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Specifically, the possibility of reverse causality cannot be excluded

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Tobacco-related cancers are higher among some groups: Table of groups that are more likely to get tobacco-related cancers SOURCE: CDC Vital Signs, November, 2016 Tobacco-related cancer deaths have decreased over time Tobacco-related cancers across the United States US map of annual rate of tobacco-related cancers per 100,000 persons (20092013) More data available at: www.cdc.gov/uscs ABOUT 1.3 MILLION tobacco-related cancer deaths have been avoided since 1990