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The study authors also noted that just under 1 percent of Americans said they have smoked some sort of tobacco pipe at least 50 times over their lifetime

There were some more notable gender differences among the EU Member States

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"These specific defects should be included in public health educational information to encourage more women to quit smoking before or early on in pregnancy, and to particularly target younger women and those from lower socioeconomic groups, in which smoking prevalence is greatest." The authors also called for more research into whether the risk of lifelong physical abnormalities in a child might encourage more women to quit.