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There is a strong regional aspect to smoking. All 11 states where a quarter or more of the population smokes — the “well-above average” group — are in the South or Midwest. All but one of the 11 states (including the District of Columbia) where fewer than 20% of adults smoke — the “below average” and “well-below average” groups — are in the East or West, the exception being Minnesota. Utah and California have particularly low rates, at 13% and 16%, respectively.