essay about smoking problem and solution

Essay on Smoking

500 words essay on smoking.

One of the most common problems we are facing in today’s world which is killing people is smoking. A lot of people pick up this habit because of stress , personal issues and more. In fact, some even begin showing it off. When someone smokes a cigarette, they not only hurt themselves but everyone around them. It has many ill-effects on the human body which we will go through in the essay on smoking.

Ill-Effects of Smoking

Tobacco can have a disastrous impact on our health. Nonetheless, people consume it daily for a long period of time till it’s too late. Nearly one billion people in the whole world smoke. It is a shocking figure as that 1 billion puts millions of people at risk along with themselves.

Cigarettes have a major impact on the lungs. Around a third of all cancer cases happen due to smoking. For instance, it can affect breathing and causes shortness of breath and coughing. Further, it also increases the risk of respiratory tract infection which ultimately reduces the quality of life.

In addition to these serious health consequences, smoking impacts the well-being of a person as well. It alters the sense of smell and taste. Further, it also reduces the ability to perform physical exercises.

It also hampers your physical appearances like giving yellow teeth and aged skin. You also get a greater risk of depression or anxiety . Smoking also affects our relationship with our family, friends and colleagues.

Most importantly, it is also an expensive habit. In other words, it entails heavy financial costs. Even though some people don’t have money to get by, they waste it on cigarettes because of their addiction.

How to Quit Smoking?

There are many ways through which one can quit smoking. The first one is preparing for the day when you will quit. It is not easy to quit a habit abruptly, so set a date to give yourself time to prepare mentally.

Further, you can also use NRTs for your nicotine dependence. They can reduce your craving and withdrawal symptoms. NRTs like skin patches, chewing gums, lozenges, nasal spray and inhalers can help greatly.

Moreover, you can also consider non-nicotine medications. They require a prescription so it is essential to talk to your doctor to get access to it. Most importantly, seek behavioural support. To tackle your dependence on nicotine, it is essential to get counselling services, self-materials or more to get through this phase.

One can also try alternative therapies if they want to try them. There is no harm in trying as long as you are determined to quit smoking. For instance, filters, smoking deterrents, e-cigarettes, acupuncture, cold laser therapy, yoga and more can work for some people.

Always remember that you cannot quit smoking instantly as it will be bad for you as well. Try cutting down on it and then slowly and steadily give it up altogether.

Get the huge list of more than 500 Essay Topics and Ideas

Conclusion of the Essay on Smoking

Thus, if anyone is a slave to cigarettes, it is essential for them to understand that it is never too late to stop smoking. With the help and a good action plan, anyone can quit it for good. Moreover, the benefits will be evident within a few days of quitting.

FAQ of Essay on Smoking

Question 1: What are the effects of smoking?

Answer 1: Smoking has major effects like cancer, heart disease, stroke, lung diseases, diabetes, and more. It also increases the risk for tuberculosis, certain eye diseases, and problems with the immune system .

Question 2: Why should we avoid smoking?

Answer 2: We must avoid smoking as it can lengthen your life expectancy. Moreover, by not smoking, you decrease your risk of disease which includes lung cancer, throat cancer, heart disease, high blood pressure, and more.

Customize your course in 30 seconds

Which class are you in.

Travelling Essay
Picnic Essay
Our Country Essay
My Parents Essay
Essay on Favourite Personality
Essay on Memorable Day of My Life
Essay on Knowledge is Power
Essay on Gurpurab
Essay on My Favourite Season
Essay on Types of Sports

Download the App

Practice Test
Useful Tips – Tricks
Full Writing Review
General Writing Task
Writing Task 1
Writing Task 2
Writing Exercises
Writing Sample – Topics
Writing Vocabulary
Speaking Vocabulary
Intro Question
Speaking Part 1
Speaking Part 2
Speaking Part 2 – Audio
Speaking Part 3
IELTS Books
Recent Exams
IELTS Vocabulary
Essay from Examiners
IELTS Ideas

IELTS App - For Mobile

Ready for the IELTS exam with our IELTS app. Over 2 million downloads

Popular Last 24h

Ielts speaking part 3: eating habits, ielts writing actual test 16/11/2019 (international travel), process diagram #3 – the chart shows the process of waste paper recycling, describe a country you have visited, listening full test 7 - section 3, top 4 books to learn ielts vocabulary, bar chart #1 – the amount of leisure time enjoyed by men and women of different employment status..

IELTS Test/Skills FAQs
IELTS Scoring in Detail
Forecast Speaking – 2023
List IELTS Speaking Part 3
List IELTS Speaking Part 1
IELTS Writing 2023 – Actual Test

Our Telegram

Join our community for IELTS preparation and share and download materials.

The information on this site is for informational purposes only. IELTS is a registered trademark of the University of Cambridge ESOL, the British Council, and IDP Education Australia. This site and its owners are not affiliated, approved or endorsed by University of Cambridge ESOL, the British Council, or IDP Education Australia.

Latest Articles

Ielts speaking part 3: topic relax, describe a place | where you go to relax, ielts speaking part 1: advertisements (audio), describe a place where you like to go shopping , describe an event you attended, most popular, describe a ﬁlm that made you laugh, describe a person whom you met for the ﬁrst time and made you happy, topic: experience is the best teacher, describe something difﬁcult you would like to succeed in doing, in many countries，today there are many highly qualified graduates without employment..

Teenage Smoking Essay: Writing Guide & Smoking Essay Topics

Smoking can be viewed as one of the trendy habits. Numerous teenagers try it since they think that it is cool or can help them socialize. Often students start smoking due to stress or mental illnesses. But is it okay?

Our specialists will write a custom essay specially for you!

Educators tend to give different written assignments, which may disclose this topic. If you have to develop a teenage smoking essay, you should learn the effects and harm that this habit causes.

That’s when our Custom-writing.org writers can help you!In the article, you’ll see how to deal with writing about smoking students. We’ve gathered tips for different paper types and prompts that can inspire you to start. In the end, you’ll find some smoking essay topics as well.

🚬 Argumentative
📈 Cause and Effect
🚭 Persuasive
🔥 Topics & Prompts

🔗 References

✍️ how to write a teenage smoking essay.

Just like any other academic paper, a teen smoking essay should be organized according to its type. You are probably familiar with the following writing ones:

argumentative essay;
cause and effect essay;
persuasive essay.

Below, you can find insightful tips on how to compose a teenage smoking essay, fulfilling the requirements of each type.

🚬 Argumentative Essay on Smoking

An argumentative essay on teenage smoking should give the reader a rational discussion of a specific issue. The ideas are expected to be well-structured and solidified with valid evidence.

Just in 1 hour! We will write you a plagiarism-free paper in hardly more than 1 hour

Below, you can find the most useful tips for writing an argumentative teen smoking essay. Don’t hesitate to use them!

Catch the reader’s attention. In the introduction, explain the significance and relatability of the chosen issue. Provide general background and make the reader continue exploring your essay through attention-grabbing elements (impressive statistics, personal stories, etc.).
Express your position clearly. Compose a concise thesis statement , so the reader can quickly get your position. Be as precise as possible! For example, your thesis might look like this: Teenage smoking leads to poor health, psychological and social issues.
The most vivid adverse ramification of teenage smoking is the development of health problems like heart or lung diseases and cancer.
Another disruptive effect of smoking at a young age is the risk of psychological disorders such as anxiety or depression.
The last negative consequence of teenage smoking is the conflict with social norms.
Support your arguments. Your ideas will become stronger if you support them with proof from other sources. But be careful here! Use only reliable sources (academic journals, scholarly articles, books, etc.).
Finish your essay dynamically. In your essay conclusion, restate your thesis statement and synthesize all of your arguments. Motivate your readers on further investigation of your topic. To make your paper even more impressive, finish it with the final memorable thought that would be stuck in your readers’ minds.

📈 Cause and Effect Essay on Smoking

A cause and effect of the teenage smoking essay should answer two questions:

Why do teenagers smoke? (Causes).
What are the consequences of teenage smoking? (Effects).

How to create an excellent cause and effect paper? You can start by checking successful teen smoking essay examples . Then, learn some useful tips here:

Get an idea. The first step of creating a causes effects of teenage smoking essay is brainstorming topics. Think of the common reasons for teens smoking and analyze the possible outcomes. Here are some ideas for you:
Outline your paper. This step helps structure your ideas properly. Create a well-organized plan and add there all the proof and examples. Make sure that everything is logical, and start writing your teenage smoking essay.
Form a clear thesis. In your thesis statement, state your position and introduce the chosen cause and effect of smoking. Here is an example of the thesis for this type of smoking among teenagers essay: Caused by peer pressure, smoking negatively affects teenagers’ health and appearance.
The key cause of teenage nicotine addiction is peer pressure and the fear of becoming an outsider among the friends-smokers.
One of the detrimental effects of cigarettes on teenagers is health problems.
Another adverse consequence of teenage smoking is negative changes in appearance .
Polish your piece of writing. After you finished your first draft, revise and edit your essay. Ensure the absence of grammar and punctuation mistakes and double-check if your paper is coherent.

🚭 Persuasive Essay on Smoking

A persuasive essay about teenage smoking resembles an argumentative one but has a different purpose. Here, you have to convince your reader in your opinion, using evidence and facts. Moreover, in some papers, you have to call your reader to action. For example, to quit or ban smoking . So, see how to do so:

Grab the reader’s attention. To do so, you should know your audience and their preferences. Start your smoking essay by proving to the reader your credibility and the significance of your topic. For example, if you are writing about smoking students, introduce the shocking statistics at the beginning of your paper and convince them to stop smoking.
Show your empathy. An emotional appeal is a powerful tool for gaining the readers’ trust and influencing their opinions. Demonstrate that you understand their emotions and, at the same time, convince them to change their beliefs. To make it more clear, see an example: Although smoking might help teenagers be on the same wavelength as their friends, nicotine has a detrimental effect on health and leads to cancer development.
Include rhetoric questions. This is a useful persuasive trick that makes readers change their minds. For instance, in your smoking essay, you may ask this question: Smoking helps me to relieve stress, but will I be able to overcome lung cancer later?
Highlight your position. In a persuasive essay, you should be incredibly convincing. So, don’t be afraid of exaggeration or even repeating yourself. These tricks may help you to deliver your message to the reader more quickly and effectively.

You have a lot of ways of creating fantastic teen smoking essays. You should just turn around and gather material. Sometimes it lies near your foot.

Receive a plagiarism-free paper tailored to your instructions. Cut 20% off your first order!

To smoke or not to smoke? – This is the question! You should decide what is for you: To be yourself or follow the fashion! It is not difficult to do!

🔥 Smoking Essay Topics

Do you know what the critical secret of a successful essay is? A well-chosen topic!

If you find something you are passionate about, your essay writing process will be much easier. So, take a look at our smoking essay topics. Select one of them or use some to come up with your idea.

Smoking among teenagers : an exaggerated problem or a real threat to the generation?
The influence of nicotine on teenagers’ brain activity.
How smoking parents develop smoking habits in their children.
Vaping : a healthier alternative to regular cigarettes or just another dangerous teenagers’ passion?
Is smoking still a problem among teenagers today – an essay to highlight the issue of cigarette addiction.
The danger of smoking for immature teenagers’ organisms.
If smoking in public places was banned , teenagers would be predisposed to cigarettes less.
Social problems caused by teenage smoking .
The role of parents in dealing with teenage cigarette addiction.
Useful tips to stop smoking .
Why teenagers are influenced by peer pressure , and how to overcome it.
Teenage smoking: a matter of real nicotine addiction or a case of psychological processes inside immature minds?
The danger of smoking and second-hand smoke .
Is e-cigarette a threat or solution?
Analyze the connection between vaping and dental health .
Is it necessary to ban cigarette manufacturers?
Is it possible to prevent teenagers from smoking using anti-smoking posters ?
What are the best ways to persuade young adults to stop smoking?
Discuss the possibility of the global ban on tobacco and its potential outcomes.
Pros and cons of anti-smoking adverts.
Explore the connection between smoking cessation and depression .
Describe the link between smoking and heart disease .
Explain how smoking cessation can improve teenagers’ life.
How to reduce smoking among youth .
What are the different types of cigarette smokers?
Analyze the challenges of each stage of smoking cessation and how to overcome them.
Is smoking an effective method of weight control?
Discuss the impact of smoke on health of primary and secondary smokers .
Do you support the idea of lowering the smoking age in the USA ?
Effect of tobacco use on our body.
Explore the efficiency of the acupuncture method for smoking cessation .
Will the complete prohibition of smoking in cities help to preserve teenagers’ health?
Examine how smoking in movies influences teenagers’ desire to start smoking.
Are nicotine replacement medications necessary for successful smoking cessation?
Reasons to prohibit tobacco products and cigarettes.
Describe the reasons that prevent teenagers from smoking cessation .
Analyze the public image of smoking in the USA.
Discuss the issues connected with the smoking ban .
Antismoking ads and their influence on youth smoking prevalence .
What factors determine the success of anti-smoking persuasive campaigns among teenagers?
Explore the impact of smoking on teenagers’ physical and mental health.
What can you do to motivate your teenage friend to quit smoking?
Why do teenagers start smoking ?
Analyze the rates of tobacco smoking among adolescents.
Compare the peculiarities of smoking cessation methods and motivation for teenagers and adolescents.
Examine whether raising cigarette pricing is an effective way to lower smoking rates.

Teenage Smoking Essay Prompts

Here are some writing prompts that you can use for your smoking essay:

What does the data on smoking in different countries say? Compare the age limitations for smoking, attitude to smoking in America and Europe, for example. Where the situation is worst, whether the government tries to fight against this, etc.
The distribution of cigarettes and other types of tobacco . Is it okay that tobacco machines are available all over the world (especially in Europe)? Any child can buy a cigarette and start smoking. You could investigate this problem in your teen smoking essays.
Opinion essay: present your ideas and attitude to smoking . Explain whether you like to see people smoking around you, or you cannot stand when people are gazing at you while you are smoking.
How does media influence teens’ decision-making? When teenagers see their favorite characters getting pleasure from smoking, they may want to try it. Is it a reason to start? In what other ways does mass media affect the problem?

Effects of Teenage Smoking Essay Prompt

Smoking among teenagers is a serious problem that has long-term consequences for their physical and mental health. In your essay, you can dwell on the following ideas:

Analyze the health consequences of tobacco use among young people. In your paper, you can study how tobacco affects youths’ health. Focus on the most widespread problems, such as heart and lung diseases, cancer risk, and others.
Estimate the role of smoking in promoting antisocial behavior among teenagers . Does smoking really encourage aggression and vandalism among teenagers? Use psychological theories and recent research findings to prove your point.
Explain why teenage smoking is associated with an increased risk of suicidal thoughts and urges. To prove your point, you may discuss how nicotine causes depression and neurotransmitter imbalances. Make sure to illustrate your essay with relevant studies and statistical data.
Investigate the economic and social consequences of smoking among young people. Besides high cigarette prices, you can consider lost productivity and healthcare costs. Additionally, write about social issues, such as stigmatization and reduced life opportunities.

Smoking in School Essay Prompt

Despite the implementation of smoke-free policies, a large percentage of teenagers start smoking during their school years. You can write an essay advocating for more effective initiatives to address not only students’ access to cigarettes but also the core causes of teen smoking.

Get an originally-written paper according to your instructions!

Check out some more ideas for your “Smoking in School” essay:

Explain why educators should prohibit smoking on school grounds. Smoking is a dangerous habit that damages students’ health and the overall school environment. Even secondhand smoke exposure has harmful consequences. Your essay could provide evidence that proves the effectiveness of smoke-free policies in reducing teenage smoking rates and improving general well-being.
Analyze the effectiveness of school smoking policies in your educational institution. What smoking policies are accepted in your school? Do students comply with them? What disciplinary measures are used? Use student surveys and disciplinary records to prove the effectiveness or ineffectiveness of current policies.
Describe the issue of smoking in schools in your country. Answer the questions: how widespread is this problem? How does it manifest itself? What causes smoking in schools, and how do schools fight it?
Investigate the role of schools in reducing youth smoking. How can schools prevent and reduce smoking among students? Are their programs and campaigns effective? What can families and communities do to support schools in their efforts? Study these questions in your essay.

Peer Pressure Smoking Essay Prompt

Peer pressure is a common reason why teenagers start smoking. Friends, romantic attachments, or other social circles — all have significant effects on teens’ smoking intentions and possible tobacco addiction.

Here are some practical ideas that can help you highlight the role of peer pressure in teenage smoking :

Analyze why adolescents tend to be powerful in influencing their friends to start smoking. Peer pressure often impacts teenagers’ decisions more than parents’ disapproval. To explain this phenomenon, you can examine theories like social contagion and recent studies on peer dynamics.
Provide your own experience of resisting peer pressure to smoke. Have you ever faced peer pressure inducing you to smoke? What helped you to withstand? Try to share some advice for students in a similar situation.
Investigate how social media can amplify peer pressure through online portrayals of smoking as glamorous. We recommend studying images, videos, advertisements, and influencers that depict smoking as stylish and sophisticated. What can be done to prevent smoking glamorization on social media?
Estimate the role of peers in normalizing smoking behavior. Peer influence is more than just direct pressure. Your essay could explain how factors like observational learning and group identity induce teenagers to smoke.

Causes of Smoking Essay Prompt

There are many reasons why people start smoking, ranging from simple curiosity to complicated social and psychological factors, including anxiety, low self-esteem, and domestic violence.

Check out several ideas for an essay about the causes of smoking:

Analyze tobacco or e-cigarette ads that emphasize weight control benefits and explain how these ads encourage teenagers to smoke. Your paper may discuss how tobacco and e-cigarette companies make use of teenagers’ insecurities and social norms regarding body image. Include studies that prove the impact of advertising on youths’ behavior.
Explore why the rising popularity of fashionable electronic “vaping” devices is one of the key causes of teen smoking. Why is vaping so popular among teenagers? How does it appeal to youths’ preferences and lifestyles? What role do sleek design and social media influence play in the devices’ popularity? Answer the questions in your paper.
Describe your or your friend’s experience that forced you to try cigarettes. Have you or your friend ever tried smoking? Share your story in your essay. Reflect on the circumstances and emotions involved. What conclusions did you make from the experience?

Smoking Is Bad for Health Essay Prompt

Cigarette smoking impacts nearly every organ in the body, causes a variety of diseases, and worsens smokers’ overall health.

In your essay, you can expand on the following ideas to show the severe consequences of smoking on human well-being:

Analyze why cigarette smoking is the leading cause of preventable death in the United States. Here, you can examine factors like addiction and chronic diseases cigarettes provoke. Add statistical data and emphasize the preventable nature of smoking-related illnesses and deaths.
Examine passive smoking as a serious threat to health, especially for children, pregnant women, and people with chronic diseases. Your essay could analyze research and case studies proving that secondhand smoke is as dangerous to human health as smoking itself. Underline its harm to vulnerable populations, such as children, pregnant women, and people with chronic diseases.
Investigate the impact of cigarettes on mental health, including their contribution to the development of depression and anxiety. In this paper, you can examine nicotine’s effect on neurotransmitters involved in mood regulation, such as dopamine and serotonin. Support your point with evidence from peer-reviewed studies.
Research the possible diseases that smoking can provoke, including cancer, cardiovascular diseases, and respiratory illnesses. How does smoking contribute to the development and progress of these diseases? Use epidemiological data and medical research to answer this question.

Is Smoking Still a Problem Among Teenagers: Argumentative Essay Prompt

According to the CDC, in 2023, 1 out of every 100 middle school students and nearly 2 out of every 100 high school students had smoked cigarettes in the past 30 days . Public health experts are especially concerned about e-cigarettes since flavorings in tobacco products can make cigarettes more appealing to teenagers.

To evaluate the current situation with smoking among teens, dwell on the following ideas in your essay:

Analyze your country’s or world’s statistics on teen smoking in recent decades. Do you see any changes? Why did they happen? What do these changes mean in terms of public health? Examine these questions in your essay.
Describe your own observations of teenagers’ smoking habits. Contrast what you witnessed in the past with the current situation. Do you think teenagers’ smoking habits changed? What makes you think so? Provide real-life examples to back up your opinion.
Examine data on e-cigarette use among teenagers. Your essay could compare ordinary cigarette smoking and e-cigarette use trends among teenagers. Which type prevails, and why? What impact does it have on teenagers’ health? What can be done to lower smoking and vaping rates among teenagers?

Thanks for reading till the end! Make sure to leave your opinion about the article below. Send it to your friends who may need our tips.

Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General.

1 introduction, summary, and conclusions.

Introduction

Tobacco use is a global epidemic among young people. As with adults, it poses a serious health threat to youth and young adults in the United States and has significant implications for this nation’s public and economic health in the future ( Perry et al. 1994 ; Kessler 1995 ). The impact of cigarette smoking and other tobacco use on chronic disease, which accounts for 75% of American spending on health care ( Anderson 2010 ), is well-documented and undeniable. Although progress has been made since the first Surgeon General’s report on smoking and health in 1964 ( U.S. Department of Health, Education, and Welfare [USDHEW] 1964 ), nearly one in four high school seniors is a current smoker. Most young smokers become adult smokers. One-half of adult smokers die prematurely from tobacco-related diseases ( Fagerström 2002 ; Doll et al. 2004 ). Despite thousands of programs to reduce youth smoking and hundreds of thousands of media stories on the dangers of tobacco use, generation after generation continues to use these deadly products, and family after family continues to suffer the devastating consequences. Yet a robust science base exists on social, biological, and environmental factors that influence young people to use tobacco, the physiology of progression from experimentation to addiction, other health effects of tobacco use, the epidemiology of youth and young adult tobacco use, and evidence-based interventions that have proven effective at reducing both initiation and prevalence of tobacco use among young people. Those are precisely the issues examined in this report, which aims to support the application of this robust science base.

Nearly all tobacco use begins in childhood and adolescence ( U.S. Department of Health and Human Services [USDHHS] 1994 ). In all, 88% of adult smokers who smoke daily report that they started smoking by the age of 18 years (see Chapter 3 , “The Epidemiology of Tobacco Use Among Young People in the United States and Worldwide”). This is a time in life of great vulnerability to social influences ( Steinberg 2004 ), such as those offered through the marketing of tobacco products and the modeling of smoking by attractive role models, as in movies ( Dalton et al. 2009 ), which have especially strong effects on the young. This is also a time in life of heightened sensitivity to normative influences: as tobacco use is less tolerated in public areas and there are fewer social or regular users of tobacco, use decreases among youth ( Alesci et al. 2003 ). And so, as we adults quit, we help protect our children.

Cigarettes are the only legal consumer products in the world that cause one-half of their long-term users to die prematurely ( Fagerström 2002 ; Doll et al. 2004 ). As this epidemic continues to take its toll in the United States, it is also increasing in low- and middle-income countries that are least able to afford the resulting health and economic consequences ( Peto and Lopez 2001 ; Reddy et al. 2006 ). It is past time to end this epidemic. To do so, primary prevention is required, for which our focus must be on youth and young adults. As noted in this report, we now have a set of proven tools and policies that can drastically lower youth initiation and use of tobacco products. Fully committing to using these tools and executing these policies consistently and aggressively is the most straight forward and effective to making future generations tobacco-free.

The 1994 Surgeon General’s Report

This Surgeon General’s report on tobacco is the second to focus solely on young people since these reports began in 1964. Its main purpose is to update the science of smoking among youth since the first comprehensive Surgeon General’s report on tobacco use by youth, Preventing Tobacco Use Among Young People , was published in 1994 ( USDHHS 1994 ). That report concluded that if young people can remain free of tobacco until 18 years of age, most will never start to smoke. The report documented the addiction process for young people and how the symptoms of addiction in youth are similar to those in adults. Tobacco was also presented as a gateway drug among young people, because its use generally precedes and increases the risk of using illicit drugs. Cigarette advertising and promotional activities were seen as a potent way to increase the risk of cigarette smoking among young people, while community-wide efforts were shown to have been successful in reducing tobacco use among youth. All of these conclusions remain important, relevant, and accurate, as documented in the current report, but there has been considerable research since 1994 that greatly expands our knowledge about tobacco use among youth, its prevention, and the dynamics of cessation among young people. Thus, there is a compelling need for the current report.

Tobacco Control Developments

Since 1994, multiple legal and scientific developments have altered the tobacco control environment and thus have affected smoking among youth. The states and the U.S. Department of Justice brought lawsuits against cigarette companies, with the result that many internal documents of the tobacco industry have been made public and have been analyzed and introduced into the science of tobacco control. Also, the 1998 Master Settlement Agreement with the tobacco companies resulted in the elimination of billboard and transit advertising as well as print advertising that directly targeted underage youth and limitations on the use of brand sponsorships ( National Association of Attorneys General [NAAG] 1998 ). This settlement also created the American Legacy Foundation, which implemented a nationwide antismoking campaign targeting youth. In 2009, the U.S. Congress passed a law that gave the U.S. Food and Drug Administration authority to regulate tobacco products in order to promote the public’s health ( Family Smoking Prevention and Tobacco Control Act 2009 ). Certain tobacco companies are now subject to regulations limiting their ability to market to young people. In addition, they have had to reimburse state governments (through agreements made with some states and the Master Settlement Agreement) for some health care costs. Due in part to these changes, there was a decrease in tobacco use among adults and among youth following the Master Settlement Agreement, which is documented in this current report.

Recent Surgeon General Reports Addressing Youth Issues

Other reports of the Surgeon General since 1994 have also included major conclusions that relate to tobacco use among youth ( Office of the Surgeon General 2010 ). In 1998, the report focused on tobacco use among U.S. racial/ethnic minority groups ( USDHHS 1998 ) and noted that cigarette smoking among Black and Hispanic youth increased in the 1990s following declines among all racial/ethnic groups in the 1980s; this was particularly notable among Black youth, and culturally appropriate interventions were suggested. In 2000, the report focused on reducing tobacco use ( USDHHS 2000b ). A major conclusion of that report was that school-based interventions, when implemented with community- and media-based activities, could reduce or postpone the onset of smoking among adolescents by 20–40%. That report also noted that effective regulation of tobacco advertising and promotional activities directed at young people would very likely reduce the prevalence and onset of smoking. In 2001, the Surgeon General’s report focused on women and smoking ( USDHHS 2001 ). Besides reinforcing much of what was discussed in earlier reports, this report documented that girls were more affected than boys by the desire to smoke for the purpose of weight control. Given the ongoing obesity epidemic ( Bonnie et al. 2007 ), the current report includes a more extensive review of research in this area.

The 2004 Surgeon General’s report on the health consequences of smoking ( USDHHS 2004 ) concluded that there is sufficient evidence to infer that a causal relationship exists between active smoking and (a) impaired lung growth during childhood and adolescence; (b) early onset of decline in lung function during late adolescence and early adulthood; (c) respiratory signs and symptoms in children and adolescents, including coughing, phlegm, wheezing, and dyspnea; and (d) asthma-related symptoms (e.g., wheezing) in childhood and adolescence. The 2004 Surgeon General’s report further provided evidence that cigarette smoking in young people is associated with the development of atherosclerosis.

The 2010 Surgeon General’s report on the biology of tobacco focused on the understanding of biological and behavioral mechanisms that might underlie the pathogenicity of tobacco smoke ( USDHHS 2010 ). Although there are no specific conclusions in that report regarding adolescent addiction, it does describe evidence indicating that adolescents can become dependent at even low levels of consumption. Two studies ( Adriani et al. 2003 ; Schochet et al. 2005 ) referenced in that report suggest that because the adolescent brain is still developing, it may be more susceptible and receptive to nicotine than the adult brain.

Scientific Reviews

Since 1994, several scientific reviews related to one or more aspects of tobacco use among youth have been undertaken that also serve as a foundation for the current report. The Institute of Medicine (IOM) ( Lynch and Bonnie 1994 ) released Growing Up Tobacco Free: Preventing Nicotine Addiction in Children and Youths, a report that provided policy recommendations based on research to that date. In 1998, IOM provided a white paper, Taking Action to Reduce Tobacco Use, on strategies to reduce the increasing prevalence (at that time) of smoking among young people and adults. More recently, IOM ( Bonnie et al. 2007 ) released a comprehensive report entitled Ending the Tobacco Problem: A Blueprint for the Nation . Although that report covered multiple potential approaches to tobacco control, not just those focused on youth, it characterized the overarching goal of reducing smoking as involving three distinct steps: “reducing the rate of initiation of smoking among youth (IOM [ Lynch and Bonnie] 1994 ), reducing involuntary tobacco smoke exposure ( National Research Council 1986 ), and helping people quit smoking” (p. 3). Thus, reducing onset was seen as one of the primary goals of tobacco control.

As part of USDHHS continuing efforts to assess the health of the nation, prevent disease, and promote health, the department released, in 2000, Healthy People 2010 and, in 2010, Healthy People 2020 ( USDHHS 2000a , 2011 ). Healthy People provides science-based, 10-year national objectives for improving the health of all Americans. For 3 decades, Healthy People has established benchmarks and monitored progress over time in order to encourage collaborations across sectors, guide individuals toward making informed health decisions, and measure the impact of prevention activities. Each iteration of Healthy People serves as the nation’s disease prevention and health promotion roadmap for the decade. Both Healthy People 2010 and Healthy People 2020 highlight “Tobacco Use” as one of the nation’s “Leading Health Indicators,” feature “Tobacco Use” as one of its topic areas, and identify specific measurable tobacco-related objectives and targets for the nation to strive for. Healthy People 2010 and Healthy People 2020 provide tobacco objectives based on the most current science and detailed population-based data to drive action, assess tobacco use among young people, and identify racial and ethnic disparities. Additionally, many of the Healthy People 2010 and 2020 tobacco objectives address reductions of tobacco use among youth and target decreases in tobacco advertising in venues most often influencing young people. A complete list of the healthy people 2020 objectives can be found on their Web site ( USDHHS 2011 ).

In addition, the National Cancer Institute (NCI) of the National Institutes of Health has published monographs pertinent to the topic of tobacco use among youth. In 2001, NCI published Monograph 14, Changing Adolescent Smoking Prevalence , which reviewed data on smoking among youth in the 1990s, highlighted important statewide intervention programs, presented data on the influence of marketing by the tobacco industry and the pricing of cigarettes, and examined differences in smoking by racial/ethnic subgroup ( NCI 2001 ). In 2008, NCI published Monograph 19, The Role of the Media in Promoting and Reducing Tobacco Use ( NCI 2008 ). Although young people were not the sole focus of this Monograph, the causal relationship between tobacco advertising and promotion and increased tobacco use, the impact on youth of depictions of smoking in movies, and the success of media campaigns in reducing youth tobacco use were highlighted as major conclusions of the report.

The Community Preventive Services Task Force (2011) provides evidence-based recommendations about community preventive services, programs, and policies on a range of topics including tobacco use prevention and cessation ( Task Force on Community Preventive Services 2001 , 2005 ). Evidence reviews addressing interventions to reduce tobacco use initiation and restricting minors’ access to tobacco products were cited and used to inform the reviews in the current report. The Cochrane Collaboration (2010) has also substantially contributed to the review literature on youth and tobacco use by producing relevant systematic assessments of health-related programs and interventions. Relevant to this Surgeon General’s report are Cochrane reviews on interventions using mass media ( Sowden 1998 ), community interventions to prevent smoking ( Sowden and Stead 2003 ), the effects of advertising and promotional activities on smoking among youth ( Lovato et al. 2003 , 2011 ), preventing tobacco sales to minors ( Stead and Lancaster 2005 ), school-based programs ( Thomas and Perara 2006 ), programs for young people to quit using tobacco ( Grimshaw and Stanton 2006 ), and family programs for preventing smoking by youth ( Thomas et al. 2007 ). These reviews have been cited throughout the current report when appropriate.

In summary, substantial new research has added to our knowledge and understanding of tobacco use and control as it relates to youth since the 1994 Surgeon General’s report, including updates and new data in subsequent Surgeon General’s reports, in IOM reports, in NCI Monographs, and in Cochrane Collaboration reviews, in addition to hundreds of peer-reviewed publications, book chapters, policy reports, and systematic reviews. Although this report is a follow-up to the 1994 report, other important reviews have been undertaken in the past 18 years and have served to fill the gap during an especially active and important time in research on tobacco control among youth.

Focus of the Report

Young People

This report focuses on “young people.” In general, work was reviewed on the health consequences, epidemiology, etiology, reduction, and prevention of tobacco use for those in the young adolescent (11–14 years of age), adolescent (15–17 years of age), and young adult (18–25 years of age) age groups. When possible, an effort was made to be specific about the age group to which a particular analysis, study, or conclusion applies. Because hundreds of articles, books, and reports were reviewed, however, there are, unavoidably, inconsistencies in the terminology used. “Adolescents,” “children,” and “youth” are used mostly interchangeably throughout this report. In general, this group encompasses those 11–17 years of age, although “children” is a more general term that will include those younger than 11 years of age. Generally, those who are 18–25 years old are considered young adults (even though, developmentally, the period between 18–20 years of age is often labeled late adolescence), and those 26 years of age or older are considered adults.

In addition, it is important to note that the report is concerned with active smoking or use of smokeless tobacco on the part of the young person. The report does not consider young people’s exposure to secondhand smoke, also referred to as involuntary or passive smoking, which was discussed in the 2006 report of the Surgeon General ( USDHHS 2006 ). Additionally, the report does not discuss research on children younger than 11 years old; there is very little evidence of tobacco use in the United States by children younger than 11 years of age, and although there may be some predictors of later tobacco use in those younger years, the research on active tobacco use among youth has been focused on those 11 years of age and older.

Tobacco Use

Although cigarette smoking is the most common form of tobacco use in the United States, this report focuses on other forms as well, such as using smokeless tobacco (including chew and snuff) and smoking a product other than a cigarette, such as a pipe, cigar, or bidi (tobacco wrapped in tendu leaves). Because for young people the use of one form of tobacco has been associated with use of other tobacco products, it is particularly important to monitor all forms of tobacco use in this age group. The term “tobacco use” in this report indicates use of any tobacco product. When the word “smoking” is used alone, it refers to cigarette smoking.

Organization of the Report

This chapter begins by providing a short synopsis of other reports that have addressed smoking among youth and, after listing the major conclusions of this report, will end by presenting conclusions specific to each chapter. Chapter 2 of this report (“The Health Consequences of Tobacco Use Among Young People”) focuses on the diseases caused by early tobacco use, the addiction process, the relation of body weight to smoking, respiratory and pulmonary problems associated with tobacco use, and cardiovascular effects. Chapter 3 (“The Epidemiology of Tobacco Use Among Young People in the United States and Worldwide”) provides recent and long-term cross-sectional and longitudinal data on cigarette smoking, use of smokeless tobacco, and the use of other tobacco products by young people, by racial/ethnic group and gender, primarily in the United States, but including some worldwide data as well. Chapter 4 (“Social, Environmental, Cognitive, and Genetic Influences on the Use of Tobacco Among Youth”) identifies the primary risk factors associated with tobacco use among youth at four levels, including the larger social and physical environments, smaller social groups, cognitive factors, and genetics and neurobiology. Chapter 5 (“The Tobacco Industry’s Influences on the Use of Tobacco Among Youth”) includes data on marketing expenditures for the tobacco industry over time and by category, the effects of cigarette advertising and promotional activities on young people’s smoking, the effects of price and packaging on use, the use of the Internet and movies to market tobacco products, and an evaluation of efforts by the tobacco industry to prevent tobacco use among young people. Chapter 6 (“Efforts to Prevent and Reduce Tobacco Use Among Young People”) provides evidence on the effectiveness of family-based, clinic-based, and school-based programs, mass media campaigns, regulatory and legislative approaches, increased cigarette prices, and community and statewide efforts in the fight against tobacco use among youth. Chapter 7 (“A Vision for Ending the Tobacco Epidemic”) points to next steps in preventing and reducing tobacco use among young people.

Preparation of the Report

This report of the Surgeon General was prepared by the Office on Smoking and Health (OSH), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC), USDHHS. In 2008, 18 external independent scientists reviewed the 1994 report and suggested areas to be added and updated. These scientists also suggested chapter editors and a senior scientific editor, who were contacted by OSH. Each chapter editor named external scientists who could contribute, and 33 content experts prepared draft sections. The draft sections were consolidated into chapters by the chapter editors and then reviewed by the senior scientific editor, with technical editing performed by CDC. The chapters were sent individually to 34 peer reviewers who are experts in the areas covered and who reviewed the chapters for scientific accuracy and comprehensiveness. The entire manuscript was then sent to more than 25 external senior scientists who reviewed the science of the entire document. After each review cycle, the drafts were revised by the chapter and senior scientific editor on the basis of the experts’ comments. Subsequently, the report was reviewed by various agencies within USDHHS. Publication lags prevent up-to-the-minute inclusion of all recently published articles and data, and so some more recent publications may not be cited in this report.

Evaluation of the Evidence

Since the first Surgeon General’s report in 1964 on smoking and health ( USDHEW 1964 ), major conclusions concerning the conditions and diseases caused by cigarette smoking and the use of smokeless tobacco have been based on explicit criteria for causal inference ( USDHHS 2004 ). Although a number of different criteria have been proposed for causal inference since the 1960s, this report focuses on the five commonly accepted criteria that were used in the original 1964 report and that are discussed in greater detail in the 2004 report on the health consequences of smoking ( USDHHS 2004 ). The five criteria refer to the examination of the association between two variables, such as a risk factor (e.g., smoking) and an outcome (e.g., lung cancer). Causal inference between these variables is based on (1) the consistency of the association across multiple studies; this is the persistent finding of an association in different persons, places, circumstances, and times; (2) the degree of the strength of association, that is, the magnitude and statistical significance of the association in multiple studies; (3) the specificity of the association to clearly demonstrate that tobacco use is robustly associated with the condition, even if tobacco use has multiple effects and multiple causes exist for the condition; (4) the temporal relationship of the association so that tobacco use precedes disease onset; and (5) the coherence of the association, that is, the argument that the association makes scientific sense, given data from other sources and understanding of biological and psychosocial mechanisms ( USDHHS 2004 ). Since the 2004 Surgeon General’s report, The Health Consequences of Smoking , a four-level hierarchy ( Table 1.1 ) has been used to assess the research data on associations discussed in these reports ( USDHHS 2004 ). In general, this assessment was done by the chapter editors and then reviewed as appropriate by peer reviewers, senior scientists, and the scientific editors. For a relationship to be considered sufficient to be characterized as causal, multiple studies over time provided evidence in support of each criteria.

Four-level hierarchy for classifying the strength of causal inferences based on available evidence.

When a causal association is presented in the chapter conclusions in this report, these four levels are used to describe the strength of the evidence of the association, from causal (1) to not causal (4). Within the report, other terms are used to discuss the evidence to date (i.e., mixed, limited, and equivocal evidence), which generally represent an inadequacy of data to inform a conclusion.

However, an assessment of a casual relationship is not utilized in presenting all of the report’s conclusions. The major conclusions are written to be important summary statements that are easily understood by those reading the report. Some conclusions, particularly those found in Chapter 3 (epidemiology), provide observations and data related to tobacco use among young people, and are generally not examinations of causal relationships. For those conclusions that are written using the hierarchy above, a careful and extensive review of the literature has been undertaken for this report, based on the accepted causal criteria ( USDHHS 2004 ). Evidence that was characterized as Level 1 or Level 2 was prioritized for inclusion as chapter conclusions.

In additional to causal inferences, statistical estimation and hypothesis testing of associations are presented. For example, confidence intervals have been added to the tables in the chapter on the epidemiology of youth tobacco use (see Chapter 3 ), and statistical testing has been conducted for that chapter when appropriate. The chapter on efforts to prevent tobacco use discusses the relative improvement in tobacco use rates when implementing one type of program (or policy) versus a control program. Statistical methods, including meta-analytic methods and longitudinal trajectory analyses, are also presented to ensure that the methods of evaluating data are up to date with the current cutting-edge research that has been reviewed. Regardless of the methods used to assess significance, the five causal criteria discussed above were applied in developing the conclusions of each chapter and the report.

Major Conclusions
Cigarette smoking by youth and young adults has immediate adverse health consequences, including addiction, and accelerates the development of chronic diseases across the full life course.
Prevention efforts must focus on both adolescents and young adults because among adults who become daily smokers, nearly all first use of cigarettes occurs by 18 years of age (88%), with 99% of first use by 26 years of age.
Advertising and promotional activities by tobacco companies have been shown to cause the onset and continuation of smoking among adolescents and young adults.
After years of steady progress, declines in the use of tobacco by youth and young adults have slowed for cigarette smoking and stalled for smokeless tobacco use.
Coordinated, multicomponent interventions that combine mass media campaigns, price increases including those that result from tax increases, school-based policies and programs, and statewide or community-wide changes in smoke-free policies and norms are effective in reducing the initiation, prevalence, and intensity of smoking among youth and young adults.
Chapter Conclusions

The following are the conclusions presented in the substantive chapters of this report.

Chapter 2. The Health Consequences of Tobacco Use Among Young People

The evidence is sufficient to conclude that there is a causal relationship between smoking and addiction to nicotine, beginning in adolescence and young adulthood.
The evidence is suggestive but not sufficient to conclude that smoking contributes to future use of marijuana and other illicit drugs.
The evidence is suggestive but not sufficient to conclude that smoking by adolescents and young adults is not associated with significant weight loss, contrary to young people’s beliefs.
The evidence is sufficient to conclude that there is a causal relationship between active smoking and both reduced lung function and impaired lung growth during childhood and adolescence.
The evidence is sufficient to conclude that there is a causal relationship between active smoking and wheezing severe enough to be diagnosed as asthma in susceptible child and adolescent populations.
The evidence is sufficient to conclude that there is a causal relationship between smoking in adolescence and young adulthood and early abdominal aortic atherosclerosis in young adults.
The evidence is suggestive but not sufficient to conclude that there is a causal relationship between smoking in adolescence and young adulthood and coronary artery atherosclerosis in adulthood.

Chapter 3. The Epidemiology of Tobacco Use Among Young People in the United States and Worldwide

Among adults who become daily smokers, nearly all first use of cigarettes occurs by 18 years of age (88%), with 99% of first use by 26 years of age.
Almost one in four high school seniors is a current (in the past 30 days) cigarette smoker, compared with one in three young adults and one in five adults. About 1 in 10 high school senior males is a current smokeless tobacco user, and about 1 in 5 high school senior males is a current cigar smoker.
Among adolescents and young adults, cigarette smoking declined from the late 1990s, particularly after the Master Settlement Agreement in 1998. This decline has slowed in recent years, however.
Significant disparities in tobacco use remain among young people nationwide. The prevalence of cigarette smoking is highest among American Indians and Alaska Natives, followed by Whites and Hispanics, and then Asians and Blacks. The prevalence of cigarette smoking is also highest among lower socioeconomic status youth.
Use of smokeless tobacco and cigars declined in the late 1990s, but the declines appear to have stalled in the last 5 years. The latest data show the use of smokeless tobacco is increasing among White high school males, and cigar smoking may be increasing among Black high school females.
Concurrent use of multiple tobacco products is prevalent among youth. Among those who use tobacco, nearly one-third of high school females and more than one-half of high school males report using more than one tobacco product in the last 30 days.
Rates of tobacco use remain low among girls relative to boys in many developing countries, however, the gender gap between adolescent females and males is narrow in many countries around the globe.

Chapter 4. Social, Environmental, Cognitive, and Genetic Influences on the Use of Tobacco Among Youth

Given their developmental stage, adolescents and young adults are uniquely susceptible to social and environmental influences to use tobacco.
Socioeconomic factors and educational attainment influence the development of youth smoking behavior. The adolescents most likely to begin to use tobacco and progress to regular use are those who have lower academic achievement.
The evidence is sufficient to conclude that there is a causal relationship between peer group social influences and the initiation and maintenance of smoking behaviors during adolescence.
Affective processes play an important role in youth smoking behavior, with a strong association between youth smoking and negative affect.
The evidence is suggestive that tobacco use is a heritable trait, more so for regular use than for onset. The expression of genetic risk for smoking among young people may be moderated by small-group and larger social-environmental factors.

Chapter 5. The Tobacco Industry’s Influences on the Use of Tobacco Among Youth

In 2008, tobacco companies spent $9.94 billion on the marketing of cigarettes and $547 million on the marketing of smokeless tobacco. Spending on cigarette marketing is 48% higher than in 1998, the year of the Master Settlement Agreement. Expenditures for marketing smokeless tobacco are 277% higher than in 1998.
Tobacco company expenditures have become increasingly concentrated on marketing efforts that reduce the prices of targeted tobacco products. Such expenditures accounted for approximately 84% of cigarette marketing and more than 77% of the marketing of smokeless tobacco products in 2008.
The evidence is sufficient to conclude that there is a causal relationship between advertising and promotional efforts of the tobacco companies and the initiation and progression of tobacco use among young people.
The evidence is suggestive but not sufficient to conclude that tobacco companies have changed the packaging and design of their products in ways that have increased these products’ appeal to adolescents and young adults.
The tobacco companies’ activities and programs for the prevention of youth smoking have not demonstrated an impact on the initiation or prevalence of smoking among young people.
The evidence is sufficient to conclude that there is a causal relationship between depictions of smoking in the movies and the initiation of smoking among young people.

Chapter 6. Efforts to Prevent and Reduce Tobacco Use Among Young People

The evidence is sufficient to conclude that mass media campaigns, comprehensive community programs, and comprehensive statewide tobacco control programs can prevent the initiation of tobacco use and reduce its prevalence among youth.
The evidence is sufficient to conclude that increases in cigarette prices reduce the initiation, prevalence, and intensity of smoking among youth and young adults.
The evidence is sufficient to conclude that school-based programs with evidence of effectiveness, containing specific components, can produce at least short-term effects and reduce the prevalence of tobacco use among school-aged youth.
Adriani W, Spijker S, Deroche-Gamonet V, Laviola G, Le Moal M, Smit AB, Piazza PV. Evidence for enhanced neurobehavioral vulnerability to nicotine during peri-adolescence in rats. Journal of Neuroscience. 2003; 23 (11):4712–6. [ PMC free article : PMC6740776 ] [ PubMed : 12805310 ]
Alesci NL, Forster JL, Blaine T. Smoking visibility, perceived acceptability, and frequency in various locations among youth and adults. Preventive Medicine. 2003; 36 (3):272–81. [ PubMed : 12634018 ]
Anderson G. Chronic Care: Making the Case for Ongoing Care. Princeton (NJ): Robert Wood Johnson Foundation; 2010. [accessed: November 30, 2011]. < http://www .rwjf.org/files /research/50968chronic .care.chartbook.pdf >.
Bonnie RJ, Stratton K, Wallace RB, editors. Ending the Tobacco Problem: A Blueprint for the Nation. Washington: National Academies Press; 2007.
Cochrane Collaboration. Home page. 2010. [accessed: November 30, 2010]. < http://www .cochrane.org/ >.
Community Preventive Services Task Force. First Annual Report to Congress and to Agencies Related to the Work of the Task Force. Community Preventive Services Task Force. 2011. [accessed: January 9, 2012]. < http://www .thecommunityguide .org/library /ARC2011/congress-report-full.pdf >.
Dalton MA, Beach ML, Adachi-Mejia AM, Longacre MR, Matzkin AL, Sargent JD, Heatherton TF, Titus-Ernstoff L. Early exposure to movie smoking predicts established smoking by older teens and young adults. Pediatrics. 2009; 123 (4):e551–e558. [ PMC free article : PMC2758519 ] [ PubMed : 19336346 ]
Doll R, Peto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years’ observations on male British doctors. BMJ (British Medical Journal). 2004; 32 :1519. [ PMC free article : PMC437139 ] [ PubMed : 15213107 ] [ CrossRef ]
Fagerström K. The epidemiology of smoking: health consequences and benefits of cessation. Drugs. 2002; 62 (Suppl 2):1–9. [ PubMed : 12109931 ]
Family Smoking Prevention and Tobacco Control Act, Public Law 111-31, 123 U.S. Statutes at Large 1776 (2009)
Grimshaw G, Stanton A. Tobacco cessation interventions for young people. Cochrane Database of Systematic Reviews. 2006;(4):CD003289. [ PubMed : 17054164 ] [ CrossRef ]
Kessler DA. Nicotine addiction in young people. New England Journal of Medicine. 1995; 333 (3):186–9. [ PubMed : 7791824 ]
Lovato C, Linn G, Stead LF, Best A. Impact of tobacco advertising and promotion on increasing adolescent smoking behaviours. Cochrane Database of Systematic Reviews. 2003;(4):CD003439. [ PubMed : 14583977 ] [ CrossRef ]
Lovato C, Watts A, Stead LF. Impact of tobacco advertising and promotion on increasing adolescent smoking behaviours. Cochrane Database of Systematic Reviews. 2011;(10):CD003439. [ PMC free article : PMC7173757 ] [ PubMed : 21975739 ] [ CrossRef ]
Lynch BS, Bonnie RJ, editors. Growing Up Tobacco Free: Preventing Nicotine Addiction in Children and Youths. Washington: National Academies Press; 1994. [ PubMed : 25144107 ]
National Association of Attorneys General. Master Settlement Agreement. 1998. [accessed: June 9, 2011]. < http://www .naag.org/back-pages /naag/tobacco /msa/msa-pdf/MSA%20with %20Sig%20Pages%20and%20Exhibits .pdf/file_view >.
National Cancer Institute. Changing Adolescent Smoking Prevalence. Bethesda (MD): U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, National Cancer Institute; 2001. Smoking and Tobacco Control Monograph No. 14. NIH Publication. No. 02-5086.
National Cancer Institute. The Role of the Media in Promoting and Reducing Tobacco Use. Bethesda (MD): U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute; 2008. Tobacco Control Monograph No. 19. NIH Publication No. 07-6242.
National Research Council. Environmental Tobacco Smoke: Measuring Exposures and Assessing Health Effects. Washington: National Academy Press; 1986. [ PubMed : 25032469 ]
Office of the Surgeon General Reports of the Surgeon General, U.S. Public Health Service. 2010. [accessed: November 30, 2010]. < http://www .surgeongeneral .gov/library/reports/index.html >.
Perry CL, Eriksen M, Giovino G. Tobacco use: a pediatric epidemic [editorial] Tobacco Control. 1994; 3 (2):97–8.
Peto R, Lopez AD. Future worldwide health effects of current smoking patterns. In: Koop CE, Pearson CE, Schwarz MR, editors. Critical Issues in Global Health. San Francisco: Wiley (Jossey-Bass); 2001. pp. 154–61.
Reddy KS, Perry CL, Stigler MH, Arora M. Differences in tobacco use among young people in urban India by sex, socioeconomic status, age, and school grade: assessment of baseline survey data. Lancet. 2006; 367 (9510):589–94. [ PubMed : 16488802 ]
Schochet TL, Kelley AE, Landry CF. Differential expression of arc mRNA and other plasticity-related genes induced by nicotine in adolescent rat forebrain. Neuroscience. 2005; 135 (1):285–97. [ PMC free article : PMC1599838 ] [ PubMed : 16084664 ]
Sowden AJ. Mass media interventions for preventing smoking in young people. Cochrane Database of Systematic Reviews. 1998;(4):CD001006. [ PubMed : 10796581 ] [ CrossRef ]
Sowden AJ, Stead LF. Community interventions for preventing smoking in young people. Cochrane Database of Systematic Reviews. 2003;(1):CD001291. [ PubMed : 12535406 ] [ CrossRef ]
Stead LF, Lancaster T. Interventions for preventing tobacco sales to minors. Cochrane Database of Systematic Reviews. 2005;(1):CD001497. [ PubMed : 15674880 ] [ CrossRef ]
Steinberg L. Risk taking in adolescence: what changes, and why? Annals of the New York Academy of Sciences. 2004; 1021 :51–8. [ PubMed : 15251873 ]
Task Force on Community Preventive Services. Recommendations regarding interventions to reduce tobacco use and exposure to environmental tobacco smoke. American Journal of Preventive Medicine. 2001; 20 (2 Suppl):S10–S15. [ PubMed : 11173214 ]
Task Force on Community Preventive Services. Tobacco. In: Zaza S, Briss PA, Harris KW, editors. The Guide to Preventive Services: What Works to Promote Health? New York: Oxford University Press; 2005. pp. 3–79. < http://www .thecommunityguide .org/tobacco/Tobacco.pdf >.
Thomas RE, Baker PRA, Lorenzetti D. Family-based programmes for preventing smoking by children and adolescents. Cochrane Database of Systematic Reviews. 2007;(1):CD004493. [ PubMed : 17253511 ] [ CrossRef ]
Thomas RE, Perera R. School-based programmes for preventing smoking. Cochrane Database of Systematic Reviews. 2006;(3):CD001293. [ PubMed : 16855966 ] [ CrossRef ]
US Department of Health and Human Services. Preventing Tobacco Use Among Young People A Report of the Surgeon General. Atlanta (GA): US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 1994.
US Department of Health and Human Services. Tobacco Use Among US Racial/Ethnic Minority Groups—African Americans, American Indians and Alaska Natives, Asian Americans and Pacific Islanders, and Hispanics A Report of the Surgeon General. Atlanta (GA): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 1998.
U.S. Department of Health and Human Services. Healthy People 2010: Understanding and Improving Health. 2nd ed. Washington: U.S. Government Printing Office; 2000.
US Department of Health and Human Services. Reducing Tobacco Use: A Report of the Surgeon General. Atlanta (GA): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2000.
US Department of Health and Human Services. Women and Smoking A Report of the Surgeon General. Rockville (MD): U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General; 2001.
US Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. Atlanta (GA): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004.
US Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Atlanta (GA): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2006. [ PubMed : 20669524 ]
US Department of Health and Human Services. How Tobacco Smoke Causes Disease—The Biology and Behavioral Basis for Tobacco-Attributable Disease: A Report of the Surgeon General. Atlanta (GA): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010. [ PubMed : 21452462 ]
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Healthy People 2020. 2011. [accessed: November 1, 2011]. < http://www .healthypeople .gov/2020/default.aspx >.
US Department of Health, Education, and Welfare. Smoking and Health: Report of the Advisory Committee to the Surgeon General of the Public Health Service. Washington: U.S. Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control; 1964. PHS Publication No. 1103.
Cite this Page National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US); 2012. 1, Introduction, Summary, and Conclusions.
PDF version of this title (18M)

In this Page

Other titles in these collections.

Reports of the Surgeon General
Health Services/Technology Assessment Text (HSTAT)

Related information

PMC PubMed Central citations
PubMed Links to PubMed

Recent Activity

Introduction, Summary, and Conclusions - Preventing Tobacco Use Among Youth and ... Introduction, Summary, and Conclusions - Preventing Tobacco Use Among Youth and Young Adults

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

Connect with NLM

National Library of Medicine 8600 Rockville Pike Bethesda, MD 20894

Web Policies FOIA HHS Vulnerability Disclosure

Help Accessibility Careers

IELTS Scores
Life Skills Test
Find a Test Centre
Alternatives to IELTS
Find Student Housing
General Training
Academic Word List
Topic Vocabulary
Collocation
Phrasal Verbs
Writing eBooks
Reading eBook
All eBooks & Courses

Task 2 IELTS Sample Essay: Smoking

by faysal ahmad (dhaka bangladesh)

which makes para lashed our body smoke infornt of their family member

smoking is a dangerous bad habit.it contains nicotine.it causes different diseases and damages our brain and lungs.

Click here to add your own comments

Return to Writing Submissions - Task 2.

Before you go...

Check out the ielts buddy band 7+ ebooks & courses.

essay about smoking problem and solution

Would you prefer to share this page with others by linking to it?

Click on the HTML link code below.
Copy and paste it, adding a note of your own, into your blog, a Web page, forums, a blog comment, your Facebook account, or anywhere that someone would find this page valuable.

Band 7+ eBooks

"I think these eBooks are FANTASTIC!!! I know that's not academic language, but it's the truth!"

Linda, from Italy, Scored Band 7.5

IELTS Modules:

Other resources:.

All Lessons
Band Score Calculator
Writing Feedback
Speaking Feedback
Teacher Resources
Free Downloads
Recent Essay Exam Questions
Books for IELTS Prep
Student Housing
Useful Links

Recent Articles

Alternatives to the IELTS Exam

Mar 22, 24 12:32 PM

Common Questions about the IELTS Speaking Test

Mar 09, 24 05:28 AM

IELTS Computer Delivered Practice Tests Plus Band Score

Mar 01, 24 02:38 AM

Important pages

IELTS Writing IELTS Speaking IELTS Listening IELTS Reading All Lessons Vocabulary Academic Task 1 Academic Task 2 Practice Tests

Connect with us

IELTS is a registered trademark of University of Cambridge, the British Council, and IDP Education Australia. This site and its owners are not affiliated, approved or endorsed by the University of Cambridge ESOL, the British Council, and IDP Education Australia.

Home — Essay Samples — Nursing & Health — Smoking — The Effects Of Smoking On Health

The Effects of Smoking on Health

Categories: Smoking Tobacco

About this sample

Words: 491 |

Published: Mar 1, 2019

Words: 491 | Page: 1 | 3 min read

Cite this Essay

Let us write you an essay from scratch

450+ experts on 30 subjects ready to help
Custom essay delivered in as few as 3 hours

Get high-quality help

Dr Jacklynne

Verified writer

Expert in: Nursing & Health

+ 120 experts online

By clicking “Check Writers’ Offers”, you agree to our terms of service and privacy policy . We’ll occasionally send you promo and account related email

No need to pay just yet!

Related Essays

3 pages / 1585 words

3 pages / 1160 words

1 pages / 611 words

3 pages / 1162 words

Remember! This is just a sample.

You can get your custom paper by one of our expert writers.

121 writers online

Still can’t find what you need?

Browse our vast selection of original essay samples, each expertly formatted and styled

Related Essays on Smoking

Good afternoon, ladies and gentlemen. Today, I would like to talk to you about the dangers of smoking and the impact it has on individuals and society as a whole. Smoking is a prevalent habit that has been around for centuries, [...]

Smoking is a habit that has been around for centuries, but did you know that it is responsible for the deaths of about six million people every year worldwide? Smoking dates back to ancient times when people used to burn herbs [...]

Smoking is a prevalent practice in many societies, with approximately 1 billion people engaging in this habit. The act of smoking involves burning substances, such as tobacco or cannabis, and inhaling the resulting smoke into [...]

Understanding the Effects of Smoking Smoking is a habit that has been linked to a myriad of health risks, including lung cancer, heart disease, and respiratory illnesses. In addition to the physical health risks, smoking also [...]

Stop smoking it can cost you your life! What is smoking? How can something small cause so much harm to the world? Smoking is an addictive drug that can cause death or cancer it has caused, More than 10 times as many U.S. [...]

Vaping is not a traditional smoking. Many of us don’t even consider it as a substitute of smoking. That’s why a large chunk of non-smokers get attracted towards vaping because it’s harmless, flavored, aromatic and obviously [...]

Get Your Personalized Essay in 3 Hours or Less!

We use cookies to personalyze your web-site experience. By continuing we’ll assume you board with our cookie policy .

Instructions Followed To The Letter
Deadlines Met At Every Stage
Unique And Plagiarism Free

Share full article

Supported by

Guest Essay

A Solution on North Korea Is There, if Biden Will Only Grasp It

Kim Jong-un, the leader of North Korea, in 2019.

By John Delury

Dr. Delury is a professor of Chinese studies and an expert on North Korea.

How do you solve a problem like North Korea?

Since the end of the Cold War, it seems that every formula, from threatening war to promising peace, has been tried. And yet, despite being under more sanctions than just about any other country, North Korea developed a nuclear arsenal estimated at 50 warheads and sophisticated missiles that can, in theory, deliver those weapons to targets in the continental United States.

President Biden’s administration has taken a notably more ambivalent approach toward North Korea than his predecessor Donald Trump, who alternately railed at and courted its leader, Kim Jong-un. But we shouldn’t stop trying to come up with bold ways to denuclearize North Korea, improve the lives of its people or lessen the risks of conflict, even if that means making unpalatable choices. On the contrary, there is more urgency now than there has been for years.

As the analyst Robert Carlin and the nuclear scientist Siegfried Hecker, two experienced North Korea watchers, warned in January, Mr. Kim has shifted away from pursuing better relations with the United States and South Korea and closer to President Vladimir Putin of Russia and may be preparing for war. Just days after the two experts issued their warning, Mr. Kim disavowed the long-cherished goal of peaceful reconciliation between the two Koreas, and he called for “completely occupying, subjugating and reclaiming” the South if war breaks out.

It might seem preposterous, even suicidal, for Mr. Kim to seek war. But many people in Ukraine doubted that Mr. Putin would launch a full invasion, right up until the rockets began landing in February 2022, and Hamas caught Israel completely by surprise in October. Both conflicts have had devastating human tolls and are severely taxing America’s ability to manage concurrent crises. The people of both Koreas certainly don’t need war, and neither does the United States.

Mr. Kim’s grandfather started the Korean War, and his father was a master of brinkmanship. Mr. Kim is cut from the same cloth and could instigate a limited conflict by, for example, launching an amphibious assault on South Korean-controlled islands in disputed waters of the Yellow Sea, less than 15 miles off North Korea’s coast. North Korea shelled one of the islands in 2010, killing two South Korean military personnel and two civilians and triggering an exchange of artillery with the South. Just two months ago, Pyongyang fired more than 200 shells into waters near the islands.

Mr. Kim may believe he can manage escalation of such a crisis — threatening missile or even nuclear attack to deter retaliation, perhaps taking the islands, then spinning it as a great propaganda victory and demanding a redrawing of maritime boundaries and other security concessions.

If anything like that scenario came to pass, Mr. Biden would have to explain another outbreak of war on his watch to weary American voters. And it would provide Mr. Trump an opportunity to trumpet his willingness to engage with Mr. Kim.

The mutual distrust between Washington and Pyongyang has only deepened under Mr. Biden, making a breakthrough seem unlikely. Yet there are two underappreciated dynamics at play in North Korea where the United States might find leverage.

The first is China. Despite the veneer of Communist kinship, Mr. Kim and President Xi Jinping of China are nationalists at heart, and they watch each other warily. I have made numerous visits to both nations’ capitals and met with officials and policy shapers. The sense of deep mutual distrust is palpable. Many Chinese look down on neighboring North Korea as backward and are annoyed by its destabilizing behavior. Many North Koreans resent China’s success and resist its influence; Pyongyang could allow much more Chinese investment but doesn’t want to be indebted to Chinese capital. And Mr. Kim seems to delight in timing provocations for maximum embarrassment in Beijing, including testing weapons — prohibited by U.N. sanctions — in the lead-up to sensitive Chinese political events .

Mr. Kim waited six years after becoming the paramount leader in 2011 before making a trip to Beijing to meet Mr. Xi. When Covid emerged, North Korea was among the first countries to shut its borders with China, and ties atrophied during those nearly three years of closure . Last year Mr. Kim chose Mr. Putin, not Mr. Xi, for his first postpandemic summit, skipping China to travel to Russia’s far east. Mr. Kim’s distrust of China is an opening for the United States.

The second point is Mr. Kim’s economic ambitions. For every speech mentioning nukes, he talks at much greater length about the poor state of his nation’s economy while promising to improve it. It was the prospect of American-led economic sanctions being lifted that persuaded him to make the 60-hour train ride from Pyongyang to Hanoi to meet then-President Trump for their second summit in 2019. Mr. Kim explicitly offered to dismantle his main nuclear weapons complex, but Mr. Trump demanded the North also turn over all of its nuclear weapons, material and facilities. The talks collapsed, and Mr. Trump seemed to lose interest in dealing with Mr. Kim. A rare opportunity was wasted, leaving Mr. Kim embittered.

The key to any new overture to North Korea is how it is framed. The White House won’t like to hear this, but success will probably depend on Mr. Biden putting his fingerprints all over the effort, by, for example, nominating a new White House envoy with the stature of someone like John Kerry and announcing a sweeping policy on North Korea and an intelligence review. Only the president can get through to Mr. Kim, and only Mr. Kim can change North Korean policy.

Mr. Biden also would need to use radically different language in framing a new overture as an effort to improve relations and aid North Korea’s economy — not to denuclearize a country that in 2022 passed a law declaring itself a nuclear weapons state. Yes, that would be a bitter pill for America to swallow: Denuclearization has been a guiding principle of U.S. policy toward North Korea for decades. But it is unrealistic to pretend that Pyongyang will surrender its nuclear weapons anytime soon. Disarmament can remain a long-term goal but is impossible if the two sides aren’t even talking.

Mr. Biden’s Republican opponents might accuse him of appeasement by engaging with Mr. Kim, but that is precisely what Mr. Trump tried. Mr. Kim, likewise, might mistake boldness for weakness. But it would be easy enough for the United States to pull back from diplomacy if it goes nowhere.

The United States must be realistic. The world is very different from when the United States, China, Russia, Japan and the two Koreas came together in the 2000s for negotiations to denuclearize North Korea. The country is now a formidable nuclear power, and its leader sounds increasingly belligerent. The president needs to get the wheels of diplomacy turning before it’s too late.

John Delury (@JohnDelury) is a professor of Chinese studies at Yonsei University in Seoul, the Tsao fellow at the American Academy in Rome and the author of “Agents of Subversion: The Fate of John T. Downey and the CIA’s Covert War in China.”

The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips . And here’s our email: [email protected] .

Follow The New York Times Opinion section on Facebook , Instagram , TikTok , X and Threads .

COMMENTS

Smoking: Problems and Solutions
CBPP (2013) reports that in Canada, 16.7% of the population smoke with the daily smokers, who consume an average of 13 cigarette sticks a day, being 13.1%. The highest percentage of smokers were found among the young adults aged between 20 and 24. The Lung Association (2013) documents that approximately 37,000 Canadians die from smoking related ...
Smoking: Effects, Risks, Diseases, Quitting & Solutions
Smoking is the practice of inhaling smoke from burning plant material. Nicotine works on your brain to create a relaxing, pleasurable feeling that makes it tough to quit. But smoking tobacco puts you at risk for cancer, stroke, heart attack, lung disease and other health issues. Nicotine replacements and lifestyle changes may help you quit.
Essay on Smoking in English for Students
500 Words Essay On Smoking. One of the most common problems we are facing in today's world which is killing people is smoking. A lot of people pick up this habit because of stress, personal issues and more. In fact, some even begin showing it off. When someone smokes a cigarette, they not only hurt themselves but everyone around them.
Problem Solution Essay about Smoking in Public Places
4. This essay sample was donated by a student to help the academic community. Papers provided by EduBirdie writers usually outdo students' samples. Cite This Essay. Download. The subject of consideration in this work is the Smoking Ban Act, a law banning smoking in public places, which was adopted by the British Parliament in 2006 and entered ...
Essays About Smoking
Provide statistical evidence: Incorporate statistical data to make your essay more impactful. Use figures to show the number of people who smoke, the effects of smoking on the environment, and the costs associated with smoking. Offer solutions: Conclude your essay by suggesting solutions to the problem of smoking.
Problem And Solution Of Smoking
Problem And Solution Essay Danger Of Smoking ... The problem with smoking became worse when "production climbed markedly when another cigarette-making machine was developed in the 1880s by James Albert Bonsack, which vastly increased the productivity of cigarette companies, which went from making about 40,000 hand-rolled cigarettes daily to ...
IELTS Writing Task 2 : Smoking
Model Answer 02. Nowadays, many people become smoke addicts. The reasons for smoking vary from being a "fashionable" habit to conforming to your friends. Sometimes, parents set a bad example to their own children and are unable to quit smoking themselves. But governments and non-governmental organisations should unite powers and help ...
Teenage Smoking Essay: Writing Guide & Smoking Essay Topics
Get an idea. The first step of creating a causes effects of teenage smoking essay is brainstorming topics. Think of the common reasons for teens smoking and analyze the possible outcomes. Here are some ideas for you: Causes. Effects. peer pressure (a desire to be as "cool" as friends); to relieve stress;
Cause and Effect Essay on Smoking
Smoking as a social and psychological problem. Smoking in an economical way causes costs to increase. Social habits, for example, deprivation of senses, dullness, anxiety, stress, and smoking play a major role in causing all these things. Smoking causes stress, so it is bad for both types of people smoking and non-smoking.
Argumentative Essay on Smoking Cigarettes
The dangers of smoking cigarettes have been well-documented, yet millions of people continue to engage in this harmful habit. The debate over the impact of smoking on public health is ongoing, with some arguing for stricter regulations and others advocating for personal freedom. In this essay, we will explore the various arguments surrounding smoking cigarettes and ultimately make the case for ...
1 Introduction, Summary, and Conclusions
Tobacco use is a global epidemic among young people. As with adults, it poses a serious health threat to youth and young adults in the United States and has significant implications for this nation's public and economic health in the future (Perry et al. 1994; Kessler 1995). The impact of cigarette smoking and other tobacco use on chronic disease, which accounts for 75% of American spending ...
IELTS Writing Task 2 Sample Answer: Smoking
IELTS Examiner Sample Answer Analysis (Smoking) 1. Some have suggested that the best method of reducing the number of smokers is for governments to raise taxes. 2. Although there are economic disadvantages, I believe that this will have the greatest impact. 1. My first sentence restates what the topic is about.
Problem Solution Essay: Smoking & Cancer
Smoking Proposal By: Jerush C, Avinash S, Noble O, Peter W. Proposal The problem that we are trying to stop is "smoking in Durham". The reason we think this is a big problem in Durham is there are a lot of people smoking and we want to cut down that number. Also this causes health insurance to go up. 90% of lung cancer patients are smokers, this means lung cancer can decrease dramatically ...
Task 2 IELTS Sample Essay: Smoking
The other two negative effects are economical and social. First of all, smokers spend a large proportion of their income on buying tobacco especially for high quality ones, that is considered as a waste of money. This is particularly true for those with low income, and as result their families will be affected.
Smoking: Causes and Effects
Smoking: Causes and Effects Essay. Exclusively available on IvyPanda. Among numerous bad habits of modern society smoking seems to be of the greatest importance. Not only does it affect the person who smokes, but also those who are around him. Many people argue about the appropriate definition of smoking, whether it is a disease or just a bad ...
The Effects Of Smoking On Health: [Essay Example], 491 words
It can also kill your family. You can die from cancer by smoking. Every time you smoke you are exposing toxic chemicals to the air which somebody else is going to breath and possibly die from. For example, you are putting people at risk every time you smoke. Because not only can it harm other people who inhale it, it also harms the people who ...
Free Essay: tobacco problem-solution essay
Tobacco smoking only has negative effect. Tobacco kills, increases poverty, damages the environment and many more. Tobacco is the second major cause of death in the world. It is. f Tran 2 estimated to kill 6 million people every year, that's a person dying every 1 to 6 seconds right now (Shah).
Biden's Next Crisis Might Be North Korea
Mr. Kim's grandfather started the Korean War, and his father was a master of brinkmanship. Mr. Kim is cut from the same cloth and could instigate a limited conflict by, for example, launching an ...