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Story highlights Smoking is not declining in poor communities as it is in more affluent places Writers: Big Tobacco targets low-income neighborhoods, sells cheap cigarettes They say stresses of poverty and hopelessness cause people to turn to smoking Writers: Smoking will be coping strategy until social ills of poverty are overcome Crystal R

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International travel introduces an added layer of complexity

[6] The psychological tool hypothesis argues that smokers use nicotine to manipulate their mental state in response to various environmental conditions, such as reducing stress and managing negative emotions

There are also less direct economic costs of tobacco use