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Its prevalence among American Indians/Alaska Natives remains high at 1.5 times the national average, or 26 percent of all Native Americans

The Tobacco Commission said market performance remained stable despite lower volumes and earnings compared with the same period in 2025, when 72.7 million kg were sold for MK309.3 billion ($179 million), marking a nearly 15% reduction in volume and 28% reduction in earnings

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Combination of abuse and dependence disorders into one diagnosis: In DSM-4, substance use disorder comprised two separate diagnoses: substance abuse and substance dependence

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