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This may be relevant in health-related practices including teenagers and young peoples smoking 28,29 , young peoples alcohol use 31 , and teenage girls alcohol use 30 , a body of work that forms part of the shift within public health research from a biomedical model of illness and disease towards an understanding of the broader social determinants of health 26

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Coders have no choice but to use uncomplicated codes unless there is a documented relationship between nicotine use and the disorder