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adult males vs 13% of females) Cigarette smoking is highest among American Indians and Alaskan natives and people of multiple races, and lowest among Asian Americans Individuals living below the poverty line are nearly twice as likely to smoke as those living at or above poverty level (26% vs 14%) The Midwest has the highest rate of cigarette smoking (almost 19% of the U.S.) Individuals with disabilities smoke at higher rates than individuals with no disability (21% vs 14%) Individuals who identify as lesbian, gay, and bisexual were more likely to be smokers than their heterosexual peers (20% vs 15%) Electronic cigarettes JUULs Click on a brief below for more information

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Ethics approval and consent to participate The authors confirm to follow the study protocol that was approved by the Ethics Committee of IRB-Hanoi Medical University, Vietnam, for ethics in biomedical research implementation (Approval number NCS33/HMU-IRB dated 29 March 2019) and the IRB-International University of Health and Welfare, Japan (Approval number 21-Ig-92 dated on 21 August 2021)

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