products, cannabis or alcohol consumption in the previous year, and externalizing and internalizing problems scores were significantly associated with the CSM measures

It is a common belief that the latter is less harmful to health

If the body is unable to clear mucus and debris effectively it becomes more susceptible to infections, including those in the ear