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This is important health concern because 94% of adult smokers had their first cigarette before turning 21, according to the American Lung Association

"But the data do suggest that differences in susceptibility may exist, which may be due to differences in the metabolism of nicotine or tobacco carcinogens among the various groups, or perhaps non-genetic factors that vary in frequency across populations." Haiman cautions, however, that these findings should not change the overall public health message