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Tobacco Smoke Cigarette smoking by pregnant women is the leading preventable cause of poor pregnancy outcomes

High hemoglobin count may be caused by dehydration, smoking, emphysema, tumors, or abuse of

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The school environment plays a critical mediating role, with students attending schools in deprived areas more likely to be exposed to peer vaping, less likely to receive comprehensive health education, and more likely to encounter pro-vaping content through peers and social media [58,59,60]