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These disparities have been exacerbated by the aggressive behavior of the tobacco industry in these communities

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The high smoking prevalence of AI/ANs in Montana directly contributes to the rate of tobacco-associated cancers among this population, which is 60% higher than the rate among White Montanans (287 cases versus 177 cases per 100,000 people, respectively) (Montana Department of Health and Human Services, 2020)

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