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Strategies aimed at addressing the smoking epidemic in women therefore need to be grounded in a multifaceted understanding of women's smoking patterns and trends, and how gender intersects with social position, identity, ethnicity and religion.27 The health impact of women's tobacco use and exposure to SHS Although women and men who smoke share excess risks for many diseases, women also experience risks that are unique to them or that are higher in women compared to men.4 28 29 Smoking is causally linked to cervical cancer, a leading cause of death from cancer among women in LMICs.30 Some evidence links active smoking and exposure to SHS to increased risk of breast cancer.31 A recent systematic review and meta-analysis found that, compared with non-smokers, women smokers have a 25% greater RR of coronary heart disease than male smokers, after controlling for other cardiovascular risk factors.32 The negative health impact of maternal smoking on fetal development has been well documented.33 Limitations in research on girls, women and tobacco While there has been an upsurge in research on gender and tobacco over the past two decades, including studies on the health effects of smoking and the determinants of smoking uptake and cessation,28 29 this has been limited in several important respects