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There are differences across socio-economic status, at least in the Philippines, explained Valerie Gilbert Ulep, research specialist at the Philippine Institute for Development Studies (PIDS).You have higher prevalence of smoking among the poor. The differences are noted in a report on smoking published by the World Health Organization in 2008, which found that poor households with members who smoked spent more than 11 times for tobacco products than for health, and nine times more than for education

Cigarette smoking is the leading cause of preventable death and disability in the United States, the CDC says

Nicotine increases insulin resistance and raises heart rate and blood pressure, and smoking is a leading cause of cardiovascular disease

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