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The highest usage of any tobacco product was among people with annual household incomes under $35,000 at 26 percent, followed by people living with a disability at 25.0 percent, adults living in the Midwest at 23.5 percent and in the South at 20.8 percent, people who were divorced, separate or widowed at 23.1 percent, people with a General Education Development certificate at 42.6 percent, and American Indian and Alaska natives at 29.8 percent