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As recommended by the PRAMS codebook, if respondents answered always or often to either question, they were classified as experiencing postpartum depression

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Although the cross-sectional data of the present study does not allow to draw cause-effect conclusions, given the trends observed, it can be hypothesized that the introduction of smoke-free TNPs does not lead to an unintended increase in overall TNP use in the general adult population, but rather drives a shift in TNP use patterns from cigarettes to smoke-free TNPs