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Disparities Remain with Tobacco Use Digging into more specifics on the CDC data, its clear that disparities persist when it comes to usage, with high tobacco use remaining among: Certain races and ethnicities, such as Whites (21.2%) and Black or African Americans (18.1%) Those with a high school diploma (24.4%) or GED (39%) Lower-income individuals (24.7%) Rural residents (26.2%) Those who identify as lesbian, gay, or bisexual (27.2%) People with psychological distress (37.6%) Groups like these face pressures that can make smoking cessation more difficult

Prior research has shown that adolescent smokers frequently incorporate smoking as an important part of their social relationships