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Main probable causes for this phenomenon are the high overall mortality rates due to economic and social conditions and the high prevalence of menthol among African American smokers, which causes them to be more addicted and quit less, health policy researchers at the University of Michigan noted in a 2021 report in the journal Tobacco Control

Omanya, Patience Oduor, Walter Mchembere, Tina W

The experience differs from one individual to another, as does the strength of the effect

Healton said the drop is a result of fewer people starting the habit, more people quitting and many cutting back on the number of cigarettes they smoke