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The National Heart, Lung, and Blood Institute-supported Expert Panel and the American Academy of Pediatrics (AAP) has urged middle and high schools to modify school start times to enable adolescent students to get sufficient sleep and improve their health, safety, academic performance, and quality of life. English was the primary language spoken. Cigarette smoking rates among high school students have dropped to the 2012 School Health Policies and Practices Study (SHPPS).
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