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There are a number of potential mechanisms, one having to do with alcohols impact on estrogen levels, and another having to do with inflammation. Wood says that awareness is growing in the medical community about alcohols role in cancer risk, but the general population is much less aware of these risks. Data cited in the surgeon generals advisory indicates that while 89% of American adults know tobacco increases cancer risk, only 45% know alcohol boosts cancer risk

Culture has always been cyclical, Trevor Risk wrote for CBC Life

As more education about the health effects of smoking came to light, the prominence of tobacco smoking started to decrease through the decades