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Unfortunately, there is a projected increase in prenatal alcohol use and tobacco exposure in LMIC, including Nigeria [1, 14]

Chronic alcohol use has long-term brain damage ramifications, taking a toll on overall mental health and cognitive function

Furthermore, the fact that the data were obtained from five tertiary referral maternity hospitals and maternal characteristics are consistent with national statistics, renders the sample more representative

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Recognizing co-occurring psychiatric conditions and trauma histories is essential, as untreated mental health symptoms frequently drive continued alcohol use

On the legislative front, states such as Massachusetts and New Jersey are pushing for greater taxation parity between cigarettes and RYO tobacco, which may impact future purchasing behavior