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Similarly, the adoption of local smoke-free outdoor policies was also associated with a 3.57 pp reduction (95% CI: 6.82 to 0.32 pp) and a 2.54 pp reduction (95% CI: 4.43 to 0.64 pp) in smoking rates during the second and third years after the state policy, respectively, compared with a 1.11 pp reduction (95% CI: 2.66 to 0.45 pp) before the state policy took effect

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It can also lead to lower bone density (brittle bones), which increases the risk of broken bones and fractures

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