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Environmental and sustainability pressures also pose threats, as tobacco cultivation has been associated with deforestation, soil depletion, and water-intensive agricultural practices in several growing regions, creating reputational and regulatory risk for the supply chain

Education level is also linked to smoking: those who did not graduate from high school smoke at a rate of 20.7%, reports the American Lung Association, while those who graduated from high school smoke at a rate of 16.3% and those who graduated from college with a bachelors degree smoke at a rate of 4.4%

To view a copy of this licence, visit About this article Cite this article Hmood, A.N., Ebaya, M.M.A