Use of all tobacco products, including smokeless tobacco, cigars, pipe tobacco, and cigarettes, is highest for

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Native Americans and Alaska Natives have the highest rates of tobacco use among all racial and ethnic groups in the United States. This includes the use of cigarettes, smokeless tobacco, and other tobacco products. Cultural practices, socioeconomic factors, and targeted marketing by tobacco companies contribute to the higher prevalence of tobacco use in these communities.

Use of All Tobacco Products, Including Smokeless Tobacco, Cigars, Pipe