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The report identified several factors that contribute to the high rates, including how the tobacco industry "has targeted these groups in its marketing" by launching "a variety of campaigns to promote tobacco products to disparate groups." People of color primarily Black, Hispanic, and Indigenous Americans and those in low-income and rural areas have also been disproportionately affected

This size separation enables researchers to determine how different chemicals including nicotine, tar, and carcinogens reach specific regions of the respiratory system, from the throat to the alveoli

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