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First, the burden of all tobacco subtypes showed a negative correlation with SDI, and chewing tobacco was the only substance use subtypes that showed increases in both absolute number and ASRs of deaths and DALYs

Note 5 According to the World Health Organization, smoking is an important and preventable cause of death

Not all excise taxes are created equal: for some excise taxes, the regressivity is exacerbated by disproportionate consumption patterns, and not just that low-income households consume more of their income overall