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Lancaster Ave., Downingtown, PA 19335 ( see above for pick-up hours )

According to Additional risk factors include: easy access to tobacco products peer and family influence, including lack of parental support or involvement mental health conditions, such as depression poor self-image or self-esteem negative life experiences, such as emotional abuse or parental separation substance use Many teens mistakenly believe that vaping, e-cigarettes, or hookah may not have negative health effects or lead to addiction

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But the tobacco industry collected enough signatures to put a ballot measure before voters in 2022