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While unemployment rates among urban and rural areas are comparable (3.7 percent in rural areas versus 3.6 percent in urban areas in 2022), the poverty rates are consistently higher in rural areas more than three percentage points higher at 15.4 percent in rural areas in the same year

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In people with comorbid substance and/or alcohol use, smoking rates are more than double those in non-users with similar demographic characteristics (Guydish Reference Guydish, Passalacqua and Pagano2016)

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