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Tobacco use in the Black American community Background Black Americans have a higher prevalence of smoking compared with other racial and ethnic groups, and they are disproportionately affected by tobacco use in several ways

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According to this model, individuals with anxiety or depression may start or continue smoking to alleviate symptoms like sadness, tension, or irritability. Nicotine can provide short-term relief by temporarily boosting neurotransmitters such as dopamine and serotonin, which influence mood and reward. However, this relief is typically fleeting and may represent the alleviation of nicotine withdrawal rather than an improvement in underlying mental health