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In England, 6.1% of mothers smoked at the time of delivery in 2024-25.[9] This represents a strong decline in recent years, down from 7.4% in 2023/2024 and close to half the rate from ten years ago in 2014/15 (11.4%)

More research is needed to understand the full impact of smoking on testosterone levels in women

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Recommendations, policy and governance implications Greater emphasis should be placed on underrepresented regions, identified as geographical gaps in this study, particularly North America, Africa, and Oceania, to ensure that limited monitoring efforts do not obscure the true extent of global cigarette butt contamination

[31] Nearly all Chinese physicians (95%) believed that active smoking causes lung cancer and most believed that passive smoking causes lung cancer (89%), but current smokers were less likely to hold these health beliefs than nonsmokers were