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Photo: Author The cigarette in my hand, the cigarettes on the table, the American Eagle apparel, and the bottle of root beer with the label peeled off to make me look like I was old enough to drink actual beer

First primary exposure: level of psychological distress Our first primary exposure of interest was the level of psychological distress as measured by the Kessler 6-Item Psychological Distress Scale (K-6), [no/low psychological distress (NPD: K-6 5 and 13)] 19

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Yes, smoking actually makes you look older