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Ethnicity and Age: Smoking prevalence was highest among Native Americans (32.4%), followed by African Americans (23%), whites (21.9%), and Hispanics (15.2%), with Asians having the lowest prevalence (10.4%)

One study found that exposure to nicotine produces a different type of collagen fibre which stiffens the discs (similar to what occurs during the ageing process) and resulting in accelerated disc disintegration

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