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Sterilization method: Not Treated

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The role of tobacco in Kentuckys economy, coupled with the fact that tobacco was the livelihood of many Kentucky families, has created strong norms of acceptance around tobacco that pose a significant challenge to prevention efforts. The number of tobacco farmers in Kentucky has declined to fewer than 3,000, but tobacco remains an significant cash crop and the state has the nation's second-highest adult smoking rate, behiund only West Virginia