prevalence of cigarette smoking in the united states is Down Nationwide, but Not Equally Across All Groups Tobacco Product Use Among Adults

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Sixty-five randomly selected adult smokers were asked the number of cigarettes they generally smoke in one day

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Additionally, racial/ethnic differences in nicotine metabolism have been well-established, with non-Hispanic Black (NHB) smokers exhibiting higher serum cotinine levels despite smoking fewer cigarettes per day compared to non-Hispanic White (NHW) smokers 3-6