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Although numerous school-based smoking prevention trials have found short-term decreases in smoking prevalence by up to 30%70%, there is little or no evidence on the long-term effectiveness of school-based smoking prevention programs.98100 Tengs et al101 have reported that the effectiveness of anti-tobacco education programs using the social influences model tends to dissipate in 14 years, raising questions about the long-term economic efficiency of such initiatives

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