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Current smoking prevalence in 2020/21 was over six times (prevalence ratio: 6.06, 95%CI: 4.22 to 8.70, adjusted for age, gender and ethnicity) higher among the most deprived quintile of the population (quintile 5: 22.6%, 180,000 people) than the least deprived quintile (quintile 1: 4.2%, 35,000 people)

Unlike smoking, which primarily affects the lungs, chewing tobacco delivers carcinogens directly to the tissues in the mouth, accelerating the development of oral cancers.A study published in Nature Communications reviewed global data on chewing tobacco use and its health effects