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Regulatory compliance strengthens outsourcing through safety standards, sustainability mandates, and reporting requirements

research in Scotland revealed that following the introduction of comprehensive smoke-free legislation, children's SHS exposure decreased in families where only the father smoked but not in families where only the mother smoked.88 Cessation support In the UK, which offers free, comprehensive local cessation services including counselling and pharmacotherapy, women are more likely to use these services but have lower success rates than men.89 Quit rates are lowest in women who are younger, live in deprived areas and/or are from ethnic minorities.90 Local cessation services are generally unavailable in LMICs and access to pharmacotherapy is typically very costly.91 The lower smoking rates among women in LMICs are widely attributed to women's relatively poorer social and economic status and cultural factors rather than to the success of tobacco control.25 Indeed, tobacco control measures and policies vary enormously between LMICs and are generally poorly resourced.91 For example, tobacco control educational campaigns, typically underfundedif available at allin LMICs, rarely target sex or gender specific harms of tobacco use

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