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thus, It is critical that family physicians include refreshing approaches to smoking prevention and cessation as important goals in the primary care of our patients

2 Furthermore, recent data showed that 14% of pregnant patients enrolled in Medicaid smoke during pregnancy, which is more than 3 times higher than the rate in those enrolled in private insurance (3.6%), underscoring the need to decrease tobacco use before and during pregnancy

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Abstract Much of what is known about the deleterious effects of tobacco use on health was learned from epidemiologic studies over the last half century