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Finally, given that lung cancer stigma can intersect with social and structural hierarchies such as power, culture, and privilege [43], it would seem important for public health campaigns to target all tobacco users, not just ethnic minorities and tobacco users of low socioeconomic status [32]

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In the following sections, I will seek to provide an account of why it is individuals in lower social strata who are more likely to smoke compared to those in higher social strata, rather than the other way around, specifically during the later stages of the cigarette epidemic