Chewing coca leaves is most common in indigenous communities across the central Andean region, particularly in places like the highlands of Argentina, Colombia, Bolivia, and Peru, where the cultivation and consumption of coca is a part of the national culture, similar to chicha. It also serves as a powerful symbol of indigenous cultural and religious identity, amongst a diversity of indigenous nations throughout South America. Tobacco leaves were also traditionally chewed in the same way in North America, though modern chewing tobacco is typically heavily processed.