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"We are at a critical moment in our nation's efforts to end the epidemic of tobacco use that continues to kill more people than any other preventable cause of death, and threatens the health and well-being of our next generation," CVS Health chief medical officer Troyen Brennan said in a statement

This widely observed link may instead be explained by underlying poverty, financial stress, and mental health challenges, since both depression and economic hardship affect food access and smoking behavior. The findings highlight a more complex realityone in which structural factors, rather than individual choices alone, shape health outcomes