Cigarette smoke contains more than 5000 chemicals that are toxic to our body, including our immune system 37 : for example, they increase reactive oxygen species production and modulate immune functions 7 , while nicotine, which is abundant in CSE, suppresses T cells by inducing anergy and apoptosis 38,39
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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