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The reality of peer pressure is that often youth are more likely to use drugs and alcohol as a way to fit in or often turn to drugs and alcohol to overcome challenges and stressors going on in their lives, said Jimenez-Young

Tobacco farming is concentrated in the central-western part of Tanzania, particularly in the Tabora region

Users inhale the nicotine as it is released by the e-cigarette in the form of water vapor, like a mist or cloud (often called "vaping")