Tobacco is not an equal opportunity killer. Individuals in certain communities are more at risk to become smokers and suffer from tobacco-related disease and death. Social and economic differences, historical factors, and cultural practices have all contributed to a higher rate of tobacco use and related disease in some populations. For example, nearly 29 percent of Americans below the poverty line smoke, compared with 16 percent of those at or above the poverty line. We are dedicated to combating this reality and achieving health equity.