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Women with a high school diploma or GED had the highest prevalence at 12.2%, and the prevalence decreased with increasing education, dropping to 7.9% among those with some college or an associates degree

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During this period, tobacco users shifted from the traditional practices of using chewing tobacco, inhaling snuff, and smoking cigars and pipes, to smoking cigarettes, and the number of tobacco users increased as the rising number of initiates, including many women, became cigarette smokers (DHHS 2000b

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In the middle price/expenditure group, only three states had significant declines (Colorado, Illinois and Wisconsin) and average prevalence for the middle group declined by 9.1 percentage points, from 26.8% (95% CI 25.1% to 28.5%) to 17.7% (95% CI 16.0% to 19.3%)