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Another study that used questionnaires to ask patients with COPD about their mothers smoking status during pregnancy showed that maternal smoking negatively affected childrens lung function and promoted the development of COPD [34]

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The failure in those studies to find an association between exposure to pictorial cigarette warnings and increased health beliefs may be partly or fully attributable to the fact that, as previously described, the public already has a high pre-existing level of knowledge of the specific health consequences described in the warnings tested in those studies, some of which included warning statements set forth by Congress in the Tobacco Control Act

Between the mess and the smell, its a habit that quickly becomes socially isolating, especially when partners, coworkers, or friends find it unpleasant