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However, there is mixed evidence on this topic and the current evidence base remains limited, with few high-quality studies available

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"Banning that product will just push sales out of the stores and create a lucrative illicit market." Marianos cites research by the Michigan-based Mackinac Institute to point out that "one in four packs of cigarettes in Connecticut are smuggled into the state" as it is

4 This approach can be used to screen for alcohol and other substance use, which also can have profound effects on pregnancy outcomes