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Through direct encouragement, modeling behaviors, and fear of social exclusion, teenagers often adopt smoking habits to maintain relationships and social status, with many schools and communities finding that targeted peer-led intervention programs effectively counter these influences

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To further complicate things, among non-smokers, this inequity of breaks can cause resentment, as non-smokers may feel that smokers are using their addiction as an excuse to step out more

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Such cases can be contentious, often result in subpoenas for doctors to appear in court and may lead to delayed payments for medical services