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Fax no: 0044 (0)2476 523497 Acknowledgements:This research was funded by Defra FO04014, Consumer insight into food prices and food security, and the authors are grateful for permission to publish. They remain entirely responsible for the text and opinions expressed. They are also grateful to those who took part in the online survey and workshops. Abstract"Food security" has recently gained policy salience in the UK and internationally. Definitions vary, but the term is generally used by policy makers to imply sustained access by all consumers to sufficient food that is affordable, safe, nutritious and appropriate for an active and healthy life. Recent attention partly reflects anxiety over possible resource and environmental instabilities within the food system and the effects of economic recession.2

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These results have implications for how smoking cessation programs for pregnant women should be designed. Health care providers need to be cognizant of their approaches and attitudes when addressing the subject of smoking cessation. Specific educational suggestions include "putting a face" to the issue of tobacco use during pregnancy. More research is needed on how best to implement the 2008 clinical practice guideline in specific populations.

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