Japan and China both have relatively high rates of smoking,but cardiovascular mortality and morbidity are not proportionally as high.The reason for this may be due to:

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Japan and China have lower rates of other unhealthy behaviors such as excessive alcohol consumption and a diet high in saturated fat, which may contribute to the relatively lower rates of cardiovascular mortality and morbidity despite high rates of smoking. While it is true that some smokers in these countries may not inhale or stay away from secondary smoke, these factors alone cannot fully explain the observed pattern. It is also worth noting that despite the possibility of differences in cigarette composition, smoking in any form carries risks for adverse health outcomes.

Japan and China Both Have Relatively High Rates of Smoking,but