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Parker leveraged her contacts to help make the case for Tobacco 21 legislation in two counties in her region

Additionally, moderate to severe pain at Wave 4 was associated with a risk of exclusive use of cigarettes (45 percent) or e-cigarettes (4.78 percent) and a greater risk of dual use of cigarettes and e-cigarettes (4.94 percent)

In this regard, negative reinforcement appears to constitute a more central mechanism in both SUD and BA (Weatherly et al., 2012

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