People who smoke cigarettes and also use other forms of tobacco have higher levels of nicotine addiction, find it more difficult to quit using tobacco, and are at greatly increased risk for tobacco-related health problems such as cancer, heart disease and stroke, warns a new government study.
It also found that one in four adults in the 13 states uses at least one form of tobacco.
Among the other findings:
Rates of use of multiple tobacco products ranged from 1% to 3.7%.
Use of any tobacco was higher among whites (26.2 %) and blacks (24.4 %) than among Hispanics (19.7% ).
Married people (21.2%) were less likely to use any type of tobacco than those who were widowed/divorced (29.1%), single (30.3%), or members of an unmarried couple (36.3%).
People with less than a high school education were more likely to use any type of tobacco than those with some college education or more - 33.1% vs. 20.5%.