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Our estimates uniquely provide the means to assess where existing state-level policies may not be adequately enforced and where new county-level policies may be called for in lieu of or in addition to action at the state level

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This study was reviewed and approved by the Institutional Review Boards at CDC and each participating PRAMS site.*** Results Characteristics of Respondents and Smoking Behaviors During 2021, 12.1% of surveyed women with a recent live birth reported smoking cigarettes during the 3 months before pregnancy, 5.4% smoked during the last 3 months of pregnancy, and 7.2% smoked during the postpartum period (Table 1)

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