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While the paper does not directly evaluate this, it potentially suggests that it is inattention and hyperactive/impulsive symptoms that drive the early take up of tobacco based products in young people with ADHD and that appropriate support to people with those ADHD symptoms (either through pharmacotherapy or other means) could ameliorate this. The paper is also noteworthy in the context of a recent British study, co-authored by Stott, which found people with ADHD have a much shorter life expectancy compared to the general population seven years shorter for men, and nine years shorter for women

changes in routine, social interactions, or coping mechanisms may impact an individuals mental well-being

In comparing people who smoke with people who quit smoking, researchers found that those who smoke were 17% more likely to die and 53% more likely to have serious heart and lung problems