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Jackson previously has reported that low levels of self-esteem were correlated with initiation of tobacco and alcohol use among 4th to 6th grade students.25 Similar findings have been reported by Abernathy et al,26 Boptvin et al,27 and Murphy et al,28 but not Michell et al.29 These findings are particularly important because Ryan and colleagues30 have reported that adolescent girls often use smoki
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