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It may take up to 20 years to develop

"Musings of a Cigarette Smoking Man" has the Smoking Man still a young man and not part of the Syndicate in 1963, and he does not smoke yet

Younger Chinese adults recognize the cultural symbolism even if they do not smoke

It suggests that each year of smoking adds approximately 23 years to the risk advancement period, meaning that former smokers need a longer duration of abstinence than their smoking history to fully mitigate their increased risk (42)

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