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Other Lifestyle Factors That Worsen Fertility Smoking is often accompanied by other unhealthy habits that can worsen fertility, such as: Excessive alcohol consumption Poor sleep and high stress levels Sedentary lifestyle Poor diet lacking antioxidants Overexposure to heat and tight clothing Addressing these habits together can make a noticeable difference in sperm health and reproductive success

METHOD Participants in the study included county and city school students who were caught using, or in possession of tobacco products, on a school campus during the academic year, an offense that could be charged as a misdemeanor

doi: 10.1136/TOBACCOCONTROL-2014-051630/-/DC1 78 GroganS.ConnerM.FryG.GoughB.HigginsA

Adults in Australia (38.9%) and Canada (33.7%) were significantly more likely than adults in England (24.6%) and the USA (24.1%) to have made a quit attempt in the past 12 months (Table 4)