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Zhang T, Joubert P, Ansari-Pour N, Zhao W, Hoang PH, Lokanga R, et al

Without a doubt, smoking in the third trimester had the greatest influence on neonatal birthweight

Since Gambela has higher smoking prevalence rate than other regions and social context matters for smoking behavior due to imitation, emulation and higher social acceptability toward a widespread practice, we expect the SNNP communities bordering Gambela region to exhibit similar smoking behavior with Gambela communities