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9 Mayo Clinic has stated that nonsmoking women who are exposed to secondhand smoke are at increased risk of pregnancy loss or having a baby who has birth defects or a low birth weight

The inter-rater reliability was high across all codes, with the agreement ranging from 86% to 99%, and prevalence-adjusted and bias-adjusted kappa (PABAK) statistic ranging from 0.72 to 0.97 with an average of 0.89 (Supplementary file Table 1)

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Going forward, its important for researchers, the lay public and particularly the policy makers who create the rating system to remain aware of this and hold streaming services (now much more popular than cable for young adults and Gen Z) accountable for these promised changes

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