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A disproportionate percentage of Indigenous peoples in the United States use commercial tobacco compared to other ethnic groups

To account for the stratified multi-stage cluster sample, we considered the provincial domain as the strata variable and accounted for clustering by village/urban unit, enumeration area, and mother, by computing variances around means, proportions, and regression coefficients using a Taylor linearized variance approach that used a variance inflation factor to account for within-cluster homogeneity 22

Rather than introducing new medications, our approach focuses on nutritional support to address the severe depletion that drugs causes