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Previous studies have shown that, overall, African-Americans between ages 45 and 64 have two to three times the risk of stroke compared to white people

Participants completed the Fagerstrm test for nicotine dependence (FTND) which asks questions such as: How soon after you wake up do you smoke your first cigarette? Do you find it difficult to refrain from smoking in places where it is forbidden? and How many cigarettes per day do you smoke? Scores for each answer were added up for a total score indicating a nicotine dependency of low (score 1-2), low to moderate (3-4), moderate (5-7) or high (8 or higher)

But, although many stopped when still relatively young and healthy during the 1950s and '60s, some who stopped in later middle age did so because they were already ill (table 2)