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This combo means more irritation and frequent heartburn for smokers

18.3% of adults living in low-income households smoke, compared to 12.3% of adults living in middle-income households, and 6.7% of adults living in high-income households

As smoking is also common among alcohol drinkers, and smokers and drinkers frequently share similar behavioural and lifestyle patterns, it is currently unclear whether it is the combined or independent effects of smoking and alcohol that greatly raises cardiovascular risk

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Current cigarette smoking among adults and trends in smoking cessation United States, 2008
