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Healton also points out that the most recent generation of young adults grew up with other campaigns that educated people about the risks of smoking

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It is still possible either: (1) that the supposed effect is really the cause, or in this case that incipient cancer, or a pre-cancerous condition with chronic inflammation, is a factor in inducing the smoking of cigarettes, or (2) that cigarette smoking and lung cancer, though not mutually causative, are both influenced by a common cause, in this case the individual genotype