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These are limited by field effects where potentially malignant changes, though not phenotypically visible, extend to larger areas beyond the lesion, as well as severe disfigurement and impairment of function

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Conversely, a protective effect of wealth for current smoking was also observed in this analysis, such that although teenagers whose caregivers smoked had higher odds of being current smokers, the risk was lower for teenagers in wealthier families with aORs ranging from 0.69 to 0.74

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