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A low level of HL was strongly associated with tobacco use, adjusted by catchment area and age of first pregnancy (LRT p less then 0.001; ROC curve = 0.71, 95% CI 0.64-0.79). CONCLUSION A low HL is associated with tobacco consumption during pregnancy. Whether low HL reflects the wide constellation of already-known socioeconomic, political and commercial determinants of tobacco use, or whether incorporating HL support interventions strengthens tobacco cessation activities in pregnancy, warrants further research. Still, it should be consid
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