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Figure 1-12 shows the smoking prevalence by four levels of income among the five major racial/ethnicity groups in the United States and among the total population, as estimated by Barbeau and colleagues (2004)

The gradient effect was much less pronounced among the lower-income classifications, although individuals in the middle (those with annual incomes between 200 and 299 percent of the poverty level) income category were less likely to be current smokers than those in the poor and near-poor categories

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Retrieved March 30, 2015, from WYSAC

It`s a play on words with a slight insult, making it humorous