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The contribution of smoking to inequalities in mortality by education varies over time and by sex: two national cohort studies, 1981-84 and 1996-99

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Impact on Our Communities 7.8% of Hispanic adults in the United States are current cigarette smokers 52% decrease in cigarette smoking prevalence among Hispanics since 2005 (from 16.2%) Tobacco use disproportionately affects Hispanic and underserved communities

76 In 1992, Congress enacted the Synar Amendment in an effort to ensure that all states restricted the age of access to a minimum of 18 years by tying the receipt of Substance Abuse Prevention and Treatment Block Grant awards to enforcement of such laws

When used together, nicotine can: Increase alertness Alter perception of the high Reduce some of the sedating effects of cannabis This can make the experience feel more balanced or intense, even though the THC itself is not stronger
