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Together, these findings highlight an urgent need for gender-sensitive, culturally appropriate interventions such as enforcement of comprehensive bans on tobacco marketing, women-focused cessation services, integration of cessation messaging into maternal and primary healthcare platforms, and community-based outreach to effectively address the sociocultural drivers of tobacco use among women in the Northeastern states

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In case higher age contributes to elevated eCO levels, it could probably explain lower median eCO levels among these patients compared to those who reported smoking, as well as contribute to higher blood pressure in this group and more advanced coronary artery disease resulting in greater proportion patients presenting with MI as an index event