Rates started to fall in the 21st Century due to comprehensive strategy which included regulatory measures to limit young people’s exposure to marketing, reduce the availability of tobacco through raising the age of sale to 18 and increasing the price through taxation and an effective illicit strategy.9 Smoking, alcohol and drug use There is a notable association between smoking and other substanc. [...] The earlier children become regular smokers and persist in the habit as adults, the greater the risk of developing lung cancer or heart disease.12 Children are also more susceptible to the effects of passive smoking. [...] The measure was designed to make it more difficult for teenagers to obtain cigarettes, since, despite the law, children still succeeded in buying tobacco from shops and vending machines.27 In 2008, the first time data was collected after the change in the law, 39% of pupils who smoked said they found it difficult to buy cigarettes from shops, an increase of 15 percentage points from 24% in 2006. [...] There has also been a drop in the proportion of regular smokers who usually buy their cigarettes from a shop: from 78% in 2006 to 32% in 2021.3 April 2009: An amendment to the Criminal Justice and Immigration Act includes banning orders for retailers who persistently sell tobacco to persons under the age of 18.28 1 October 2011: A ban on the sale of cigarettes from vending machines which entered i. [...] Exposure to parental and sibling smoking and the risk of smoking uptake in childhood and adolescence: a systematic review and meta-analysis.
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