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American Indians and Alaskan Natives smoke at much higher rates than other ethnic groups, averaging 19.1 percent overall

The potential mechanisms by which maternal smoking during pregnancy leads to health problems in offspring from the many toxicants in tobacco smoke include in utero hypoxia, nicotine-induced reductions in uteroplacental blood flow, placental toxicity, and toxic growth restriction 28

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READ MORE: 13 ways smoking affects the body While the statistics are alarming, the good news is that quitting smoking reduces the risk of disease and death significantly

Its etiology is mostly related to poor eating habits, oral hygiene, and compliance with treatment