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"It's important all Americans lead healthy lives," Health and Human Services Secretary Kathleen Sebelius said

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Cigarette smoking was especially high among males, those aged 25-64 years, people who had less education, American Indians/Alaska Natives, Americans of multiple races, those who had serious psychological distress, those who were uninsured or insured through Medicaid, those living below the poverty level, those who had a disability, those who were lesbian, gay, or bisexual, and those who lived in the Midwest or South