Black individuals in the US have long experienced disproportionately greater adverse health consequences related to smoking. Despite smoking fewer cigarettes per day on average than White individuals, Black individuals incur higher rates of smoking-related mortality. For instance, despite some reduction in the disparity in cancer mortality over the past 20 years, Black men continue to have especially high lung and bronchus cancer incidence rates (lifetime incidence rates of 85.4 vs 74.3 per 100 000 individuals for White men) and especially high lung and bronchus cancer mortality rates (63.9 vs 54.1 per 100 000 individuals for White men).