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A critical assessment of these manipulative tactics helps explain why, despite the overall US smoking rate decreasing to 11.5%, rates are much higher among people with lower levels of income and education, people who identify as American Indian/Alaska Native, men, people who identify as LGBTQ, people facing mental illness and disabilities, people who are uninsured or on Medicaid, and people living in the South and Midwest

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In 2024, the highest levels of tobacco per capita consumption was registered in Malawi (15 kg per person), followed by Turkey (3.5 kg per person), France (1.6 kg per person) and the United States (1.3 kg per person), while the world average per capita consumption of tobacco was estimated at 0.6 kg per person

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