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The results are devastating: Tobacco use claims about 45,000 Black lives a year, a disproportionately high burden of tobacco-related deaths in America

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Its been linked to greater nicotine dependence compared to non-menthol cigarette smoking, and greater difficulty quitting smoking among adult smokers. A 2019 study published in the American Journal of Preventive Medicine provides further detail on these trends

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Find support and advice on how to stop smoking Last reviewed: 24 Jun 2026 Next review due: 24 Jun 2029 Questions about cancer