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Lower-SES populations are consistently found to have higher rates of smoking, greater difficulty in quitting, and increased vulnerability to tobacco-related diseases [19,20,21]

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For instance, a 20-pack year smoking history could mean youve smoked a pack a day for 20 years or that you used to smoke two packs a day for 10 years

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Scientific Reports, 4 , 4133

The findings "support a policy strategy that encourages replacing cigarette smoking with vaping to yield substantial life-year gains" compared with cigarette smoking, lead researcher David Levy, an oncologist at Georgetown University Medical Center, said in a statement