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For smokers, the risk of spinal fractures is significantly increased, which can lead to severe back pain, spinal deformities, and mobility issues

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These associations remained significant after adjusting for birth year, sex, adjusted maternal age, paternal age, and parity but lost significance when also adjusting for maternal/paternal education, maternal/paternal occupational class, family, income, and maternal origin of birth [117]

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This is especially harmful to children, who can develop asthma and other long-term health problems from prolonged exposure