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Optimistically, they will contribute to taking the country another step farther away from the previous "cigarette century," during which the market for tobacco was dominated by a single deadly product, and toward a future with lower risks and a greater diversity of ways to consume tobacco and nicotine

[6] Tobacco use is a major contributor to the top four causes of death among African-Americans: heart disease, cancer, stroke and diabetes

Instead, the Global Burden of Disease uses a big data approach to make broad estimates

Factors such as taste preferences, budget constraints, and personal values all come into play when making this decision