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One study, published in the journal Tobacco Control, suggests that the hormonal effects of vaping may be slightly less pronounced than traditional smoking but still significant
[DOI] [PMC free article] [PubMed] [Google Scholar] 59

They felt that pregnant women who smoke in public receive a lot of negative judgement and criticism from those around them

The report also highlights that the countries with the highest prevalence of tobacco use among youth, as well as high consumption of smokeless tobacco products generally, have a lower human development index scores

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