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In this issue of JAMA Internal Medicine, Lortet-Tieulent and colleagues1 demonstrate the grim consequences of state-level disparities in smoking prevalence. They identify substantial disparities in the smoking-attributable cancer mortality among US states. As the authors suggest, it is likely that only a small amount of the variation in smoking-attributable cancer mortality is due to differences in population demographic characteristics among states. Rather, most of the disparity in state smoking-attributable cancer mortality is driven by the inequitable distribution of strong tobacco control policies across states and the uneven level of funding for state tobacco control programs.
Ribisl KM, Luke DA, Henriksen L. The Case for a Concerted Push to Reduce Place-Based Disparities in Smoking-Related Cancers. JAMA Intern Med. 2016;176(12):1799–1800. doi:10.1001/jamainternmed.2016.6865
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