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Cultural safety requires providers to actively reflect on power dynamics, avoid stereotyping, use respectful language, and involve community-informed supports where appropriate

Studies investigating tobacco in pregnancy in Nigeria are rare

Best practices for tobacco control programs From CDC: Best Practices for Comprehensive Tobacco Control Programs -- 2014 is an evidence-based guide to help states build and maintain effective tobacco control programs to prevent and reduce tobacco use

Even the higher smoking and vaping rates among school survey takers are lower than the rates in 2020, so the decline in both behaviors is real