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"These specific defects should be included in public health educational information to encourage more women to quit smoking before or early on in pregnancy, and to particularly target younger women and those from lower socioeconomic groups, in which smoking prevalence is greatest." The authors also called for more research into whether the risk of lifelong physical abnormalities in a child might encourage more women to quit.

These products sold at prices much more affordable than traditional cigarettes (often half a packet of cigarettes) reinforce their appeal to consumers, in particular for the most precarious smokers and young people

It offers a valuable case study in media literacy, cultural evolution, and the intersection of celebrity and advocacy