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Artist's Description A Monkey with a serious expression is depicted wearing a hat and a jacket

At least 30% of American Indian and Alaska Native adults in the state smoke cigarettes

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These findings are consistent with a January 2017 JAMA study that looked at approximately 290,000 adults and found low-intensity smoking over the lifetime was associated with a significantly higher risk of all-cause mortality, including deaths from lung cancer and cardiovascular disease [compared to never smokers]. But this was the first study to combine results relating to both stroke and coronary heart disease, providing incentive for smokers to quit entirely instead of just cutting down