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Evidence from other studies agrees with this observation, suggesting that current smokers born in more recent years start earlier and smoke more heavily compared to those from earlier years, and are likely to be at even greater risk over the long term

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Acknowledgements The authors are grateful to Jennifer Bombard, MSPH and Ruben A Smith, PhD at the Division of Reproductive Health (CDC), Michelle OHegarty, PhD at the Office on Smoking and Health (CDC), and Van Tong, MPH at the National Center for Birth Defects and Developmental Disabilities (CDC) for their advice and guidance on our analysis of PRAMS data