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152 Smoking during pregnancy also has negative implications for the offsprings fertility later in life

Figures 2F, 3F)

Importantly, adolescents who reported no exposure in any setting were significantly less likely to have tried tobacco (inverse association: V= -0.135)

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While this is in some ways a cultural effect, as smoking is much more widely accepted, the lack of access to tools like vaping could play a big part in smoking rates being as high as they are