write an essay on effects of tobacco

Tobacco Smoking and Its Dangers Essay

Introduction, the dangers of smoking, possible pro-tobacco arguments, annotated bibliography.

Tobacco use, including smoking, has become a universally recognized issue that endangers the health of the population of our entire planet through both active and second-hand smoking. Pro-tobacco arguments are next to non-existent, while its harm is well-documented and proven through past and contemporary studies (Jha et al., 2013). Despite this fact, smoking remains a widespread habit that involves about one billion smokers all over the world, even though lower-income countries are disproportionally affected (World Health Organization [WHO], 2016). In this essay, I will review the dangers of tobacco use and consider some of the remaining pro-tobacco arguments to demonstrate that no reason can explain or support the choice to smoke, which endangers the smoker and other people.

Almost every organ and system in the human body is negatively affected by tobacco, which is why smoking is reported to cause up to six million deaths on an annual basis (WHO, 2016, para. 2). The figure is expected to grow and increase by two million within the next fifteen years (Centers for Disease Control and Prevention [CDC], 2016a). Smoking can cause cancer in at least sixteen organs (including the respiratory and digestive systems), autoimmune diseases (including diabetes), numerous heart and blood problems (including stroke and hypertension); in addition, it damages lungs, vision, and bones, and leads to reproductive issues (including stillbirth) (U.S. Department of Health & Human Services, 2016).

Moreover, nicotine is addictive, and its withdrawal symptoms include anxiety, which tends to cumulate and contribute to stress (Parrott & Murphy, 2012). Other symptoms may involve mood swings and increased hunger, as well as thinking difficulties (Centers for Disease Control and Prevention [CDC], 2016b). Sufficient evidence also indicates that smoking is correlated with alcohol use and that it is capable of affecting one’s mental state to the point of heightening the risks of development of disorders (Cavazos-Rehg et al., 2014).

In the end, smoking reduces the human lifespan, as a result of which smokers are twice as likely as non-smokers to die between the ages of 25 and 79 (Jha et al., 2013, p. 341). Fortunately, smoking cessation tends to add up to ten years of life for former smokers, if they were to give up smoking before they turned 40 (Jha et al., 2013, p. 349). Similarly, the risk of developing mental issues also tends to be reversed to an extent, but it is not clear if it becomes completely eliminated or not (Cavazos-Rehg et al., 2014). The CDC (2016b) also reports that smoking cessation results in an improved respiratory condition and lower risks of developing cancer, cardiovascular diseases, and infertility.

At the same time, Cavazos-Rehg et al. (2014) state that there is not sufficient evidence to indicate that smoking cessation may cause mental issues, which implies that ceasing to smoke is likely to be a very good decision. Unfortunately, it is not always easy; many people make several attempts at quitting, experiencing difficulties because of abstinence symptoms, and in the process may gain weight and may require the help of professional doctors and counselors (CDC, 2016b). It is also noteworthy that only twenty-four countries in the world have comprehensive services aimed specifically at smoking cessation assistance (WHO, 2016, para. 18).

To sum up, tobacco is a drug that is harmful to people’s health, but it is also the basis of a gigantic industry that is subject to taxes, which implies that governments are typically interested in its development (CDC, 2016a). As a result, their spending in the field of prevention and cessation activities may not live up to expectations, despite the fact that governments have multiple means of reducing tobacco consumption, in particular, banning ads, adding taxes, and eliminating illicit trade (WHO, 2016). In the meantime, people who smoke search for arguments in order to rationalize their choice, which contributes to the deterioration of their own health and that of their communities.

It Is Not That Dangerous

It is admittedly difficult to find a reputable source that would promote smoking, which is understandable. However, certain pro-tobacco arguments can be suggested for the sake of attempting to understand the reasons for the phenomenon. For example, given the obvious lack of positive judgments, it may be hinted that the problem is overrated and the horrors of tobacco use are exaggerated. In this case, it is implied that scientific studies that highlight the dangers of smoking are not trustworthy to some extent. In fact, it cannot be denied that untrustworthy studies exist, but the scientific community does its best to eliminate them.

For example, the article by Moylan, Jacka, Pasco, and Berk (2012) contains a critique of 47 studies, which allows the authors to conclude that some research studies do not introduce sufficient controls. Despite this, the authors maintain that there is satisfactory evidence that indicates a correlation between certain mental disorders and smoking. They also admit that the evidence is less homogenous for some disorders, and suggest carrying out a further examination. As a result, it appears possible to consider the effects of tobacco use that are described by reputable organizations and peer-reviewed articles to be correct, which implies that all the horrible outcomes are indeed a possibility.

Tobacco Has Positive Effects

Given the information about tobacco’s negative effects, any number of positive ones that it may have appears insignificant. However, these may still be regarded as a pro-tobacco argument. One example is a calming, “feeling-good” effect that smokers tend to report. Parrott and Murphy (2012) explore this phenomenon, along with other mood-related effects of tobacco use, and explain that the feeling of calmness is the result of abstinence symptoms abatement.

In other words, smokers do not experience calmness when they get a cigarette; instead, they just stop experiencing abstinence-related anxiety. Moreover, apart from causing anxiety as an abstinence symptom, smoking tends to heighten the risks of various mental disorders, including anxiety disorder (Moylan et al., 2012), and alcohol use disorder (Cavazos-Rehg et al., 2014). It may be suggested that the belief in the positive effects of smoking is likely to result from the lack of education on the matter (WHO, 2016).

It Is My Free Choice

The freedom of choice is important to defend, and some may argue that they like the taste of the smoke or enjoy some of its effects (like the above-mentioned calming one), and they have the right to make a choice with regard to what they are going to do with their lives. Unfortunately, there is a factor that makes their choice more socially significant: Second-hand smoke intake also can affect people’s health in a negative way.

WHO (2016) estimates that about 600,000 non-smoking people, who never chose to smoke but were forced to inhale some second-hand smoke, die every year because of smoking-related issues (para. 2). In 2004, twenty-eight percent of second-hand smoke victims were children (WHO, 2016, para. 14). In other words, a smoker needs to be cautious and attempt to ensure that no deaths are caused by his or her free choice.

Moreover, even the freedom of the choice to smoke is sometimes questionable. In particular, the media has been accused of creating alluring images of smoking, which impairs the ability of people to make their own decisions (Malaspina, 2014). Similarly, the phenomenon of social smoking is explained by the wish to fit in within a community, to which teenage persons are especially prone (Nichter, 2015). As a result, the free choice argument may be regarded as typically invalid, which makes tobacco smoking even less reasonable or defensible.

It is extremely simple to argue against tobacco use: The activity has virtually no pluses, and any advantage that can be discovered by a diligent researcher would probably seem insignificant when contrasted to all the problems that smoking tends to cause. Despite this, people proceed to smoke as a result of the lack of education on the matter (WHO, 2016), harmful media images (Malaspina, 2014), and probably a number of other factors.

It is noteworthy, though, that since 2002, the number of people who have managed to quit smoking exceeds that of active smokers (CDC, 2016b, para. 22). Given the pressure of WHO (2016) in urging governments to do more to improve the situation, we may hope that tobacco use will be greatly reduced in the future, and people will stop engaging in this kind of self-harm.

Cavazos-Rehg, P. A., Breslau, N., Hatsukami, D., Krauss, M. J., Spitznagel, E. L., Grucza, R. A.,… & Bierut, L. J. (2014). Smoking cessation is associated with lower rates of mood/anxiety and alcohol use disorders. Psychological Medicine , 44 (12), 2523-2535.

The article investigates the correlation between smoking cessation and certain mental disorders with the help of data from a national longitudinal study that was carried out in the United States between 2001 and 2006 by the National Institute on Alcohol Abuse and Alcoholism. The article concludes that there is a drop in anxiety disorder as well as the use of alcohol that is related to giving up smoking. The authors highlight the fact that the conclusion is not final and suggest that additional investigation is required. However, in their view, the idea that smoking cessation is related to an increased risk of anxiety disorders remains unproven and even contradicted by the results of their research.

For this essay, the article contributes information about the relationships between smoking and mood issues, which contradicts the myth about nicotine calming people. Also, it demonstrates the positive effects of giving up smoking, which is an argument against continued smoking.

Centers for Disease Control and Prevention. (2016a). Smoking & tobacco use .

The website offers fast facts on tobacco use, including those for the world and the United States, and illustrates them with the help of statistics. The facts demonstrate that smoking has a negative impact on human health (limiting the lifespan and causing diseases) and results in significant costs for countries (primarily as healthcare expenditures). Also, the website mentions that tobacco prevention expenditures and efforts are often limited. The website finishes with statistics that illustrate the scope of the problem, that is, the number of smokers in the United States.

For this essay, the website contributes useful information and statistics on smoking and its consequences, including data on costs. Also, it mentions the profitability of the tobacco industry, and the issue of preventive measures, arguments that are capable of explaining the phenomenon of the continued existence of the problem of smoking.

Centers for Disease Control and Prevention. (2016b). Quitting smoking .

The website contains information on the difficulties in quitting, provides relevant statistics, and suggests informative and supportive resources for those who wish to quit. It also highlights the dangers of smoking, the benefits of quitting, and the specifics of nicotine dependence.

For this essay, the website contributes some information on the dangers of smoking with a particular emphasis on the dependence and its consequences. The statistics can be used for illustrative purposes, in particular, with respect to quitting difficulties. However, the website also demonstrates that quitting is possible and beneficial, which is an argument against continued smoking that can be employed in the essay.

Jha, P., Ramasundarahettige, C., Landsman, V., Rostron, B., Thun, M., Anderson, R. N.,… & Peto, R. (2013). 21st-century hazards of smoking and benefits of cessation in the United States . New England Journal of Medicine , 368 (4), 341-350.

The article is devoted to conducting a new research on life expectancy in smokers in order to take into account new factors of the changing environment. Also, the authors consider the life expectancy of the people who have quitted smoking. The study has an impressive sample size: It uses 202,248 histories of smoking cessation. The authors conclude that smokers’ lives are shorter while ceasing to smoke can help to “gain” several years, especially if it is done before the age of 40.

The article offers evidence on lifespan reduction as a result of smoking, and some data on smoking cessation benefits that can be used in the essay as arguments and illustrations. Also, the sample size of the article implies its credibility, making it a more attractive source.

Malaspina, A. (2014). False images, deadly promises . Broomall, Pa.: Mason Crest.

The book contains much information on smoking risks, but it focuses on the role of the media in popularizing this habit. Also, it considers other reasons for taking up smoking, including peer pressure, and mentions the problem of the profitability of the tobacco industry, which hinders the process of smoking eradication.

The book offers a comprehensive overview of the costs of tobacco, which makes it a very useful source. For the essay, the book contributes the study of media tobacco images, which is an interesting perspective. It can be used to demonstrate the question of free choice and the effect of the media on that choice.

Moylan, S., Jacka, F., Pasco, J., & Berk, M. (2012). Cigarette smoking, nicotine dependence and anxiety disorders: a systematic review of population-based, epidemiological studies . BMC Medicine , 10 (1), 123.

The article reviews studies that are devoted to the correlation between anxiety and other mental disorders and smoking. The authors criticize some of the studies, demonstrating that there is limited evidence in some of them, but still conclude that the correlation between smoking and the risk of developing some disorders (in particular, generalized anxiety disorder) is sufficiently proven.

For the essay, the article provides direct information on tobacco use and its consequences and also demonstrates that unscrupulous studies are not unlikely to be produced, but this fact does not prove the lack of dangers in smoking. The existence of unscrupulous studies can be used as a pro-tobacco argument. Given the fact that it is difficult to find reputable sources that contain an alternative (approving) perspective on tobacco, it is a very important contribution to an argumentative essay.

Nichter, M. (2015). Lighting up . New York, NY: NYU Press.

The book contains a significant amount of information on tobacco-related issues, and it specifically focuses on the phenomenon of social smoking in college students. In particular, it discusses the issue of peer pressure as well as wrong perceptions, which are, in part, caused by the media. For example, it examines the harmful stereotype of smoking having a calming effect, which tends to attract youngsters who are experiencing a crisis.

The book is quite comprehensive and contains much useful information on smoking myths. For the essay, the book offers an explanation of one of the reasons for taking up smoking and demonstrates its harmfulness. It can be used to prove a pro-tobacco argument to be false and destructive.

Parrott, A. & Murphy, R. (2012). Explaining the stress-inducing effects of nicotine to cigarette smokers. Human Psychopharmacology: Clinical and Experimental , 27 (2), 150-155 .

The authors explain the mechanism of the abstinence symptoms in smokers, relate it to resulting anxiety disorders, and demonstrate that the perceived calming effect of smoking consists of addiction consequences. In other words, the authors demonstrate that tobacco is only capable of removing the abstinence-related anxiety caused by smoking tobacco, which makes the effect pointless. The authors also review prior studies and show that non-smokers or quitters are less likely to report irritability, stress, depression, and anxiety than smokers.

For the essay, the article explains one of the few pro-tobacco arguments (that smoking has a calming effect) and proves that it is false and harmful. As a result, the article is an important contribution that provides some information on the opposite point of view, according to which there are benefits to smoking, and proves it wrong.

U.S. Department of Health & Human Services. (2016). Effects of smoking on your health .

The website contains detailed information on health-related smoking effects. It demonstrates that there is hardly a part of a smoker’s body that remains unaffected. Also, the website describes particular issues that are caused by smoking, with respect to every specific part of a human body.

The website is the most comprehensive yet concise source in this bibliography with respect to smoking-related health issues. It presents information in the form of lists and pictures, which helps it to provide more details while taking up less space and readers’ time. For the essay, the website offers information on the health problems that are caused by smoking and describes them in greater detail than the rest of the sources.

World Health Organization. (2016). Tobacco fact sheet .

The website offers limited statistics and information on the dangers of smoking and the process of quitting. Among other things, it describes the dangers of “second-hand” smoke with relevant statistics and an emphasis on the consequences for young children. Also, its states the WHO’s position on the matter, as well as the organization’s recommendations for government-level anti-tobacco activities.

For the essay, the website provides useful tobacco-related information that includes global statistics; the “second-hand” smoke information is also a very important argument that should be used in the paper. Moreover, the website creates a sense of urgency by demonstrating that the issue of tobacco smoking requires the attention of governments and healthcare organizations all over the world.

Cavazos-Rehg, P. A., Breslau, N., Hatsukami, D., Krauss, M. J., Spitznagel, E. L., Grucza, R. A.,… & Bierut, L. J. (2014). Smoking cessation is associated with lower rates of mood/anxiety and alcohol use disorders . Psychological Medicine , 44 (12), 2523-2535.

Jha, P., Ramasundarahettige, C., Landsman, V., Rostron, B., Thun, M., Anderson, R. N.,… & Peto, R. (2013). 21st-century hazards of smoking and benefits of cessation in the United States. New England Journal of Medicine , 368 (4), 341-350.

Parrott, A. & Murphy, R. (2012). Explaining the stress-inducing effects of nicotine to cigarette smokers. Human Psychopharmacology: Clinical and Experimental , 27 (2), 150-155.

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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.

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Health Effects of Tobacco Use

Tobacco use has serious effects on the health of users. In fact, tobacco use remains the leading preventable cause of disease and death in the United States, 1 leading to more than 480,000 deaths each year. 

Different tobacco products, however, pose varying levels of health risk to users. Combustible products that burn tobacco, like a cigarette, are the most harmful to a user’s health, while noncombustible products, such as e-cigarettes, may be less harmful. However, no tobacco product is considered safe. 

Health Effects of Smoking 

Cigarettes are responsible for the vast majority of all tobacco-related disease and death in the U.S. Smokers are exposed to a toxic mix of over 7,000 chemicals when they inhale cigarette smoke, 2 the consequences of which can threaten their health in many ways. 

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If you or a loved one are among the 34 million U.S. adults who smoke cigarettes in this country 9 and want to quit , there are resources to help you on your journey to living a smoke-free life .

COVID-19 and Smoking

Am I at risk for serious complications from COVID-19 if I smoke cigarettes?

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Yes. Data show that when compared to never smokers, cigarette smoking increases the risk of more severe illness from COVID-19, which could result in hospitalization, the need for intensive care, or even death. Smoking cigarettes can cause inflammation and cell damage throughout the body, and can weaken your immune system, making it less able to fight off disease.

There’s never been a better time to quit smoking. If you need resources to help you quit smoking, the FDA has supportive tips and tools to help you get closer to quitting for good .

If I vape tobacco or nicotine am I at risk for complications from COVID-19?

E-cigarette use can expose the lungs to toxic chemicals, but whether those exposures increase the risk of COVID-19 or the severity of COVID-19 outcomes is not known. However, many e-cigarette users are current or former smokers, and cigarette smoking increases the risk of respiratory infections, including pneumonia.

In the Health Effects of Tobacco Use Section

Nicotine Is Why Tobacco Products Are Addictive

Keep Your Air Clear: How Tobacco Can Harm Your Lungs

How Smoking Affects Heart Health

What It’s Like to Quit Smoking

Quitting Smoking and Other Tobacco Public Health Resources

• U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: US Dept 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; 2014.
• U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You (Consumer Booklet). 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.
• U.S. Department of Health and Human Services. Smoking and Cardiovascular Disease (Fact Sheet). Atlanta, GA: US Dept 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; 2014.
• U.S. Department of Health and Human Services. Smoking and Cancer (Fact Sheet). Atlanta, GA: US Dept 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; 2014.
• U.S. Department of Health and Human Services. National Diabetes Statistics Report. Atlanta, GA: US Dept of Health and Human Services, Centers for Disease Control and Prevention; 2020.
• U.S. Department of Health and Human Services. Smoking and Diabetes (Fact Sheet). Atlanta, GA: US Dept 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; 2014.
• U.S. Department of Health and Human Services. Smoking and Respiratory Diseases (Fact Sheet). Atlanta, GA: US Dept 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; 2014.
• Smoking during pregnancy. Centers for Disease Control and Prevention website. www.cdc.gov/tobacco/basic_information/health_effects/pregnancy/. Updated January 8, 2014. Accessed April 17, 2015.
• Cornelius ME, Wang TW, Jamal A, Loretan CG, Neff LJ. Tobacco Product Use Among Adults — United States, 2019. MMWR Morb Mortal Wkly Rep 2020;69:1736–1742.

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Get regular updates on the health effects of tobacco, public health educational resources, and highlights on current tobacco issues and regulations.

Health Effects

Smoking leads to disease and disability and harms nearly every organ of the body.

More than 16 million Americans are living with a disease caused by smoking. For every person who dies because of smoking, at least 30 people live with a serious smoking-related illness. Smoking causes cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis. Smoking also increases risk for tuberculosis, certain eye diseases, and problems of the immune system, including rheumatoid arthritis.

Secondhand smoke exposure contributes to approximately 41,000 deaths among nonsmoking adults and 400 deaths in infants each year. Secondhand smoke causes stroke, lung cancer, and coronary heart disease in adults. Children who are exposed to secondhand smoke are at increased risk for sudden infant death syndrome, acute respiratory infections, middle ear disease, more severe asthma, respiratory symptoms, and slowed lung growth.

Tobacco use increases the risk for many types of cancer, such as Lung cancer.

Heart Disease

Studies show a direct link between cigarette smoking and coronary heart disease.

Smoking, including during the teenage years, increases the risk of dying from COPD.

Smoking during pregnancy increases the risk for pregnancy complications.

Related Materials

• Health Effects of Cigarette Smoking
• Health Effects of Secondhand Smoke
• Tobacco-Related Mortality
• 50 Years of Progress: A Report of the Surgeon General [PDF–35.9 MB]
• U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General . Atlanta: 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, 2014 [accessed 2016 Dec 20].

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Smoking cigarettes has historically been a leisurely and highly popular social activity that a litany of people turn to as a way to assuage daily stress, lose weight, and feel socially accepted in a constantly evolving social world. Tobacco, the main ingredient in cigarettes, has high levels of nicotine, which is a highly addictive ingredient that makes it hard for people to quit smoking if nicotine is ingested on a quotidian basis (Woolbright, 1994, p. 337). According to the CDC (2014), cigarette smoking causes over 480,000 deaths annually in the United States alone, which translates into one out of every five people extirpating due to the ingestion of tobacco. A preventable cause of death, cigarette smoking kills more persons than accidents caused due motor vehicle accidents, alcohol consumption, illegal drug use, deaths involving firearms, and the HIV/AIDS virus altogether (Center For Disease Control and Prevention, 2014). Women who smoke tobacco disproportionately suffer from even more health problems as it directly harms not only their reproductive health but also their mortality and morbidity rates of their progeny or future children (American Lung Association, n.d.). People should not smoke because it not only spawns negative health effects but also because it is not economically useful. If people stopped smoking, many lives would be both indirectly and directly saved from premature and preventative deaths as a result.

Doctors and other medical experts pinpoint the various health hazards caused by smoking, especially to the statistics pertaining to the nexus between smoking cigarettes and premature death, in order to convince people to quit smoking. In the past five decades, the risk of premature death in both female and male smokers has profoundly increased (Centers for Disease Control and Prevention, 2014). According to the CDC (2014), smoking cigarettes causes a handful of diseases because it adversely impacts almost all bodily organs and detracts from the general health of enthusiastic smokers. The risk of developing coronary heart disease (COPD), various cardiovascular maladies, and stroke–the leading cause of death in the United States alone–increases two to four times as much due to the damage it spawns to blood vessels because tobacco narrows and thickens them. These ramifications cause rapid heartbeat, which results in higher blood pressure levels which renders smokers vulnerable to blood clots. If blood clots prevent blood from reaching the heart, people put themselves  at risk for heart attack due to the fact that the heart does not get enough oxygen and thus kills the heart muscle. In addition, blood clots can also cause a stroke because they can hinder blood flow to the brain. Shockingly, quitting smoking even after just one year drastically enhances an individual’s risk of incurring poor cardiovascular health. Moreover, smoking is directly connected to various respiratory diseases due to the fact that it harms both airways and alveoli, or the minute air vacs, that are in the lungs. Chronic Obstructive Pulmonary Disease (COPD), emphysema, and bronchitis are common forms of lung disease that chronic smokers often develop. In addition, medical experts correlate cigarette smoking with a litany of cancers, which have been pinpointed as the primary cause of lung cancer in individuals who smoke for a protracted period of time. Smoking cigarettes can also spawn various other types of cancer, including cancer in the stomach, liver, kidneys, bladders, pancreas, and oropharynx. Smoking not only puts smokers at risk for these often fatal types of cancer but also to those around smokes as a result of second-hand smoking. Second-hand smoke, according to the CDC (2014), causes an estimated 34,000 deaths per year in non-smokers because they too develop various cardiovascular diseases while an estimated 8,000 persons prematurely dying as a result of stroke (CDC, 2014). They also are put at risk for developing lung cancer by approximately thirty percent, and their risk for heart attack is also amplified. Physicians estimate that if nobody smoked cigarettes around the world, an estimated one out of every three deaths caused by cancer would not manifest (1).

More poignantly, smoking cigarettes negatively impacts women’s reproductive health, and children who are exposed to cigarette smoke suffer from often fatal effects. Many studies have analyzed and outlined the negative ramifications of maternal smoking on both the mother and the baby and/or infant ( Hofhuis, de Jongste, & Merkus, 2003 & Woolbright, 1994). Many states require documentation on birth certificates of maternal tobacco consumption (Woolbright, 1994). Despite the Surgeon General’s stern warning that maternal smoking has been linked to fetal injury, premature birth, and/or low birth rate, 15-37% of pregnant women still smoke cigarettes while pregnant (Hofhuis, de Jongste, & Merkus, 2003). Mothers who smoke also frequently participate in other high-risk behaviors that also negatively impacts the health of their progeny. Additionally, factors including marital and socio-economic status in addition education level affect the outcome of pregnancies due to increased vulnerability to cigarette smoking (Woolbright, 1994, p. 330). Low birth weight is the main impact of maternal smoking, although the existing literature pinpoints infant death and premature birth as major ramifications of it as well. Infant exposure to tobacco after they are born puts him or her at risk of premature death if they develop respiratory diseases in addition to Sudden Infant Death Syndrome (Woolbright, 1994). Hofhuis, de Jongste, and Merkus (2003) assessed how smoking cigarettes during pregnancy in addition to passive smoking thereafter affects both the mortality and morbidity rates in children. Statistics show that other obstetric complications directly linked to smoking, including spontaneous abortions, premature rupture of membranes, ectopic pregnancies, and complications related to the placenta. Smoking also stunts the lung growth that fetuses need in utero, which results in the child suffering from weakened lungs after birth while also exponentially increases the child’s chance of suffering from asthma and a vast array of other crippling  respiratory diseases. In addition, it stunts brain development and detracts from the child’s mental acuity.

Health Effects of Cigarette Smoking. (2014, February 6).  Centers for Disease Control and Prevention . Retrieved November 21, 2015 from http://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_ cig_smoking/

American Lung Association. (n.d.). Women and tobacco use.  American Lung Association . Retrieved November 21, 2015 from http://www.lung.org/stop- smoking/about-smoking/facts- figures/women-and-tobacco-use.html

Ault, R. W., Jr., R. E., Jackson, J. D., Saba, R. S., & Saurman, D. S. (1991). Smoking and Absenteeism. Applied Economics ,  23 , 743-754.

Hodgson TA. Cigarette Smoking and Lifetime Medical Expenditures.  Millbank Q  1992, 70, 81-125.

Hofhuis, W., de Jongste, J. C., & Merkus, P. J. (2003). Adverse Health Effects of Prenatal and Postnatal Tobacco Smoke Exposure on Children.  Arch Dis Child ,  88 , 1086-1090.

Woolbright, L. A. (1994). The effects of maternal smoking on infant health. Population Research and Policy Review ,  13 (3), 327-339.

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Tobacco smoking: Health impact, prevalence, correlates and interventions

Robert west.

a Department of Behavioural Science and Health , University College London , London, UK

Background and objectives : Despite reductions in prevalence in recent years, tobacco smoking remains one of the main preventable causes of ill-health and premature death worldwide. This paper reviews the extent and nature of harms caused by smoking, the benefits of stopping, patterns of smoking, psychological, pharmacological and social factors that contribute to uptake and maintenance of smoking, the effectiveness of population and individual level interventions aimed at combatting tobacco smoking, and the effectiveness of methods used to reduce the harm caused by continued use of tobacco or nicotine in some form.

Results and conclusions : Smoking behaviour is maintained primarily by the positive and negative reinforcing properties of nicotine delivered rapidly in a way that is affordable and palatable, with the negative health consequences mostly being sufficiently uncertain and distant in time not to create sufficient immediate concern to deter the behaviour. Raising immediate concerns about smoking by tax increases, social marketing and brief advice from health professionals can increase the rate at which smokers try to stop. Providing behavioural and pharmacological support can improve the rate at which those quit attempts succeed. Implementing national programmes containing these components are effective in reducing tobacco smoking prevalence and reducing smoking-related death and disease.

Introduction

The continued popularity of tobacco smoking appears to defy rational explanation. Smokers mostly acknowledge the harm they are doing to themselves and many report that they do not enjoy it – yet they continue to smoke (Fidler & West, 2011 ; Ussher, Brown, Rajamanoharan, & West, 2014 ). The reason is that nicotine from cigarettes generates strong urges to smoke that undermine and overwhelm concerns about the negative consequences of smoking, and the resolve not to smoke in those trying to stop (West & Shiffman, 2016 ). Progress is being made in many countries in reducing smoking prevalence but it remains one of the main causes of ill health and premature death worldwide (Gowing et al., 2015 ).

This paper provides a broad overview of smoking in terms of: the health effects, benefits of stopping, prevalence and patterns of use, psychological, pharmacological and social factors leading to uptake and maintenance of the behaviour, effectiveness of population level and individual level interventions to combat it, and methods used to reduce the harm despite continued use of tobacco or nicotine.

Definitions of smoking and smoking cessation

Tobacco smoking consists of drawing into the mouth, and usually the lungs, smoke from burning tobacco (West & Shiffman, 2016 ). The type of product smoked is most commonly cigarettes, but can also include cigarillos, cigars, pipes or water pipes. ‘Smokeless’ tobacco is also popular in some parts of the world. This typically involves using tobacco preparations for chewing, sniffing into the nose or placing as a wad in the mouth between the cheeks and gums (Critchley & Unal, 2003 ). Smokeless tobacco use has features that are similar to smoking and can carry significant health risks (Critchley & Unal, 2003 ); however, this article focuses on smoked tobacco only as this has been the subject of by far the largest volume of research and is the most harmful form of tobacco use.

Stopping smoking usually involves an intention not to smoke any more cigarettes from a given point in time (a ‘quit attempt’), followed by self-conscious resistance of urges to smoke resulting in a period of abstinence. If someone making a quit attempt smokes one or more cigarettes on an occasion but then resumes abstinence, this is usually termed a ‘lapse’. If this person resumes smoking on a regular basis s/he is said to have ‘relapsed’. ‘Short-term abstinence’ is commonly defined in terms of achieving up to 4 weeks of abstinence. ‘Long-term abstinence’ often refers to abstinence for at least 6 months but more typically involves abstinence for at least 12 months. There is no agreed criterion for deciding when someone has ‘stopped smoking’ so it is essential when using the term to be clear about how long the abstinence period has been.

Health impact of smoking and the benefits of stopping

Tobacco smoking increases the risk of contracting a wide range of diseases, many of which are fatal. Stopping smoking at any age is beneficial compared with continuing to smoke. For some diseases, the risk can be reversed while for others the risk is approximately frozen at the point when smoking stopped.

Health impact of smoking

Table ​ Table1 1 lists the main causes of death from smoking. Tobacco smoking is estimated to lead to the premature death of approximately 6 million people worldwide and 96,000 in the UK each year (Action on Smoking and Health, 2016b ; World Health Organization, 2013 ). A ‘premature death from smoking’ is defined as a death from a smoking-related disease in an individual who would otherwise have died later from another cause. On average, these premature deaths involve 10 years of life years lost (US Department of Health and Human Services, 2004 ). Many of these deaths occur in people who have stopped smoking but whose health has already been harmed by smoking. It also happens to be the case that smokers who do not stop smoking lose an average of 10 years of life expectancy compared with never-smokers and they start to suffer diseases of old age around 10 years earlier than non-smokers (Jha & Peto, 2014 ).

Most smoking-related deaths arise from cancers (mainly lung cancer), respiratory disease (mainly chronic obstructive pulmonary disease – COPD), and cardiovascular disease (mainly coronary heart disease) (Action on Smoking and Health, 2016b ). Smoking is an important risk factor for stroke, blindness, deafness, back pain, osteoporosis, and peripheral vascular disease (leading to amputation) (US Department of Health and Human Services, 2004 ). After the age of 40, smokers on average have higher levels of pain and disability than non-smokers (US Department of Health and Human Services, 2004 ).

Smoking in both women and men reduces fertility (Action on Smoking and Health, 2013 ). Smoking in pregnancy causes underdevelopment of the foetus and increases the risk of miscarriage, neonatal death, respiratory disease in the offspring, and is probably a cause of mental health problems in the offspring (Action on Smoking and Health, 2013 ).

People used to think that smoking was protective against Alzheimer’s disease but we now know that the opposite is the case: it is a major risk factor for both Alzheimer’s and vascular dementia (Ferri et al., 2011 ; US Department of Health and Human Services, 2004 ).

There is a positive association between average daily cigarette consumption and risk of smoking-related disease, but in the case of cardiovascular disease the association is non-linear, so that low levels of cigarette consumption carry a higher risk than would be expected from a simple linear relationship (US Department of Health and Human Services, 2004 ).

Tobacco smoke contains biologically significant concentrations of known carcinogens as well as many other toxic chemicals. Some of these, including a number of tobacco-specific nitrosamines (particularly NNK and NNN) are constituents of tobacco, largely as a result of the way it is processed, while others such as benzopyrine result from combustion of tobacco (Action on Smoking and Health, 2014b ). These chemicals form part of the particulate matter in smoke. Tobacco smoke also contains the gas, carbon monoxide (CO). CO is a potent toxin, displacing oxygen from haemoglobin molecules. However, acutely the amount of CO in tobacco smoke is too small to lead to hypoxia and the body produces increased numbers of red blood cells to compensate.

The nicotine in tobacco smoke may cause a small part of the increase in cardiovascular disease but none or almost none of the increase in risk of respiratory disease or cancer (Benowitz, 1997 , 1998 ). It is the other components of cigarette smoke that do almost all the damage. It has been proposed on the basis of studies with other species that nicotine damages the adolescent brain but there is no evidence for clinically significant deficits in cognition or emotion in adults who smoked during adolescence and then stopped (US Department of Health and Human Services, 2004 ).

Exposure to second-hand smoke carries a significant risk for both children and adults. Thus, non-smokers who are exposed to a smoky environment have an increased risk of cancer, heart disease and respiratory disease (Action on Smoking and Health, 2014a ).

Benefits of stopping smoking

Table ​ Table1 1 lists the main benefits of stopping smoking. Smokers who stop before their mid-30s have approximately the same life expectancy as never smokers (Doll, Peto, Boreham, & Sutherland, 2004 ; Pirie, Peto, Reeves, Green, & Beral, 2013 ). After the age of 35 years or so, stopping smoking recovers 2–3 months of healthy life expectancy for every year of smoking avoided, or 4–6 h for every day (Jha & Peto, 2014 ).

Stopping smoking has different effects on different smoking-related diseases. Excess risk of heart attack caused by smoking reduces by 50% within 12 months of stopping smoking. Stopping smoking returns the rate of decline in lung function to the normal age-related decline, but does not reverse this; it reduces the frequency of ‘exacerbations’ (acute attacks of breathing difficulty resulting in death or hospitalisation) in COPD patients (US Surgeon General, 1990 ). Stopping smoking ‘freezes’ the risk of smoking-related cancers at the level experienced when stopping occurs but does not decrease it in absolute terms (US Surgeon General, 1990 ).

Smokers who stop show reduced levels of stress and mood disorder than those who continue (Royal College of Physicians and Royal College of Psychiatrists, 2013 ). They also report higher levels of happiness and life satisfaction than those who continue (Shahab & West, 2009 , 2012 ). This suggests that smoking may harm mental health, though other explanations cannot be ruled out on the current evidence.

Prevalence and patterns of smoking

Smoking prevalence.

There are estimated to be approximately 1 billion tobacco smokers worldwide (Eriksen, Mackay, & Ross, 2013 ), amounting to approximately 30% of men and 7% of women (Gowing et al., 2015 ).

Cigarette smoking prevalence in Great Britain was estimated to be 16.9% in 2015, the most recent year for which figures are available at the time of writing: slightly lower in women than men (Office of National Satistics, 2016 ). Smoking in Great Britain has declined by 0.7 percentage points per year since 2001 (from 26.9% of adults in 2001). In Australia, daily cigarette smoking has declined by 0.6 percentage points per year over a similar time period (from 22.4% of adults aged 18 + years in 2001 to 14.5% in 2015) (Australian Bureau of Statistics, 2015 ). However, international comparisons are confused by different countries using a different definition of what counts as being a smoker, and different methods for assessing prevalence. Australia only counts daily smokers in their headline figures. The situation in the US is even more misleading. The headline prevalence figure for the US is below 16%, but this does not include occasional smokers and people who smoke cigarillos which are essentially cigarettes in all but name and which have become increasingly popular in recent years. So the figure for prevalence that is most comparable to the figure for Great Britain is 20% (Jamal, 2016 ).

With the above caveats in mind, the figures in Table ​ Table2 2 for smoking prevalence in world regions in men and women provide very broad estimates (Gowing et al., 2015 ). Most noteworthy is that smoking prevalence in men is more than four times that in women globally but that the difference is much less in most parts of Europe, and that Eastern Europe as a whole has the highest smoking prevalence of any region in the world.

Note: Current smoking of any tobacco product, adults aged 15 years and older, age-standardised rate, by gender. ‘Tobacco smoking’ includes cigarettes, cigars, pipes or any other smoked tobacco products. ‘Current smoking’ includes both daily and non-daily or occasional smoking. From Gowing et al. ( 2015 ).

Smoking patterns

The most common age of first trying a cigarette in countries that have been studied is 10–15 years (Action on Smoking and Health, 2015b ; Talip, Murang, Kifli, & Naing, 2016 ); take up of regular smoking usually continues up to early 20s (Dierker et al., 2008 ).

Average daily cigarette consumption among smokers in the US and UK has declined steadily since the 1970s. In the UK, it is currently 11 cigarettes per day, and non-daily smoking is very rare (Action on Smoking and Health, 2016c ; Jarvis, Giovino, O’Connor, Kozlowski, & Bernert, 2014 ). Smokers take in an average of 1–1.5 mg of nicotine per cigarette (US Department of Health Human Services, 2014 ). The US figures on patterns of smoking are distorted by not counting ‘cigarillos’ and other smoked tobacco products which are used very much like cigarettes, whose prevalence has increased in recent years (Jamal et al., 2015 ). The reduction in daily cigarette consumption has not been accompanied by a reduction in daily nicotine intake (Jarvis et al., 2014 ). This could be due to the use of other smoked tobacco products (in the case of the US) or smokers smoking their cigarettes more intensively (taking more, deeper or longer puffs).

Smokers in England spend an average of £23 per week on cigarettes and this figure is slowly rising (West & Brown, 2015 ). In the UK, hand-rolled cigarettes have become increasingly popular with 34% of smokers currently reporting use of these products (Action on Smoking and Health, 2016c ). Men and people in more deprived socio-economic groups are more likely to smoke hand-rolled cigarettes (Action on Smoking and Health, 2016c ).

In most countries, there are strong negative associations between smoking prevalence and educational level, affluence and mental health; and positive associations with alcohol use disorder and substance use disorder (Action on Smoking and Health, 2016a , 2016c ; Royal College of Physicians and Royal College of Psychiatrists, 2013 ; Talati, Keyes, & Hasin, 2016 ). In the UK, average daily cigarette consumption is higher for men than women, and higher in smokers in more deprived socio-economic groups and those with mental health problems (Action on Smoking and Health, 2016c ).

Psychological, pharmacological and social factors involved in smoking and smoking cessation

The natural history of smoking can be modelled as states and factors that influence the transition between these. Figure ​ Figure1 1 shows transitions that have been researched – the variables identified in the diagram are listed descriptively without attempting to explain how they may be connected.

Factors associated with transitions in the natural history of smoking (parentheses indicate negative associations).

Smoking initiation

Important factors predicting initiation in western societies are: having friends who smoke, having parents who smoke, low social grade, tendency to mental health problems and impulsivity (Action on Smoking and Health, 2015b ). Transition to daily smoking follows a highly variable pattern sometimes being very rapid and sometimes taking several years (Schepis & Rao, 2005 ). Important factors predicting transition to regular smoking are: having friends who smoke, weak academic orientation, low parental support, pro-smoking attitudes, drinking alcohol and low socio-economic status (Action on Smoking and Health, 2015b ).

Smoking initiation has a ‘heritability’ (the proportion of variance in a characteristic that is attributable to genetic rather than environmental variance) of approximately 30–50% in western societies (Vink, Willemsen, & Boomsma, 2005 ). This means that differences in genetic make-up account for almost half of the difference in likelihood of starting smoking between individuals. This does not mean that environmental factors do not also play a crucial role as is evident from the very large decline in smoking initiation since the 1970s in many western countries.

The heritability of cigarette addiction (as distinct from smoking) is approximately 70–80% in western societies (Vink et al., 2005 ). Cigarette addiction here refers to the extent to which someone experiences a strong need to smoke. It is usually indexed by a combination of number of cigarettes per day and time from waking to smoking the first cigarette of the day (Kozlowski, Porter, Orleans, Pope, & Heatherton, 1994 ). It can also be indexed by the self-reported strength of urges to smoke (Fidler, Shahab, & West, 2011 ). Heritability of cigarette addiction, as indexed by failure of attempts to stop, is higher than the heritability for smoking and for initiation of smoking. This suggests that differences in genetic inheritance play a larger role in being able to stop smoking than in starting to smoke.

Cigarette addiction

Cigarette addiction stems from the fact that smoking provides highly controllable doses of the drug, nicotine, rapidly to the brain in a form that is accessible, affordable and palatable (West, 2009 ; West & Shiffman, 2016 ). Nicotine provided more slowly, for example by the nicotine transdermal patch, is much less addictive. It is possible that one or more mono-amine oxidase inhibitors in cigarette smoke add to, or synergise, the addictive properties of nicotine (Hogg, 2016 ).

The psychopharmacology of cigarette addiction is complex and far from fully understood. The following paragraphs summarise the current narrative.

Nicotine resembles the naturally occurring neurotransmitter, acetylcholine, sufficiently to attach itself to a subset of neuronal receptors for this neurotransmitter in the brain. These are called ‘nicotinic acetylcholine receptors’. When it does this with receptors in the ventral tegmental area in the midbrain, it causes an increased rate of firing of the nerves projecting forward from that area to another part of the brain called the nucleus accumbens. This causes release of another neurotransmitter called dopamine in the nucleus accumbens.

Dopamine release and uptake by neurones in the nucleus accumbens is believed to be central to all addictive behaviours. It acts as a neural ‘teaching signal’ which causes the brain to form an association between the current situation as perceived and the impulse to engage in whatever action immediately preceded this release. In the case of smoking, this creates an urge to smoke in situations in which smoking frequently occurs. These are often referred to as ‘cue-driven smoking urges’ or ‘situational cravings’ (West, 2009 ; West & Shiffman, 2016 ). This explains why even non-daily smokers often find it difficult to stop smoking altogether.

Repeated ingestion of nicotine from cigarettes causes changes to the functioning of the ventral tegmental area and nucleus accumbens such that when brain concentrations of nicotine are lower than usual, there is an abnormally low level of neural activity in these regions. This leads to feelings of need for behaviours that have in the past restored normal functioning, typically smoking. This feeling of need can be thought of as a kind of ‘nicotine hunger’, also called ‘background craving’ (West, 2009 ; West & Shiffman, 2016 ). This is probably why time between waking and first cigarette of the day is a useful predictor of difficulty stopping smoking (Vangeli, Stapleton, Smit, Borland, & West, 2011 ). So ‘cue-driven smoking urges’ and ‘nicotine hunger’ are important factors contributing to smoking behaviour and thought to be the primary mechanisms underpinning cigarette addiction (West, 2009 ; West & Shiffman, 2016 ).

When smokers abstain from cigarettes, within a few hours many of them start to experience nicotine withdrawal symptoms. Withdrawal symptoms from a drug are temporary symptoms that arise when the drug dose is reduced or use is terminated. They arise from neural adaptation to the presence of the drug in the central nervous system. For smoking, the most common early onset symptoms are: irritability, restlessness and difficult concentrating. Depression and anxiety have also been observed in some smokers. These symptoms typically last 1 to 4 weeks (West, 2009 ; West & Shiffman, 2016 ).

After a day or two of stopping smoking, many smokers experience other symptoms: increased appetite, constipation, mouth ulcers, cough, and weight gain. Increased appetite tends to last for at least 3 months; weight gain (averaging around 6 kg) tends to be permanent; other symptoms tend to last a few weeks. The increased appetite, weight gain and constipation arise from termination of nicotine intake but the others are probably related to other effects of stopping smoking (West, 2009 ; West & Shiffman, 2016 ).

Any of the above effects of abstinence may in individual cases promote resumption of smoking following a quit attempt but statistically the association is inconsistent and weak; the main factors driving relapse appear to be cue-driven smoking urges and nicotine hunger (Fidler & West, 2011 ; West, 2009 ; West & Shiffman, 2016 ).

Many smokers report that smoking helps them cope with stress and increases their ability to concentrate. However, this appears to be because when they go for a period without smoking they experience nicotine withdrawal symptoms that are relieved by smoking. Long-term smokers who stop report lower levels of stress than when they were smoking and no reduction in ability to concentrate (West, 2009 ; West & Shiffman, 2016 ).

It is commonly thought that smokers with mental health problems are using cigarettes to ‘self-medicate’ or treat their psychological symptoms. However, the evidence indicates that neither nicotine nor smoking improves psychological symptoms, and people with serious mental health disorders who stop smoking do not experience a worsening of mental health. In fact some studies have found an improvement (Royal College of Physicians and Royal College of Psychiatrists, 2013 ).

Smoking cessation

For most smokers, cessation requires a determined attempt to stop and then sufficient resolve in the following weeks and months to overcome what are often powerful urges to smoke. Factors that predict quit attempts differ from those that predict the success of those attempts (Vangeli et al., 2011 ). Approximately 5% of unaided quit attempts succeed for at least 6 months (Hughes, Keely, & Naud, 2004 ). Relapse after this point is estimated to be around 50% over subsequent years (Stapleton & West, 2012 ).

The most common self-reported reasons for smoking are stress relief and enjoyment, with around half of smokers reporting these smoking motives. Weight control, aiding concentration and socialising are also quite commonly cited (Fidler & West, 2009 ). Smoking for supposed stress relief, improved concentration, weight control or other functions has not been found to be related to attempts to stop or success of attempts to stop (Fidler & West, 2009 ). Smokers who report enjoying smoking are less likely to try to stop but not less likely to succeed if they do try (Fidler & West, 2011 ). In addition, having a positive smoker identity (liking being a smoker) predicts not trying to quit, over and above enjoyment of smoking (Fidler & West, 2009 ).

No clear association has been found between the number of times smokers have tried to stop in the past and their chances of success the next time they try (Vangeli et al., 2011 ). However, having tried to stop in the past few months is predictive of failure of the next quit attempt (Zhou et al., 2009 ). Belief in the harm caused by smoking is predictive of smokers making quit attempts but not the success of those attempts (Vangeli et al., 2011 ).

Some clinical studies have found that women were less likely to succeed in quit attempts than men but large population studies have found no difference in success rates between the genders (Vangeli et al., 2011 ) so it may be the case that women who seek help with stopping have greater difficulty than men who seek help with stopping.

Number of cigarettes smoked per day, time between waking and the first cigarette of the day and rated strength of urges to smoke prior to a quit attempt have been found to predict success of quit attempts (Vangeli et al., 2011 ).

Quit attempts that involve gradual reduction are less likely to succeed than those that involve quitting abruptly, even after controlling statistically for measures of cigarette addiction, confidence in quitting, other methods used to quit (e.g. nicotine replacement therapy) and sociodemographic factors (Lindson-Hawley et al., 2016 ).

Interventions to combat smoking

There is extensive evidence on interventions that can reduce smoking prevalence, either by reducing initiation or promoting cessation. Table ​ Table3 3 lists those that have the strongest evidence.

Population-level interventions

Increasing the financial cost of smoking through tax increases and control of illicit supply on average reduces overall consumption with a typical price elasticity globally of 0.4 (meaning that for every 10% increase in the real cost there is a 4% decrease in the number of cigarettes purchased). Most of the effect is in getting smokers to reduce their daily cigarette consumption so the effect on smoking prevalence has been found to be an average of a 1–2 percentage point prevalence reduction for every 10% increase in the real cost (Levy, Huang, Havumaki, & Meza, 2016 ). It has been claimed that increasing taxes on tobacco increases the amount of smuggling of cheap tobacco, but the evidence does not support this (Action on Smoking and Health, 2015a ; Joossens & Raw, 2003 ).

Social marketing campaigns (e.g. TV advertising) can prevent smoking uptake, increase the rate at which smokers try to quit and improve the chances of success. This can lead to a reduction in smoking prevalence. Their effectiveness varies considerably with intensity, type of campaign and context (Bala, Strzeszynski, Topor-Madry, & Cahill, 2013 ; Hoffman & Tan, 2015 ).

Legislating to ban smoking in all indoor public areas may have a one-off effect on reducing smoking prevalence but findings are inconsistent across different countries (Bala et al., 2013 ). For example, in countries such as France it was not possible to detect an effect while in England, there did appear to be a decline in prevalence following the ban.

Although it is hard to show conclusively, circumstantial evidence suggests that banning tobacco advertising and putting large graphic health warnings on cigarette packets may have reduced smoking prevalence in some countries (Hoffman & Tan, 2015 ; Noar et al., 2016 ).

Individual-level interventions to promote smoking cessation

Brief advice.

Brief advice to stop smoking from a physician and offer of support to all smokers, regardless of motivation to quit, has been found in randomised trials to increase rate of quitting by an average of 2 percentage points of all those receiving it, whether or not they were initially interested in quitting (Stead et al., 2013 ). The offer of support appears to be more effective in getting smokers to try to quit than just advising smokers to stop (Aveyard, Begh, Parsons, & West, 2012 ).

Pharmacotherapy

Using a form of nicotine replacement therapy (NRT: transdermal patch, chewing gum, nasal spray, mouth spray, lozenge, inhalator, dissolvable strip) for at least 6 weeks from the start of a quit attempt increases the chances of long-term success of that quit attempt by about 3–7 percentage points if the user is under the care of a health professional or provided as part of a structured support programme (Stead et al., 2012 ). Some studies have found that NRT when bought from a shop and used without any additional structured support does not improve the chances of success at stopping (Kotz, Brown, & West, 2014a , 2014b ). A small proportion of people who use NRT to stop smoking continue to use it for months or even years after stopping smoking, but NRT appears to carry minimal risk to long-term users (Royal College of Physicians, 2016 ; Stead et al., 2012 ).

Data are sparse but at present, using an electronic cigarette in a quit attempt appears to increase the chances of success at stopping on average by an amount broadly similar to that from NRT; the variety of products available and the greater similarity to smoking appear to make them more attractive to many smokers as a means of stopping than NRT (McNeill et al., 2015 ; Royal College of Physicians, 2016 ). Electronic cigarettes deliver nicotine to users by heating a liquid containing nicotine, propylene glycol or glycerol and usually flavourings to create a vapour that is inhaled. They appear to carry minimal acute risk to users. If they are used long-term, their risk is almost certainly much less than that of smoking (based on concentrations of chemicals in the vapour) (McNeill et al., 2015 ; Royal College of Physicians, 2016 ).

‘Dual-form NRT’ (combining a transdermal NRT patch and one of the other forms) increases the chances of success at stopping more than ‘single-form NRT’ (just using one of the products) (Stead et al., 2012 ). Starting to use a nicotine transdermal patch several weeks before the target quit date may improve the chances of success at quitting compared with starting on the quit date (Stead et al., 2012 ).

Taking the prescription anti-depressant, bupropion (brand name Zyban), improves the chances of success of quit attempts by a similar amount to single-form NRT (Hughes, Stead, Hartmann-Boyce, Cahill, & Lancaster, 2014 ). Bupropion often leads to sleep disturbance and carries a very small risk of seizure. Bupropion probably works by reducing urges to smoke rather than any effect on depressed mood, but how it does this is not known. It is contra-indicated in pregnant smokers and people with an elevated seizure risk or history of eating disorder (Hughes et al, 2014 ). Taking the tricyclic anti-depressant, nortriptyline also improves the chances of success of quit attempts, probably by about the same amount as bupropion and NRT (Hughes et al., 2014 ). Its mechanism of action is not known. Nortriptyline often leads to dry mouth and sleep disorder and can be fatal in overdose (Hughes et al., 2014 ).

Taking the nicotinic-acetylcholine receptor partial agonist, varenicline (brand name Chantix in the US and Champix elsewhere), improves the chances of success by about 50% more than bupropion or single-form NRT (Cahill, Lindson-Hawley, Thomas, Fanshawe, & Lancaster, 2016 ). This is true for smokers with or without a psychiatric disorder (Anthenelli et al., 2016 ). Varenicline appears to work both by reducing urges to smoke and the rewarding effect of nicotine should a lapse occur (West, Baker, Cappelleri, & Bushmakin, 2008 ). Varenicline often leads to sleep disturbance and nausea. Serious neuropsychiatric and cardiovascular adverse reactions have been reported, but in comparative studies these have not been found to be more common than placebo or NRT (Anthenelli et al., 2016 ; Cahill et al., 2016 ; Sterling, Windle, Filion, Touma, & Eisenberg, 2016 ).

Taking the nicotinic-acetylcholine receptor partial agonist, cytisine, appears to improve the chances of success at least as much as single-form NRT and probably more (Cahill et al., 2016 ). Cytisine often causes nausea. No serious adverse reactions have been reported to date (Cahill et al., 2016 ). Where it is licensed for sale, cytisine is less than 1/10th the cost of other smoking cessation medications (Cahill et al., 2016 ).

Behavioural support

There is good evidence that behavioural interventions of many kinds, delivered though several modalities can help smokers to stop. Thus, behavioural support (encouragement, advice and discussion) from a trained stop-smoking specialist, provided at least weekly until at least 4 weeks following the target quit date can increase the chances of long-term success of a quit attempt by about 3–7 percentage points, whether it is given by phone or face-to-face (Lancaster & Stead, 2005 ). Group behavioural support (specialist-led groups of smokers stopping together and engaging in a structured discussion about their experiences), involving at least weekly sessions lasting until at least 4 weeks after the target quit date can increase the chances of success of a quit attempt by a similar amount or possibly more than individual support (Stead & Lancaster, 2005 ). Scheduled, multi-session telephone support can improve rates of success at stopping smoking by a broadly similar amount (Stead, Hartmann-Boyce, Perera, & Lancaster, 2013 ) but some large studies have failed to detect an effect so contextual factors and/or the precise type of support could be crucial to success. The effects of behavioural support and medication/NRT on success at stopping smoking appear to combine roughly additively (Stead, Koilpillai, & Lancaster, 2015 ). Smoking cessation support appears to be effective in primary care, secondary care and worksite settings (Cahill & Lancaster, 2014 ; West et al., 2015 ). Financial incentives, in the form of vouchers, have been found to increase smoking cessation rates for as long as they are in place (Cahill, Hartmann-Boyce, & Perera, 2015 ; Higgins & Solomon, 2016 ). Printed self-help materials can improve the chances of success at stopping long term by around 1–2 percentage points (Hartmann-Boyce, Lancaster, & Stead, 2014 ).

There is still relatively limited evidence on the effectiveness of digital support interventions for smoking cessation. Thus, while there is evidence that tailored, interactive websites can improve the chances of success at stopping smoking compared with no support, brief written materials or static information websites, many of those tested have not been found to be effective and it is not clear what differentiates those that are effective from those that are not (Graham et al., 2016 ). Text messaging programmes have been found to increase the chances of success of quit attempts by about 2–7 percentage points (Whittaker, McRobbie, Bullen, Rodgers, & Gu, 2016 ). There is currently insufficient evidence to know whether smartphone applications can improve success rates of quit attempts, although preliminary data suggest that they might (Whittaker et al., 2016 ). Evidence on alternative and complementary therapies is not sufficient to make confident statements about their effectiveness as aids to smoking cessation (Barnes et al., 2010 ; White, Rampes, Liu, Stead, & Campbell, 2014 ).

Overall, the highest smoking cessation rates appear to be achieved using specialist face-to-face behavioural support together with either varenicline or dual form NRT. With this support, continuous abstinence rates up to 52 weeks, verified by expired-air carbon monoxide tests, of more than 40% have been achieved (Kralikova et al., 2013 ). More commonly, 52-week continuous abstinence rates with this treatment are between 15 and 25% (West et al., 2015 ).

Smoking cessation support for pregnant smokers

In pregnant smokers, there is some evidence that NRT can help promote smoking cessation but evidence for an effect sustained to end of pregnancy is not conclusive (Sterling et al., 2016 ). There is also evidence that written self-help materials and face-to-face behavioural support can aid smoking cessation (Jones, Lewis, Parrott, Wormall, & Coleman, 2016 ), and financial incentives have also been found to improve quitting rates among pregnant smokers (Tappin et al., 2015 ). Almost half of women who stop smoking during pregnancy as a result of a clinical intervention relapse to smoking within 6 months of the birth (Jones et al., 2016 ).

Effectiveness of programmes to reduce smoking uptake

School-based programmes that involve both social competence training and peer-led social influence have been found to reduce smoking uptake (Georgie, Sean, Deborah, Matthew, & Rona, 2016 ) but educational programmes have not (Thomas, McLellan, & Perera, 2013 ). Mass media campaigns and increasing the financial cost of smoking reduce smoking uptake (Brinn, Carson, Esterman, Chang, & Smith, 2012 ; van Hasselt et al., 2015 ).

Reducing the harm from tobacco and nicotine use

Smokers who report that they are reducing their cigarette consumption smoke only 1–2 fewer cigarettes per day on average than when they say they are not (Beard et al., 2013 ). Clinical trials have found that use of NRT while smoking can substantially reduce cigarette consumption compared with placebo (Royal College of Physicians, 2016 ) but national surveys show very little reduction in cigarette consumption when smokers take up use of NRT in real-world settings (Beard et al., 2013 ). The benefit from using NRT while continuing to smoke appears to be in promoting subsequent smoking cessation. Using NRT (or varenicline) to reduce cigarette smoking with no immediate plans to quit leads to increased rates of quitting subsequently (Wu, Sun, He, & Zeng, 2015 ).

‘Snus’, a form of tobacco that is placed between the gums and the cheek and which is prepared in a way that is very low in carcinogens, gives high doses of nicotine but without evidence of an increase in risk of major tobacco-related cancers and either no, or a small, increase in risk of heart disease. It does appear to increase risk of periodontal disease, however. Snus is very popular in Sweden. Sweden has very low rates of smoking and tobacco-related disease indicating that a form of nicotine intake other than smoking can become popular and suggesting that this can contribute to a substantial reduction in tobacco-related harm (Royal College of Physicians, 2016 ).

The introduction of complete bans on smoking in indoor public areas can also be considered as a harm reduction measure. In this case, the main issue is harm to non-tobacco users. The evidence shows that such bans have been rapidly followed in the UK and several other jurisdictions by a reduction in heart attacks in non-smokers (Action on Smoking and Health, 2014a ).

Conclusions

Tobacco smoking causes death and disability on a huge scale and only about half of smokers report enjoying it. Despite this, approximately 1 billion adults engage in this behaviour worldwide and only around 5% of unaided quit attempts succeed for 6 months or more. The main reason appears to be that cigarettes deliver nicotine rapidly to the brain in a form that is convenient, and palatable. Nicotine acts on the brain to create urges to smoke in situations where smoking would normally occur and when brain nicotine levels become depleted. Concern about the harm from, and financial cost of, smoking are mostly not sufficient to counter this.

Governments can reduce smoking prevalence by raising the cost of smoking through taxation, mounting sustained social marketing campaigns, ensuring that health professionals routinely advise smokers to stop and offer support for quitting, and make available pharmacological and behavioural support for stopping.

Statement of competing interests

RW has, within the past 3 years, undertaken research and consultancy for companies that develop and manufacture smoking cessation medications (Pfizer, GSK, and J&J). He is an unpaid advisor to the UK’s National Centre for Smoking cessation and Training. His salary is funded by Cancer Research UK.

Disclosure statement

No potential conflict of interest was reported by the author.

This work was supported by Cancer Research UK [grant number C1417/A22962].

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Persuasive Essay Guide

Persuasive Essay About Smoking

Persuasive Essay About Smoking - Making a Powerful Argument with Examples

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Are you wondering how to write your next persuasive essay about smoking?

Smoking has been one of the most controversial topics in our society for years. It is associated with many health risks and can be seen as a danger to both individuals and communities.

Writing an effective persuasive essay about smoking can help sway public opinion. It can also encourage people to make healthier choices and stop smoking. 

But where do you begin?

In this blog, we’ll provide some examples to get you started. So read on to get inspired!

• 1. What You Need To Know About Persuasive Essay
• 2. Persuasive Essay Examples About Smoking
• 3. Argumentative Essay About Smoking Examples
• 4. Tips for Writing a Persuasive Essay About Smoking

What You Need To Know About Persuasive Essay

A persuasive essay is a type of writing that aims to convince its readers to take a certain stance or action. It often uses logical arguments and evidence to back up its argument in order to persuade readers.

It also utilizes rhetorical techniques such as ethos, pathos, and logos to make the argument more convincing. In other words, persuasive essays use facts and evidence as well as emotion to make their points.

A persuasive essay about smoking would use these techniques to convince its readers about any point about smoking. Check out an example below:

Simple persuasive essay about smoking

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Persuasive Essay Examples About Smoking

Smoking is one of the leading causes of preventable death in the world. It leads to adverse health effects, including lung cancer, heart disease, and damage to the respiratory tract. However, the number of people who smoke cigarettes has been on the rise globally.

A lot has been written on topics related to the effects of smoking. Reading essays about it can help you get an idea of what makes a good persuasive essay.

Here are some sample persuasive essays about smoking that you can use as inspiration for your own writing:

Persuasive speech on smoking outline

Persuasive essay about smoking should be banned

Persuasive essay about smoking pdf

Persuasive essay about smoking cannot relieve stress

Persuasive essay about smoking in public places

Speech about smoking is dangerous

Persuasive Essay About Smoking Introduction

Persuasive Essay About Stop Smoking

Short Persuasive Essay About Smoking

Stop Smoking Persuasive Speech

Check out some more persuasive essay examples on various other topics.

Argumentative Essay About Smoking Examples

An argumentative essay is a type of essay that uses facts and logical arguments to back up a point. It is similar to a persuasive essay but differs in that it utilizes more evidence than emotion.

If you’re looking to write an argumentative essay about smoking, here are some examples to get you started on the arguments of why you should not smoke.

Argumentative essay about smoking pdf

Argumentative essay about smoking in public places

Argumentative essay about smoking introduction

Check out the video below to find useful arguments against smoking:

Tips for Writing a Persuasive Essay About Smoking

You have read some examples of persuasive and argumentative essays about smoking. Now here are some tips that will help you craft a powerful essay on this topic.

Choose a Specific Angle

Select a particular perspective on the issue that you can use to form your argument. When talking about smoking, you can focus on any aspect such as the health risks, economic costs, or environmental impact.

Think about how you want to approach the topic. For instance, you could write about why smoking should be banned. 

Check out the list of persuasive essay topics to help you while you are thinking of an angle to choose!

Research the Facts

Before writing your essay, make sure to research the facts about smoking. This will give you reliable information to use in your arguments and evidence for why people should avoid smoking.

You can find and use credible data and information from reputable sources such as government websites, health organizations, and scientific studies. 

For instance, you should gather facts about health issues and negative effects of tobacco if arguing against smoking. Moreover, you should use and cite sources carefully.

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Make an Outline

The next step is to create an outline for your essay. This will help you organize your thoughts and make sure that all the points in your essay flow together logically.

Your outline should include the introduction, body paragraphs, and conclusion. This will help ensure that your essay has a clear structure and argument.

Use Persuasive Language

When writing your essay, make sure to use persuasive language such as “it is necessary” or “people must be aware”. This will help you convey your message more effectively and emphasize the importance of your point.

Also, don’t forget to use rhetorical devices such as ethos, pathos, and logos to make your arguments more convincing. That is, you should incorporate emotion, personal experience, and logic into your arguments.

Introduce Opposing Arguments

Another important tip when writing a persuasive essay on smoking is to introduce opposing arguments. It will show that you are aware of the counterarguments and can provide evidence to refute them. This will help you strengthen your argument.

By doing this, your essay will come off as more balanced and objective, making it more convincing.

Finish Strong

Finally, make sure to finish your essay with a powerful conclusion. This will help you leave a lasting impression on your readers and reinforce the main points of your argument. You can end by summarizing the key points or giving some advice to the reader.

A powerful conclusion could either include food for thought or a call to action. So be sure to use persuasive language and make your conclusion strong.

To conclude,

By following these tips, you can write an effective and persuasive essay on smoking. Remember to research the facts, make an outline, and use persuasive language.

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Home — Essay Samples — Nursing & Health — Nursing — Argumentative Essay On Smoking Cigarettes

Argumentative Essay on Smoking Cigarettes

• Categories: Nursing

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Words: 507 |

Published: Mar 13, 2024

Words: 507 | Page: 1 | 3 min read

Table of contents

Health effects of smoking, economic implications, impact on non-smokers, the case for regulation, references:.

• Centers for Disease Control and Prevention. (2020). Smoking & Tobacco Use. Retrieved from https://www.cdc.gov/tobacco/data_statistics/index.htm

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Free Cause and Effect Essay on Smoking

Published by gudwriter on May 30, 2018 May 30, 2018

Causes and effects of smoking is a broad application that requires adequate research and knowledge to write and expound on the subject, thus students who doubt their research skills can opt to purchase a research proposal from a legit service like Gudwriter to help them with the homework.

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Smoking Cause and Effect Essay Outline

Introduction  .

Thesis: To understand the social and health implications of smoking it is essential to look into some of its causes and effects.

Paragraph 1:

Peer pressure is the most prevalent cause of smoking.

• Most people start smoking through the influence of their friends,
• Smoking begins when most people are young; that is during adolescence and in their early twenties.
• Quitting smoking due to addiction is difficult.

Paragraph 2:

Parenting style determines whether or not one will be a smoker.

• A child whose parents were smokers is highly likely to become a smoker.
• Children take after their parents’ behaviors.

Paragraph 3:

People are duped into believing that smoking relieves stress.

• People engage in smoking as a way of managing stress.
• Smoking does not relieve stress; instead, it increases it.
• The level of stress in smokers is higher compared to non-smokers.

Paragraph 4:

Smoking is the leading cause of lung cancer in the world.

• Smoking causes cancer both in active and passive smokers.
• Smoking also causes anxiety on the victim.
• Smoking damages the lining of one’s lungs thus causing lung cancer.
• Continued smoking leads to permanent damage to lung tissues.

Paragraph 5:

Smoking causes loss of sight.

• Cataracts are the number one cause of blindness in the world.
• Smokers are twice at the risk of developing cataracts than non-smokers.
• AMD is the leading cause of permanent blindness in people aged 65years and above.
• Smokers are three times likely to develop AMD than non-smokers.

Paragraph 6:

Smoking is one of the major causes of type-2 diabetes.

• 40% of smokers are likely to develop type-2 diabetes.
• Diabetic smokers make it hard to control the disease progress and insulin levels thus increasing their chances of dying from the disease.
• Diabetic smokers are also likely to suffer from other health complications linked to diabetes such as heart failure, kidney problems, high blood pressure, retinopathy, and peripheral neuropathy.

Paragraph 7:

Smoking is the number one cause of death in the US among all the causes of preventable deaths.

• 480,000 deaths in the country are caused by cigarette smoking each year.
• This translates to 20% of the total yearly deaths.

Conclusion:

Smoking is a general lifestyle behavior among young people. People engage in the practice as a way of having fun. Peer pressure is one of the leading factors that drive people to smoke. Parenting style also contributes to the chances of one becoming a smoker. Most people underestimate the health risks associated with smoking. Lung cancer, blindness, and type-2 diabetes are some of the few health effects attributed to smoking.

Learn how to write a cause and effect essay that will get you good grades.

Cause and Effect Essay on Smoking

Introduction.

Smoking is considered a lifestyle behavior. Many people engage in the practice without the awareness of the health risks it is associated with. Smoking is one of the most addictive lifestyle behaviors and has life-changing implications. It has been termed as one of the most significant health challenges that health organizations are facing today (Onor et al., 2017). According to reports by World Health Organization, there were more than 1 billion smokers all over the world in 2014. To understand the social and health implications of smoking, it is essential to look into some of its causes and effects.

Peer pressure is the most prevalent cause of smoking. According to research, most smokers start the smoking habit at a tender age. During adolescence and in the early twenties, most people are infatuated with friendships (Ukwayi, Eja & Unwanede, 2012). At this stage in life, friends hold great value and meaning in individuals. It is at this age that most people are either in their final years in high school or just starting off in college. Most young people particularly those at the college and high school levels engage in various dangerous and life-harming activities, one of which is smoking (Ukwayi, Eja & Unwanede, 2012). Often, their intent is not to become smokers but to enjoy the experience of being young and feel a celebrated status over their peers. If one belongs to a group whose members are smokers, then they too will likely start smoking (Ukwayi, Eja & Unwanede, 2012). Later in life, such people try to drop the smoking behavior, but it becomes challenging due to withdrawal effects.

Parenting style is another factor that may determine whether or not one will become a smoker. The manner in which a child is raised contributes significantly to their behavior as adults (Gilman et al., 2009). Most children look up to their parents and will adopt most of the lifestyle behaviors portrayed by the parents (Gilman et al., 2009). There are parents who have the habit of smoking in the presence of their children, a behavior which is utterly irresponsible (Gilman et al., 2009). Children get the idea that smoking is not unhealthy if their parents do it in their presence (Gilman et al., 2009). Once such children grow up, they develop a liking for tobacco smoking without knowing that it is an unhealthy lifestyle behavior.

There is also a misconception that smoking acts as strain reliever. This delusion blinds most people that smoking helps one relieve stress. Many people therefore find themselves engaging in the habit as a stress management strategy (Choi, Ota & Watanuki, 2015). Noteworthy, continued smoking leads to addiction, thereby making it very difficult for one to do away with the habit once they start it. Research has shown that smoking does not relieve stress, instead it increases it (Choi, Ota & Watanuki, 2015). The level of stress in smokers is twice as high as that in non-smokers.

Smoking is the leading cause of lung cancer in the world, according to research. The practice is likely to cause lung cancer both in active and passive smokers. Passive smokers are people who do not smoke but are exposed to cigarette smoke (Onor et al., 2017). According to medics, smoking damages the lining of one’s lungs thus causing lung cancer. When one inhales cigarette smoke, which consists of cancer-causing carcinogens, lung tissues start changing immediately (Onor et al., 2017). If one smokes for a small period then quits, the lung tissues will repair themselves thus reducing the chances of contracting lung cancer (Onor et al., 2017). However, continued smoking leads to permanent damage of the lung tissues to the extent that they become irreparable. These damages accelerate the development of lung cancer.

Smoking also causes loss of sight. According to medical research, cataracts are the number one cause of blindness in the world. Cataract is the blurring of the eyes standard lens. Studies reveal that smokers are twice at the risk of developing cataracts than non-smokers (Kennedy et al., 2017). Age-related Macular Degeneration (AMD) has an impact on the retina, which is the part of the eye that is responsible for the sharp vision that people use while driving and reading. AMD has been termed as the leading cause of permanent blindness in people aged 65years and above (Kennedy et al., 2017). Research shows that smokers are three times likely to develop AMD than non-smokers (Kennedy et al., 2017). However, if one quits smoking at an early stage, the damage caused to the eyes is repairable, but prolonged smoking leads to increased destruction of the eyes that in turn translates to permanent blindness.

Further, smoking is one of the major causes of type-2 diabetes. Research shows that 40% of smokers are likely to develop type-2 diabetes (Onor et al., 2017). Diabetic people who smoke are likely to experience difficulties in managing insulin levels in their bodies even with prescribed medications. Since increased smoking leads to increased chances of developing type-2 diabetes, diabetic smokers make it hard to control the disease’s progress and insulin levels thus increasing their chances of dying from it (Onor et al., 2017). Diabetic smokers are also likely to suffer from other health complications linked to diabetes such as heart failure, kidney problems, high blood pressure, retinopathy, and peripheral neuropathy (Onor et al., 2017). For a diabetic person, quitting smoking can help control insulin levels in the body.

Even more disheartening is the fact that even though preventable, cigarette smoking is the number one cause of death in the US among all the causes of deaths that are preventable. The same applies to the United Kingdom. In the US alone, 480,000 deaths are caused by cigarette smoking each year, translating to 20% of the total yearly deaths ( Marshall , 2016). The total deaths resulting from a combination of the following causes every year is less than the number of deaths caused by cigarette smoking: firearm-related accidents, motor vehicle injuries, alcohol use, illegal drug use, and HIV. This further shows the seriousness of the effects of smoking on human health.

Smoking is a general lifestyle behavior among young and older people alike. People engage in the practice as a way of having fun. Peer pressure is one of the leading factors that drive people to smoke. Parenting style also contributes to the chances of one becoming a smoker. Many people underestimate the health risks associated with smoking. Lung cancer, blindness, and type-2 diabetes are some of the health effects associated with this habit.

Choi, D., Ota, S., & Watanuki, S. (2015). Does cigarette smoking relieve stress? Evidence from the event-related potential (ERP).  International Journal of Psychophysiology ,  98 (3), 470-476.

Gilman, S. E., Rende, R., Boergers, J., Abrams, D. B., Buka, S. L., Clark, M. A., … & Lloyd-Richardson, E. E. (2009). Parental smoking and adolescent smoking initiation: an intergenerational perspective on tobacco control.  Pediatrics ,  123 (2), e274-e281.

Kennedy, R. D., Hammond, D., Spafford, M. M., Douglas, O., Brûlé, J., Fong, G. T., & Schultz, A. S. (2016). Educating smokers about the risk of blindness–insights to improve tobacco product health warning labels.  Tobacco Induced Diseases ,  14 (1), 30.

Marshall, T. (2016). Public opinion, public policy, and smoking: the transformation of American attitudes and cigarette use, 1890–2016 (1st ed.) . Lanham, MD: Rowman & Littlefield.

Onor, I. O., Stirling, D. L., Williams, S. R., Bediako, D., Borghol, A., Harris, M. B., … & Sarpong, D. F. (2017). Clinical effects of cigarette smoking: epidemiologic impact and review of pharmacotherapy options.  International Journal of Environmental Research and Public Health ,  14 (10), 1147.

Ukwayi, J. K., Eja, O. F., & Unwanede, C. C. (2012). Peer pressure and tobacco smoking among undergraduate students of the University of Calabar, Cross River State.  Higher Education Studies ,  2 (3), 92.

Smoking Essay 2: The Effects of Smoking on Health and Social Care

A sample smoking essay outline.

Thesis:  Smoking is harmful to nearly all body organs and thus quitting has health benefits.

Smoking damages the human heart and interferes with normal blood circulation.

• This increases the risks of such conditions as cerebrovascular disease, peripheral vascular disease, stroke, heart attack, and coronary heart disease.
• The heart is made to work faster and thereby strained.
• The cigarette contents increase the risks of blood clots.
• Smoking leads to furring of the coronary arteries.

Paragraph 2: 

Smoking can cause lung disease.

• Chronic obstructive pulmonary disease (COPD) is one of the lung diseases.
• Most cases of lung cancer are caused by smoking.
• An attack can be triggered or made worse by tobacco smoke in asthmatic people.

Smoking can cause serious damages to the mouth and throat.

• It can cause strained teeth, bad breath and gum disease.
• It causes an increased cancer risk in the gullet, voice box, throat, tongue, and lips.

Smoking can make a woman to experience difficulties in becoming pregnant.

• There are higher risks for a pregnant smoker to miscarry.
• They may have their baby born with a cleft palate and/or cleft lip,
• They may give birth before time to a baby with an abnormally low birth weight,
• They may have an ectopic pregnancy.

Quitting smoking reduces the risk of many diseases caused by the habit.

• Reduced chances of dying from illnesses that are smoking-related
• Quitters have substantial life expectancy gains in comparison to those who continue to smoke.

Paragraph 6: 

It is only through quitting that one would be free from the problems caused by smoking.

• Set the stage to quit by mentally preparing oneself.
• Control cravings of smoking by using nicotine replacement products.
• Apply SmokEnders’ behavioral changes in completely breaking emotional bonds developed between smokers and cigarettes.

Smoking affects almost every organ of the human body and is thus detrimental to health. It causes fatal diseases such as cancer, heart disease, COPD, and can also damage the mouth and throat. Quitting is highly recommendable.

Smoking Essay Sample

The harmful effects of smoking on health and social care essay.

There are many chemicals contained in tobacco smoke that pose health risks both to smokers and nonsmokers. It can be harmful to even breathe a little tobacco smoke. “Of the more than 7,000 chemicals in tobacco smoke, at least 250 are known to be harmful, including hydrogen cyanide, carbon monoxide, and ammonia” (National Cancer Institute, 2017). At least 69 of these 250 known harmful chemicals in tobacco smoke cause cancer. This explains why cigarette smoking is the leading cause of preventable premature deaths in the United States. Overall, smoking is harmful to nearly all body organs and thus quitting has health benefits.

Smoking damages the human heart and interferes with normal blood circulation. This increases the risks of such conditions as cerebrovascular disease (damage to arteries supplying blood to the brain), peripheral vascular disease (damaged blood vessels), stroke, heart attack, and coronary heart disease. The heart is made to work faster by nicotine and carbon monoxide from the smoke thereby straining it. The cigarette contents also increase the risks of one experiencing blood clots in their circulation system. In addition, smoking leads to furring of the coronary arteries as the lining of the arteries are damaged by other chemicals in the cigarette smoke. As a matter of fact, one faces a double risk of having a heart attack by smoking (NHS, 2018). Their risk of dying from coronary heart disease is also twice that of nonsmokers.

According to CDC (2018), “Smoking can cause lung disease by damaging your airways and the small air sacs (alveoli) found in your lungs.” Chronic obstructive pulmonary disease (COPD) is one of the lung diseases caused by smoking and it includes chronic bronchitis and emphysema. It is also noteworthy that most cases of lung cancer are caused by smoking. An attack can be triggered or made worse by tobacco smoke in people who have asthma. Compared to nonsmokers, the chances of smokers dying from COPD are 12 to 13 times higher. Additionally, smoking causes a cancer that forms in the intestines (rectum or colon) known as colorectal cancer and is the second leading contributor to cancer deaths in the U.S. (American Lung Association, 2018). A smoker has higher risks of developing this type of cancer.

Smoking can also cause serious damages to the mouth and throat. It can cause such unattractive problems as strained teeth, bad breath, and gum disease, as well as damage one’s sense of taste. The most serious damage caused by smoking in the throat and mouth is an increased cancer risk in the gullet (esophagus), voice box, throat, tongue, and lips. This risk increases with an increase in the intake of tobacco contents. “More than 93% of oropharyngeal cancers (cancer in part of the throat) are caused by smoking” (NHS, 2018). This implies that nonsmokers have a greatly reduced risk of developing mouth and throat cancers.

Further, smoking can make a woman to experience difficulties in becoming pregnant. Even if they succeed at conceiving, there are higher risks for a pregnant smoker to miscarry. In addition, they may have their baby born with a cleft palate and/or cleft lip, they may give birth before time to a baby with an abnormally low birth weight, and they may also have an ectopic pregnancy. Moreover, if a woman smokes during or after pregnancy, her infant would have higher risks of dying from Sudden Infant Death Syndrome (SIDS) (National Cancer Institute, 2017). This implies that even after birth, a mother’s consumption of tobacco contents is harmful to the baby because the baby feeds from her breasts. Furthermore, according to CDC (2018), a pregnant smoker may likely experience stillbirth whereby her baby may die before birth.

Quitting smoking reduces the risk of many diseases caused by the habit, including COPD, heart disease, and cancer. Data from the U.S. National Health Interview Survey indicate that if one quits smoking, they have reduced chances of dying from illnesses that are smoking-related as compared to those who continues to smoke. “Smokers who quit before age 40 reduce their chance of dying prematurely from smoking-related diseases by about 90%, and those who quit by age 45-54 reduce their chance of dying prematurely by about two-thirds” (National Cancer Institute, 2017). Generally, quitters have substantial life expectancy gains in comparison to those who continue to smoke. According to the U.S. National Health Interview Survey, quitters aged between 25 and 34 live longer for about ten years, 35 and 44 for about nine years, 45 and 54 for about six years, and 55 and 64 for about four years.

It is therefore only through quitting that one would be free from the problems caused by smoking. In this respect, there can never be specific solutions to specific health problems caused by smoking; rather, the problems may be best addressed through solutions whose target would be to make one quit. One of the solutions, as suggested by Usman and Davidson (2016), would be to set the stage to quit by mentally preparing oneself. One may also quit by controlling cravings of smoking by using nicotine replacement products which should be used based on consultations with a doctor. Another solution may be to apply SmokEnders’ behavioral changes in completely breaking emotional bonds developed between smokers and cigarettes.

Smoking affects almost every organ of the human body and is thus detrimental to health. It causes fatal diseases such as cancer, heart disease, COPD, and can also damage the mouth and throat. It results into premature deaths that could otherwise be prevented. It also affects pregnant women who may experience increased risks of orofacial clefts in infants, ectopic pregnancy, sudden infant death syndrome, low birth weight, stillbirth, and preterm delivery. As such, quitting smoking has several health benefits and generally increases one’s life expectancy. This is so irrespective of the age at which one quits the habit.

American Lung Association. (2018). “10 health effects caused by smoking you didn’t know about”.  American Lung Association . Retrieved May 28, 2018 from  http://www.lung.org/our-initiatives/tobacco/reports-resources/sotc/by-the-numbers/10-health-effects-caused-by-smoking.html

CDC. (2018). “Health effects of cigarette smoking”.  Centers for Disease Control and Prevention . Retrieved May 28, 2018 from  https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm

National Cancer Institute. (2017). “Harms of cigarette smoking and health benefits of quitting”.  National Cancer Institute . Retrieved May 28, 2018 from  https://www.cancer.gov/about-cancer/causes-prevention/risk/tobacco/cessation-fact-sheet#q8

NHS. (2018). “How smoking affects your body”.  NHS . Retrieved May 28, 2018 from  https://www.nhs.uk/smokefree/why-quit/smoking-health-problems

Usman, M. & Davidson, J. (2016).  Tips on how to stop smoking . Mendon, MA: Mendon Cottage Books.

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Essay on Effects Of Cigarette Smoking

Students are often asked to write an essay on Effects Of Cigarette Smoking in their schools and colleges. And if you’re also looking for the same, we have created 100-word, 250-word, and 500-word essays on the topic.

Let’s take a look…

100 Words Essay on Effects Of Cigarette Smoking

Introduction to cigarette smoking.

Cigarette smoking is a habit many people have. It involves breathing in smoke from a small cylinder of finely cut tobacco leaves. Although it may seem cool to some, smoking is harmful for our health. The smoke from cigarettes has over 4,000 chemicals, many of which are dangerous.

Health Problems Caused by Smoking

Smoking can cause a lot of health problems. It can damage your lungs, leading to diseases like bronchitis and pneumonia. It can also cause heart disease and stroke. In fact, smoking is the main cause of lung cancer, a very deadly disease.

Smoking and the Environment

Smoking doesn’t just harm the smoker, but also the environment. Cigarette smoke pollutes the air and cigarette butts litter the ground. This pollution harms plants and animals, and can even cause fires in dry areas.

Smoking and Non-smokers

Smoking can also harm people who don’t smoke. This is called second-hand smoke. When non-smokers breathe in this smoke, they can get the same health problems as smokers. This is why smoking is banned in many public places.

In conclusion, smoking cigarettes is very harmful. It can cause many health problems, harm the environment, and even hurt non-smokers. It’s important to understand these dangers and say no to smoking.

250 Words Essay on Effects Of Cigarette Smoking

Introduction.

Cigarette smoking is a widespread habit. Many people start smoking without knowing its harmful effects. This essay will explain the negative impacts of smoking on health, society, and environment.

Health Effects

Smoking cigarettes is bad for our health. It can cause many diseases. Lung cancer, heart disease, and stroke are some of them. These diseases can make a person very sick and can even cause death.

Social Effects

Smoking not only affects the smoker but also the people around them. Secondhand smoke is harmful to others, especially children. It can cause breathing problems and other health issues. Also, the smell of smoke can be unpleasant for many people.

Environmental Effects

Smoking also harms our environment. Cigarette butts often end up in places where they should not be, like parks and beaches. They can take many years to break down and can harm wildlife. Also, the smoke from cigarettes pollutes the air we breathe.

In conclusion, smoking cigarettes has many bad effects. It is harmful to our health, it affects others around us, and it hurts our environment. It is important to understand these effects to make informed decisions about smoking.

500 Words Essay on Effects Of Cigarette Smoking

Cigarette smoking is a habit that many people around the world have. It’s something that can harm not only the smoker but also those around them. This essay will explain the effects of cigarette smoking in simple, clear words.

Health Problems

Firstly, cigarette smoking can cause many health problems. The smoke from cigarettes has over 4,000 chemicals, and many of these are harmful. These chemicals can damage many parts of the body. For example, they can harm the lungs, causing problems like coughing, difficulty breathing, and lung diseases like bronchitis and lung cancer.

Cigarette smoking can also harm the heart. It makes the heart work harder, which can lead to heart diseases. These include heart attacks and strokes. The harmful chemicals in cigarettes can also damage the blood vessels, leading to problems like poor circulation and high blood pressure.

Effects on Non-Smokers

Secondly, cigarette smoking can also harm non-smokers. This is called secondhand smoke. When a person smokes, the smoke they breathe out and the smoke from the end of the cigarette can harm others. This smoke has the same harmful chemicals as the smoke the smoker breathes in.

Secondhand smoke can cause many of the same health problems as smoking. For example, it can cause lung problems and heart diseases in non-smokers. It is especially harmful to children. It can cause problems like ear infections, asthma, and even sudden infant death syndrome (SIDS) in babies.

Other Effects

Lastly, cigarette smoking has other effects as well. It can harm the environment. The smoke from cigarettes can pollute the air. Also, when people throw away cigarette butts, they can harm the land and water.

Cigarette smoking can also harm the smoker’s appearance. It can cause bad breath and stained teeth. It can also cause the skin to age faster, leading to wrinkles.

In conclusion, cigarette smoking has many harmful effects. It can cause many health problems for the smoker and for non-smokers. It can also harm the environment and the smoker’s appearance. It’s important for everyone to understand these effects, so they can make good choices about smoking.

That’s it! I hope the essay helped you.

If you’re looking for more, here are essays on other interesting topics:

• Essay on Effects Of Bullying
• Essay on Effects Of Cutting Trees
• Essay on Effects Of Broken Family

Apart from these, you can look at all the essays by clicking here .

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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

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