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Consistent with national patterns described above, many states experienced their sharpest increases in 2020 and 2021 and then declined somewhat from their peak, but in most states, 2024 rates remained above 2019 levels

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Prevention and social responsibility Discouraging the prevalence of cigarette smoking is a public health priority, which is pursued through clinical approaches such as nicotine replacement and pharmacotherapy, and behavioural approaches ranging from counselling to fiscal interventions (such as increasing excise duties)

Data indicate that 36.8 percent of adults with a General Education Development (GED) certificate and 23.1 percent of adults with less than a high school diploma were current smokers in 2017, compared with 7.1 percent of adults with a college degree and 4.1 percent of adults with a graduate degree (Ref

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