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Further progress is also needed to improve outcomes for those who are disproportionately impacted by this diseaseincluding Americans over the age of 45, Native Americans, Black Americans, and people with a family history of colorectal cancer

Tobaccos constant presence in these areas raises the risk of cancer

Notably, in countries like Bangladesh with some of the highest overall rates of use, prevalence among females appears to steadily increase with age, leading to roughly 50% of females aged 80-84 chewing tobacco 3

As health studies continued to demonstrate the negative health effects of smoking, tobacco companies began offering safer and healthier alternatives of smokeless tobacco, often using ballplayers as pitchmen