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Higher income was not protective against smoking for American Indians and Alaska Natives or Hispanics

As early as the 1790s, however, Philadelphia physicians began to warn of the health dangers of smoking, and the watershed 1964 U.S

Smoking rates also vary significantly according to country of birth, with the highest among those born in Poland (24.8%), compared with 5.2% born in India and 14.6% born in England

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Even areas not usually linked to ageing, such as the upper arms and breasts, can sag more quickly in smokers