Abstract
Smoking is a modern scourge. The WHO global burden of disease study suggested that, in developed countries, 26% of male deaths and 9% of female deaths could be attributed to smoking—the single most important risk factor.1 We must consider not just aggregate effects but social distribution. In many countries the likelihood of smoking is linked to socioeconomic position: lower status, more smoking. Hence, among other evils, smoking contributes to social inequalities in mortality. The size of that contribution is considerable.
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