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However, the current landscape of evidence informing the estimated relationships with chewing tobacco is weak and highlights key areas for future research, including a need for large, high-quality prospective cohort studies to strengthen our understanding of chewing tobaccos health burden
Mundt KA, Dell LD, Crawford L, Gallagher AE
Our major findings from Cambodia indicate that a significant, more than two-fold increase in odds of infant mortality was associated with the following habits in pregnant women: 1) exclusive smokeless tobacco use in the form of a tobacco quid that was chewed, and 2) poly-tobacco (smoked + smokeless) use
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