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When smoking duration was used as a continuous measure in place of cigarette pack years in the 3-category age of initiation model (Supplemental Table S3a in the online supplement), the association between childhood smoking and COPD was attenuated (aRR from 1.27 [95% CI=1.06, 1.51] to 1.16 [95% CI=0.99, 1.36])

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Reduced Compliance There's also a connection between smoking and other health behaviors