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One Australian study of 257 pregnant women who identified as Aboriginal or had an Aboriginal partner, found that lower education level (less than year 10 at high school) and earlier initiation of substance use (less than 15 years old) were associated with a higher likelihood of using multiple substances (tobacco, alcohol, and/or cannabis) during pregnancy [16]

Epidemiological data early in the pandemic even showed lower rates of diagnosed COVID19 among smokers, though these findings were heavily confounded and do not mean smoking is protective