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The Prevent All Cigarette Trafficking (PACT) Act regulates the mailing of cigarettes and smokeless tobacco, while the Preventing Online Sales of E-Cigarettes to Children Act (POSECCA) regulates the delivery of electronic nicotine delivery systems through USPS

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Barriers to quitting in pregnancy There are many factors associated with smoking during pregnancy such as socioeconomic status (low educational attainment and deprivation), White race, higher level of nicotine dependence, lack of social support, having a partner who smokes or other smokers in the home, using alcohol during pregnancy, culture, high levels of stress, and mental health conditions including depression and past-year psychiatric symptoms 4,7,27