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Cigarettes may be harder to quit than the standard variety, particularly for lower-income smokers, a new study suggests.
The findings add to evidence that mentholated cigarettes may be especially addictive, but highlight a role for socioeconomics as well, researchers say.
They found that black and Hispanic smokers who favored menthol cigarettes had lower long-term quit rates than their counterparts who smoked standard cigarettes. There was no such difference among white smokers overall, but there was a pattern among unemployed whites: those who smoked menthol cigarettes had lower quit rates at one month.
Previous research has found that menthol-cigarette smokers tend to have higher blood levels of nicotine than other smokers do.
"This study suggests that people who smoke mentholated cigarettes -- particularly those with a low disposable income -- may inhale more nicotine and toxins per cigarette," lead researcher Kunal K. Gandhi told Reuters Health.
This, in turn, may spur a stronger addiction, explained Gandhi, a researcher at
Income may enter the picture, Gandhi and his colleagues say, by altering the way in which people smoke. Low-income smokers may try to get more out of each smoke break by taking more puffs per cigarette or inhaling more deeply.
Menthol makes this an easier task because its cooling effect helps mask the harshness of nicotine and other tobacco toxins.
Cigarette vending machines and packets of 10 could be outlawed under government plans aimed at preventing children and young people smoking.
The plans, which include banning branding and logos, apply to England, Wales and Northern Ireland. Similar plans have been unveiled in Scotland.
Smokers' lobby group Forest said there was "no evidence" to show the plans would to cut smoking in young people.
Meanwhile, a new TV advert campaign is targeting parents who smoke.
The adverts warn that children of smokers are three times more likely to take up the habit than those of non-smokers.
Under current pricing, a packet of 10 cigarettes cost about £3, compared to nearly £6 for 20.
Last week the Scottish Government announced a range of proposals to restrict tobacco sales in Scotland - including a ban in shops from displaying cigarettes in "pride of place" on their shelves.
On the latest consultation document, Public Health Minister Dawn Primarolo said it was vital to take away temptation from children.
"Protecting children from smoking is a government priority and taking away temptation is one way to do this," she said.
"If banning brightly coloured packets, removing cigarettes from display and removing the cheap option of a pack of 10 helps save lives, then that is what we should do, but we want to hear everyone's views first."