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These data jibe with the other studies on the topic, and the consensus is that elevated cigarette smoking rates, and a disproportionate burden of secondhand smoke exposure and smoking-related disease, are commonly found among medically underserved populations, including certain racial/ethnic minority groups, those who have lower education and/or socioeconomic status, and those who live in certain geographic regions like the Midwest

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Skin-to-skin contact with one of those sites during sex can transmit either infection even when penetration is condom-protected

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