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Here we find that many older girls in Ghana also look for ways to express their independence in decision-making after what may have been a sheltered adolescence, whereas the few girls with less protective families may have started making their own choices at earlier ages

The corresponding and first authors had full access to all study data and final responsibility for the decision to submit for publication

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When considering the total nicotine content and the most popular user comparison metric, one 5% Vuse Alto pod is generally equivalent to one standard pack of 20 cigarettes