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Committing to sobriety is a daunting challenge, and having smoking as a fallback may feel comforting

As an official from the tobacco company Rothmans once put it, Thinking about Chinese smoking statistics is like trying to think about the limits of space. Every year, Chinas smokers consume one-third of the worlds tobacco: an overwhelming 2.2 trillion cigarettes

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For instance, tobacco use is higher among non-Hispanic American Indian/Alaska Native adults compared with other racial or ethnic groups, among residents of the Midwest or southern United States compared with the rest of the country, among individuals with lower levels of household income, among adults who were uninsured, and among individuals with disabilities or serious psychological distress (116)