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Increased Vulnerability: Biological factors: Some reputable studies suggest that people with mental illness may have a heightened biological vulnerability to the harmful effects of smoking

Pascoe's work, culminating in a 2007 book titled Dude, You're a Fag: Masculinity and Sexuality in High School , suggested that these boys used the fag slur as a way to assert their own masculinity, by claiming that another boy is less masculine

There have been other studies of the effects of smoking and alcohol consumption on mortality, but they did not have such a long follow-up as in the current study, nor were they able to investigate the effects on as many different causes of death

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