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Tobacco smoking is popular in North Korea and culturally acceptable among men, but not for women. As of 2019, some 43.6% of men are reported to smoke daily, whilst in contrast only 4.5% of women smoke daily, with most of these being older women from rural areas. Smoking is a leading cause of death in North Korea, and as of 2021 mortality figures indicate that 14.2% of North Koreans die due to smoking-related causes, which is the 6th highest rate after China, Greenland, Kiribati, Denmark and Micronesia. There are tobacco control programs in North Korea, and although smoking was not prohibited in all public spaces, the smoking rates have declined since their peak in the 2000s.
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