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Due to the many adverse health effects associated with anabolic steroid use, they are listed as controlled substances in the United States, are permanently listed on the World Anti-Doping Code, and are routinely tested for in elite athletes

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Education level is also linked to smoking: those who did not graduate from high school smoke at a rate of 20.7%, reports the American Lung Association, while those who graduated from high school smoke at a rate of 16.3% and those who graduated from college with a bachelors degree smoke at a rate of 4.4%