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So in states like Kentucky, where only 50 percent of adults go on to college, youre going to find more smokers and more cancer-related smoking deaths

However, net financing costs have recently increased

While the associations between lower education, reduced wealth, and higher tobacco consumption align with established evidence, our findings reveal two novel dimensions: insured women were more likely to use tobacco, suggesting the presence of moral hazard and risk compensation dynamics, and women living with chronic illnesses demonstrated higher tobacco use, consistent with addiction persistence and maladaptive coping behaviours