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The risk of more than one major neonatal health issue if the mother smoked before pregnancy was 27% higher, and 31-32% higher if she smoked at any time during her pregnancy

USSTs executives expressed interest in new smokeless tobacco products that would counteract the socially unacceptable aspects of smokeless tobacco, such as the sensation of floating tobacco strands in ones mouth, the messiness of spitting, and the impression that smokeless products were traditionally confined to rural and blue-collar consumers [23, 24]

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The theory of triadic influence: Preliminary evidence related to alcohol and tobacco use