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Studies in various countries have found that middle-aged smokers have two to three times the mortality rate of non-smokers of similar age, reducing lifespan by an average of 10 years

Such a smoking pattern has historically been more common among racial and ethnic minorities who nevertheless have high rates of smoking-related morbidity and mortality. The researchers said their study mostly included whites, so it may not reflect the bigger risks among African-Americans

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2012 Nov-Dec;34(6):554-9