reasons for smoking essay

Smoking: Effects, Reasons and Solutions Essay

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Reasons for Smoking

Harmful health effects of smoking, solution to smoking.

Smoking is the inhalation and exhalation of substances or fumes that come from burning tobacco. In the past, smoking was believed to be risk-free, but medical studies have recently reported that tobacco smoking has about 4000 chemical elements. These chemical elements contain toxic components. This presentation provides harmful health effects of smoking, reasons for smoking, and solutions to smoking.

Advertising causes mainly young people to smoke. Cigarette smoking is advertised several times more than any commodity apart from cars. Several tobacco advertisements are carried out in attractive and amusing places. For young people to be part of these gorgeous places, they might consider the necessity to buy that product.
Another reason is the “everybody’s doing it” attitude, where during adolescent stage, teenagers are urgently attempting to squeeze in and be cool.
For some young people, smoking might signify independence or freedom. One key development role of teenage stage is to declare independence from their parents or guardians through building personal identity.
Weight control is a significant concern among adolescent girls and is demonstrated in cigarette adverts and posters. Adolescents are not at all shown what cigarette smoking does to teenagers’ lungs and heart.
Adults smoke for certain motives. They may have numerous stress and pressure cases due to financial and private difficulties.
Finally, most lifetime smokers state that they love smoking. Smoking offers them enjoyment and only makes smokers have a sense of happiness.
Thousands of tobacco users die around the world annually due to smoke-related illness.
Some tobacco users are reported to die due to their habit, where most deaths occur in middle age.
The combination of carbon dioxide and nicotine substances in all cigarettes that are being smoked momentarily raises blood pressure and heart rate. This damages the blood vessels.
Smoking can result in stroke and heart attacks since it hinders blood flow, interrupting oxygen to various parts of the body, such as feet and hands.
Introduction of cigarettes with low tar does not reduce these effects since smokers often prefer deeper puffs and hold the smoke in lungs for a long period. This smoking practice draws the tar deeper into the deeper parts of the lungs.
Carbon dioxide takes away oxygen from muscles, body, and brain tissues, this process makes entire body, particularly the heart, work extra hard. Eventually, the airways puff up and allow inadequate air, especially oxygen, into the lungs.
Tobacco usage during pregnancy raises the possibility of low birth weight, unplanned abortion, prematurity, and prenatal mortality in women. This has been considered by medical practitioners a fetal cigarette smoking disorder.
Nicotine substitute substances are accessible through medical professions and health clinics, which comprise doses, nasal sprays, and transdermal. Most smokers believe that smoking is more economical to relieve desires while they concentrate on taking away the psychological position of the addiction.
Mentally organizing yourself to give up smoking allows the smoker to adapt to the concept of becoming a nonsmoker. Smokers should take some time to cope with the concept rather than making instant decision in quitting smoking.
NRT raises the success rate for smokers under cessation sessions since every form of NRT has been reported to be efficient. They have minimal or no severe side effects to smokers.
Combination therapy that engages the drug Zyban, the concurrent using of NRT (bubble gum) and counseling of smokers under smoking cessation program appear to be an efficient solution for most tobacco users.
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Pharmacology of Nicotine: Absorption and Distribution
Effectiveness of Sexual Health Education in the UK
“Effects of Sex Education on Adolescent Behavior” by Deborah Dawson
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IvyPanda. (2018, November 6). Smoking: Effects, Reasons and Solutions. https://ivypanda.com/essays/smoking/

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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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Persuasive Essay Guide

Persuasive Essay About Smoking

Persuasive Essay About Smoking - Making a Powerful Argument with Examples

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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How To Write A Smoking Essay That Will Blow Your Classmates out of the Water

Writing a Smoking Essay. Complete Actionable Guide

A smoking essay might not be your first choice, but it is a common enough topic, whether it is assigned by a professor or left to your choice. Today we’ll take you through the paces of creating a compelling piece, share fresh ideas for writing teen smoking essays, and tackle the specifics of the essential parts of any paper, including an introduction and a conclusion.

Why Choose a Smoking Essay?

If you are free to select any topic, why would you open this can of worms? There are several compelling arguments in favor, such as:

A smoking essay can fit any type of writing assignment. You can craft an argumentative essay about smoking, a persuasive piece, or even a narration about someone’s struggle with quitting. It’s a rare case of a one-size-fits-all topic.
There is an endless number of environmental essay topics ideas . From the reasons and history of smoking to health and economic impact, as well as psychological and physiological factors that make quitting so challenging.
A staggering number of reliable sources are available online. You won’t have to dig deep to find medical or economic research, there are thousands of papers published in peer-reviewed journals, ready and waiting for you to use them.

Essential Considerations for Your Essay on Smoking

Whether you are writing a teenage smoking essay or a study of health-related issues, you need to stay objective and avoid including any judgment into your assignment. Even if you are firmly against smoking, do not let emotions direct your writing. You should also keep your language tolerant and free of offensive remarks or generalizations.

The rule of thumb is to keep your piece academic. It is an essay about smoking cigarettes you have to submit to your professor, not a blog post to share with friends.

How to Generate Endless Smoking Essay Topic Ideas

At first, it might seem that every theme has been covered by countless generations of your predecessors. However, there are ways to add a new spin to the dullest of topics. We’ll share a unique approach to generating new ideas and take the teenage smoking essay as an example. To make it fresh and exciting, you can:

Add a historic twist to your topic. For instance, research the teenage smoking statistics through the years and theorize the factors that influence the numbers.
Compare the data across the globe. You can select the best scale for your paper, comparing smoking rates in the neighboring cities, states, or countries.
Look at the question from an unexpected perspective. For instance, research how the adoption of social media influenced smoking or whether music preferences can be related to this habit.

The latter approach on our list will generate endless ideas for writing teen smoking essays. Select the one that fits your interests or is the easiest to research, depending on the time and effort you are willing to put into essay writing .

How To Write An Essay About Smoking Cigarettes

A smoking essay follows the same rules as an academic paper on any other topic. You start with an introduction, fill the body paragraphs with individual points, and wrap up using a conclusion. The filling of your “essay sandwich” will depend on the topic, but we can tell for sure what your opening and closing paragraphs should be like.

Smoking Essay Introduction

Whether you are working on an argumentative essay about smoking or a persuasive paper, your introduction is nothing but a vessel for a thesis statement. It is the core of your essay, and its absence is the first strike against you. Properly constructed thesis sums up your point of view on the economic research topics and lists the critical points you are about to highlight. If you allude to the opposing views in your thesis statement, the professor is sure to add extra points to your grade.

The first sentence is crucial for your essay, as it sets the tone and makes the first impression. Make it surprising, exciting, powerful with facts, statistics, or vivid images, and it will become a hook to lure the reader in deeper.

Round up the introduction with a transition to your first body passage and the point it will make. Otherwise, your essay might seem disjointed and patchy. Alternatively, you can use the first couple of sentences of the body paragraph as a transition.

Smoking Essay Conclusion

Any argumentative and persuasive essay on smoking must include a short conclusion. In the final passage, return to your thesis statement and repeat it in other words, highlighting the points you have made throughout the body paragraphs. You can also add final thoughts or even a personal opinion at the end to round up your assignment.

Think of the conclusion as a mirror reflection of your introduction. Start with a transition from the last body paragraph, follow it with a retelling of your thesis statement, and complete the passage with a powerful parting thought that will stay with the reader. After all, everyone remembers the first and last points most vividly, and your opening and closing sentences are likely to have a significant influence on the final grade.

Bonus Tips on How to Write a Persuasive Essay About Smoking

With the most challenging parts of the smoking essay out of the way, here are a couple of parting tips to ensure your paper gets the highest grade possible:

Do not rely on samples you find online to guide your writing. You can never tell what grade a random essay about smoking cigarettes received. Unless you use winning submissions from essay competitions, you might copy faulty techniques and data into your paper and get a reduced grade.
Do not forget to include references after the conclusion and cite the sources throughout the paper. Otherwise, you might get accused of academic dishonesty and ruin your academic record. Ask your professor about the appropriate citation style if you are not sure whether you should use APA, MLA, or Chicago.
Do not submit your smoking essay without editing and proofreading first. The best thing you can do is leave the piece alone for a day or two and come back to it with fresh eyes and mind to check for redundancies, illogical argumentation, and irrelevant examples. Professional editing software, such as Grammarly, will help with most typos and glaring errors. Still, it is up to you to go through the paper a couple of times before submission to ensure it is as close to perfection as it can get.
Do not be shy about getting help with writing smoking essays if you are out of time. Professional writers can take over any step of the writing process, from generating ideas to the final round of proofreading. Contact our agents or skip straight to the order form if you need our help to complete this assignment.

We hope our advice and ideas for writing teen smoking essays help you get out of the slump and produce a flawless piece of writing worthy of an A. For extra assistance with choosing the topic, outlining, writing, and editing, reach out to our support managers .

Home — Essay Samples — Nursing & Health — Addictions — Smoking

Essays About Smoking

Smoking essay, types of essay about smoking.

Cause and Effect Essay: This type of essay focuses on the causes and effects of smoking. It discusses why people start smoking and the consequences of smoking on both the smoker and those around them.
Argumentative Essay: This essay type aims to persuade the reader about the negative effects of smoking. It presents an argument and provides supporting evidence to convince the reader that smoking is harmful and should be avoided.
Persuasive Essay: Similar to an argumentative essay, this type of essay aims to persuade the reader to quit smoking. It presents facts, statistics, and other relevant information to convince the reader to stop smoking.

Smoking Essay Example: Cause and Effect

Identify the causes of smoking: Start by examining why people start smoking in the first place. Is it peer pressure, addiction, stress, or curiosity? Understanding the reasons why people smoke is crucial in creating an effective cause and effect essay.
Discuss the effects of smoking: Highlight the impact smoking has on an individual's health and the environment. Discuss the risks associated with smoking, such as lung cancer, heart disease, and respiratory problems, and explain how smoking affects non-smokers through secondhand smoke.
Use reliable sources: To make your essay more convincing, ensure that you use credible sources to back up your claims. Use scientific studies, government reports, and medical journals to support your arguments.
Provide statistical evidence: Incorporate statistical data to make your essay more impactful. Use figures to show the number of people who smoke, the effects of smoking on the environment, and the costs associated with smoking.
Offer solutions: Conclude your essay by suggesting solutions to the problem of smoking. Encourage smokers to quit by outlining the benefits of quitting smoking and offering resources for those who want to quit.

Smoking: Argumentative Essay

Choose a clear position: The writer should choose a side on the issue of smoking, either for or against it, and be clear in presenting their stance.
Gather evidence: Research and collect facts and statistics to support the writer's argument. They can find data from reliable sources like scientific journals, government reports, and reputable news organizations.
Address counterarguments: A good argumentative essay will acknowledge opposing viewpoints and then provide a counterargument to refute them.
Use persuasive language: The writer should use persuasive language to convince the reader of their position. This includes using rhetorical devices, such as ethos, pathos, and logos, to appeal to the reader's emotions and logic.
Provide a clear conclusion: The writer should summarize the key points of their argument and reiterate their stance in the conclusion.

Persuasive Essay on Smoking

Identify your audience and their beliefs about smoking.
Present compelling evidence to support your argument, such as statistics, research studies, and personal anecdotes.
Use emotional appeals, such as stories or images that show the negative impact of smoking.
Address potential counterarguments and refute them effectively.
Use strong and clear language to persuade the reader to take action.
When choosing a topic for a smoking persuasive essay, consider a specific aspect of smoking that you would like to persuade the audience to act upon.

Hook Examples for Smoking Essays

Anecdotal hook.

Imagine a teenager taking their first puff of a cigarette, unaware of the lifelong addiction they're about to face. This scenario illustrates the pervasive issue of smoking among young people.

Question Hook

Is the pleasure derived from smoking worth the serious health risks it poses? Dive into the contentious debate over tobacco use and its consequences.

Quotation Hook

"Smoking is a habit that drains your money and kills you slowly, one puff after another." — Unknown. Explore the financial and health impacts of smoking in today's society.

Statistical or Factual Hook

Did you know that smoking is responsible for nearly 8 million deaths worldwide each year? Examine the alarming statistics and data associated with tobacco-related illnesses.

Definition Hook

What exactly is smoking, and what are the various forms it takes? Delve into the definitions of smoking, including cigarettes, cigars, pipes, and emerging alternatives like e-cigarettes.

Rhetorical Question Hook

Can we truly call ourselves a smoke-free generation when new nicotine delivery devices are enticing young people? Investigate the impact of vaping and e-cigarettes on the youth.

Historical Hook

Trace the history of smoking, from its ancient roots to its prevalence in different cultures and societies. Explore how perceptions of smoking have evolved over time.

Contrast Hook

Contrast the images of the suave, cigarette-smoking characters from classic films with the grim reality of tobacco-related diseases and addiction in the modern world.

Narrative Hook

Walk in the shoes of a lifelong smoker as they recount their journey from that first cigarette to a battle with addiction and the quest to quit. Their story reflects the struggles of many.

Shocking Statement Hook

Prepare to uncover the disturbing truth about smoking—how it not only harms the smoker but also affects non-smokers through secondhand smoke exposure. It's an issue that goes beyond personal choice.

Can Smoking Be Prevented by Making Tobacco Illegal

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Persuasive Essay Writing

Persuasive Essay About Smoking

Craft an Engaging Persuasive Essay About Smoking: Examples & Tips

Published on: Jan 25, 2023

Last updated on: Jan 29, 2024

Persuasive Essay-Defined

A persuasive essay is a form of academic writing that presents an argument in favor of a particular position, opinion, or viewpoint.

It is usually written to convince the audience to take a certain action or adopt a specific viewpoint.

The primary purpose of this type of essay is to provide evidence and arguments that support the writer's opinion.

In persuasive writing, the writer will often use facts, logic, and emotion to convince the reader that their stance is correct.

The writer can persuade the reader to consider or agree with their point of view by presenting a well-researched and logically structured argument.

The goal of a persuasive essay is not to sway the reader's opinion. It is to rather inform and educate them on a particular topic or issue.

Check this free downloadable example of a persuasive essay about smoking!

Simple Persuasive essay about smoking

Read our extensive guide on persuasive essays to learn more about crafting a masterpiece every time.

Persuasive Essay Examples About Smoking

Are you a student looking for some useful tips to write an effective persuasive essay about the dangers of smoking?

Look no further! Here are several great examples of persuasive essays that masterfully tackle the subject and persuade readers creatively.

Persuasive speech on the 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

For more examples about persuasive essays, check out our blog on persuasive essay examples .

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Argumentative Essay About Smoking Examples

Our examples can help you find the points that work best for your style and argument.

Argumentative essay about smoking introduction

Argumentative essay about smoking pdf

Argumentative essay about smoking in public places

10 Tips for Writing a Persuasive Essay About Smoking

Here are a few tips and tricks to make your persuasive essay about smoking stand out:

1. Do Your Research

Before you start writing, make sure to do thorough research on the topic of smoking and its effects.

Look for primary and secondary sources that provide valuable information about the issue.

2. Create an Outline

An outline is essential when organizing your thoughts and ideas into a cohesive structure. This can help you organize your arguments and counterarguments.

Read our blog about creating a persuasive essay outline to master your next essay.

Check out this amazing video here!

3. Clearly Define the Issue

Make sure your writing identifies the problem of smoking and why it should be stopped.

4. Highlight Consequences

Show readers the possible negative impacts of smoking, like cancer, respiratory issues, and addiction.

5. Identity Solutions

Provide viable solutions to the problem, such as cessation programs, cigarette alternatives, and lifestyle changes.

6. Be Research-Oriented

Research facts about smoking and provide sources for those facts that can be used to support your argument.

7. Aim For the Emotions

Use powerful language and vivid imagery to draw readers in and make them feel like you do about smoking.

8. Use Personal Stories

Share personal stories or anecdotes of people who have successfully quit smoking and those negatively impacted by it.

9. Include an Action Plan

Offer step-by-step instructions on how to quit smoking, and provide resources for assistance effectively.

10. Reference Experts

Incorporate quotes and opinions from medical professionals, researchers, or other experts in the field.

These tips can help you write an effective persuasive essay about smoking and its negative effects on the body, mind, and society.

When your next writing assignment has you feeling stuck, don't forget that essay examples about smoking are always available to break through writer's block.

And if you need help getting started, our expert essay writer at CollegeEssay.org is more than happy to assist.

Just give us your details, and our persuasive essay writer will start working on crafting a masterpiece.

We provide top-notch essay writing service online to help you get the grades you deserve and boost your career.

Try our AI writing tool today to save time and effort!

Frequently Asked Questions

What would be a good thesis statement for smoking.

A good thesis statement for smoking could be: "Smoking has serious health risks that outweigh any perceived benefits, and its use should be strongly discouraged."

What are good topics for persuasive essays?

Good topics for persuasive essays include the effects of smoking on health, the dangers of second-hand smoke, the economic implications of tobacco taxes, and ways to reduce teenage smoking.

These topics can be explored differently to provide a unique and engaging argument.

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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.

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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].

Action on Smoking and Health (2013). Smoking and reproduction . London: ASH; Retrieved from http://www.ash.org.uk/files/documents/ASH_112.pdf [ Google Scholar ]
Action on Smoking and Health (2014a). Secondhand smoke . London: ASH; Retrieved from http://www.ash.org.uk/files/documents/ASH_113.pdf [ Google Scholar ]
Action on Smoking and Health (2014b). What’s in a cigarette? London: ASH; Available from http://www.ash.org.uk/files/documents/ASH_117.pdf [ Google Scholar ]
Action on Smoking and Health (2015a). Illicit trade in tobacco . London: ASH; Available from http://www.ash.org.uk/files/documents/ASH_122.pdf [ Google Scholar ]
Action on Smoking and Health (2015b). Young people and smoking . London: ASH; Retrieve from http://www.ash.org.uk/files/documents/ASH_108.pdf [ Google Scholar ]
Action on Smoking and Health (2016a). Smoking and mental health . London: ASH; Retrieved from http://www.ash.org.uk/files/documents/ASH_120.pdf [ Google Scholar ]
Action on Smoking and Health (2016b). Smoking statistics: Illness and death . London: ASH; Retrieved from http://www.ash.org.uk/files/documents/ASH_107.pdf [ Google Scholar ]
Action on Smoking and Health (2016c). Smoking statistics: Who smokes and how much? London: ASH; Retrieved from http://www.ash.org.uk/files/documents/ASH_106.pdf [ Google Scholar ]
Anthenelli R. M., Benowitz N. L., West R., St Aubin L., McRae T., Lawrence D., & Evins A. E. (2016). Neuropsychiatric safety and efficacy of varenicline, bupropion, and nicotine patch in smokers with and without psychiatric disorders (EAGLES): A double-blind, randomised, placebo-controlled clinical trial . The Lancet , , 2507–2520. doi: 10.1016/s0140-6736(16)30272-0 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Australian Bureau of Statistics (2015). National health survey . Canberra: Author. [ Google Scholar ]
Aveyard P., Begh R., Parsons A., & West R. (2012). Brief opportunistic smoking cessation interventions: a systematic review and meta-analysis to compare advice to quit and offer of assistance . Addiction , , 1066–1073. doi: 10.1111/j.1360-0443.2011.03770.x [ PubMed ] [ CrossRef ] [ Google Scholar ]
Bala M. M., Strzeszynski L., Topor-Madry R., & Cahill K (2013). Mass media interventions for smoking cessation in adults . Cochrane Database of Systematic Reviews , , Cd004704. doi: 10.1002/14651858.CD004704.pub3 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Barnes J., Dong C. Y., McRobbie H., Walker N., Mehta M., & Stead L. F. (2010). Hypnotherapy for smoking cessation . Cochrane Database of Systematic Reviews , , Cd001008. doi: 10.1002/14651858.CD001008.pub2 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Beard E., McNeill A., Aveyard P., Fidler J., Michie S., & West R. (2013). Association between use of nicotine replacement therapy for harm reduction and smoking cessation: A prospective study of English smokers . Tobacco Control , , 118–122. 10.1136/tobaccocontrol-2011-050007 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Benowitz N. L. (1997). The role of nicotine in smoking-related cardiovascular disease . Preventive Medicine , , 412–417. 10.1006/pmed.1997.0175 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Benowitz N. L. (1998). Nicotine safety and toxicity . Oxford: Oxford University Press. [ Google Scholar ]
Brinn M. P., Carson K. V., Esterman A. J., Chang A. B., & Smith B. J. (2012). Cochrane review: Mass media interventions for preventing smoking in young people . Evidence-based Child Health: A Cochrane Review Journal , , 86–144. 10.1002/ebch.v7.1 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Cahill K., Hartmann-Boyce J., & Perera R (2015). Incentives for smoking cessation . Cochrane Database of Systematic Reviews , , Cd004307. doi: 10.1002/14651858.CD004307.pub5 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Cahill K., & Lancaster T (2014). Workplace interventions for smoking cessation . Cochrane Database of Systematic Reviews , , Cd003440. doi: 10.1002/14651858.CD003440.pub4 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Cahill K., Lindson-Hawley N., Thomas K. H., Fanshawe T. R., & Lancaster T (2016). Nicotine receptor partial agonists for smoking cessation . Cochrane Database of Systematic Reviews , , Cd006103. doi: 10.1002/14651858.CD006103.pub7 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Critchley J., & Unal B. (2003). Health effects associated with smokeless tobacco: A systematic review . Thorax , , 435–443. 10.1136/thorax.58.5.435 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Dierker L., He J., Kalaydjian A., Swendsen J., Degenhardt L., Glantz M., & Merikangas K. (2008). The importance of timing of transitions for risk of regular smoking and nicotine dependence . Annals of Behavioral Medicine , , 87–92. doi: 10.1007/s12160-008-9051-x [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Doll R., Peto R., Boreham J., & Sutherland I. (2004). Mortality in relation to smoking: 50 years’ observations on male British doctors . British Medical Journal , , 1519. doi: 10.1136/bmj.38142.554479.AE [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Eriksen M., Mackay J., & Ross H (2013). The tobacco atlas . New York, NY: American Cancer Society. [ Google Scholar ]
Ferri C. P., West R., Moriyama T. S., Acosta D., Guerra M., Huang Y., … Prince M. J. (2011). Tobacco use and dementia: Evidence from the 1066 dementia population-based surveys in Latin America, China and India . International Journal of Geriatric Psychiatry , , 1177–1185. doi: 10.1002/gps.2661 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Fidler J., Shahab L., & West R. (2011). Strength of urges to smoke as a measure of severity of cigarette dependence: Comparison with the fagerström test for nicotine dependence and its components . Addiction , , 631–638. 10.1111/add.2011.106.issue-3 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Fidler J., & West R. (2009). Self-perceived smoking motives and their correlates in a general population sample . Nicotine & Tobacco Research , , 1182–1188. doi: 10.1093/ntr/ntp120 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Fidler J., & West R. (2011). Enjoyment of smoking and urges to smoke as predictors of attempts and success of attempts to stop smoking: A longitudinal study . Drug and Alcohol Dependence , , 30–34. doi: 10.1016/j.drugalcdep.2010.10.009 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Georgie J. M., Sean H., Deborah M. C., Matthew H., & Rona C. (2016). Peer-led interventions to prevent tobacco, alcohol and/or drug use among young people aged 11–21 years: a systematic review and meta-analysis . Addiction , , 391–407. doi: 10.1111/add.13224 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Gowing L. R., Ali R. L., Allsop S., Marsden J., Turf E. E., West R., & Witton J. (2015). Global statistics on addictive behaviours: 2014 status report . Addiction , , 904–919. doi: 10.1111/add.12899 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Graham A. L., Carpenter K. M., Cha S., Cole S., Jacobs M. A., Raskob M., & Cole-Lewis H. (2016). Systematic review and meta-analysis of internet interventions for smoking cessation among adults . Substance Abuse and Rehabilitation , , 55–69. doi: 10.2147/sar.s101660 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Hartmann-Boyce J., Lancaster T., & Stead L. F (2014). Print-based self-help interventions for smoking cessation . Cochrane Database of Systematic Reviews , , Cd001118. doi: 10.1002/14651858.CD001118.pub3 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Higgins S. T., & Solomon L. J. (2016). Some recent developments on financial incentives for smoking cessation among pregnant and newly postpartum women . Current Addiction Reports , , 9–18. doi: 10.1007/s40429-016-0092-0 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Hoffman S. J., & Tan C. (2015). Overview of systematic reviews on the health-related effects of government tobacco control policies . BMC Public Health , , 744. doi: 10.1186/s12889-015-2041-6 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Hogg R. C. (2016). Contribution of monoamine oxidase inhibition to tobacco dependence: A review of the evidence . Nicotine & Tobacco Research , , 509–523. doi: 10.1093/ntr/ntv245 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Hughes J. R., Keely J., & Naud S. (2004). Shape of the relapse curve and long-term abstinence among untreated smokers . Addiction , , 29–38. 10.1111/add.2004.99.issue-1 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Hughes J. R., Stead L. F., Hartmann-Boyce J., Cahill K., & Lancaster T (2014). Antidepressants for smoking cessation . Cochrane Database of Systematic Reviews , , Cd000031. doi: 10.1002/14651858.CD000031.pub4 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Jamal A. (2016). Current cigarette smoking among adults – United States, 2005–2015 . Morbidity and Mortality Weekly Report , , 1205–1211 [ PubMed ] [ Google Scholar ]
Jamal A., Homa D., O’Connor E., Babb S., Caraballo R., Singh T., & King B. (2015). Current cigarette smoking among adults – United States, 2005–2014 . Morbidity and Mortality Weekly Report , , 1233–1240. 10.15585/mmwr.mm6444a2 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Jarvis M. J., Giovino G. A., O’Connor R. J., Kozlowski L. T., & Bernert J. T. (2014). Variation in nicotine intake among U.S. cigarette smokers during the past 25 years: Evidence from NHANES surveys . Nicotine & Tobacco Research , , 1620–1628. doi: 10.1093/ntr/ntu120 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Jha P., & Peto R. (2014). Global effects of smoking, of quitting, and of taxing tobacco . New England Journal of Medicine , , 60–68. doi: 10.1056/NEJMra1308383 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Jones M., Lewis S., Parrott S., Wormall S., & Coleman T. (2016). Re-starting smoking in the postpartum period after receiving a smoking cessation intervention: A systematic review . Addiction , , 981–990. doi: 10.1111/add.13309 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Joossens L., & Raw M. (2003). Turning off the tap: The real solution to cigarette smuggling . International Journal of Tuberculosis and Lung Disease , , 214–222. [ PubMed ] [ Google Scholar ]
Kotz D., Brown J., & West R. (2014a). Prospective cohort study of the effectiveness of smoking cessation treatments used in the “real world” . Mayo Clinic Proceedings , , 1360–1367. doi: 10.1016/j.mayocp.2014.07.004 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Kotz D., Brown J., & West R. (2014b). ‘Real-world’ effectiveness of smoking cessation treatments: A population study . Addiction , , 491–499. doi: 10.1111/add.12429 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Kozlowski L. T., Porter C. Q., Orleans C. T., Pope M. A., & Heatherton T. (1994). Predicting smoking cessation with self-reported measures of nicotine dependence: FTQ, FTND, and HSI . Drug and Alcohol Dependence , , 211–216. 10.1016/0376-8716(94)90158-9 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Kralikova E., Kmetova A., Stepankova L., Zvolska K., Davis R., & West R. (2013). Fifty-two-week continuous abstinence rates of smokers being treated with varenicline versus nicotine replacement therapy . Addiction , , 1497–1502. doi: 10.1111/add.12219 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Lancaster T., & Stead L. F (2005). Individual behavioural counselling for smoking cessation . Cochrane Database of Systematic Reviews , , Cd001292. doi: 10.1002/14651858.CD001292.pub2 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Levy D. T., Huang A. T., Havumaki J. S., & Meza R. (2016). The role of public policies in reducing smoking prevalence: Results from the Michigan SimSmoke tobacco policy simulation model . Cancer Causes and Control , , 615–625. doi: 10.1007/s10552-016-0735-4 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Lindson-Hawley N., Banting M., West R., Michie S., Shinkins B., & Aveyard P. (2016). Gradual versus abrupt smoking cessation: A randomized, controlled noninferiority trial . Annals of Internal Medicine , , 585–592. doi: 10.7326/m14-2805 [ PubMed ] [ CrossRef ] [ Google Scholar ]
McNeill A., Brose L., Calder R., Hitchman S., Hajek P., & McRobbie H. (2015). E-cigarettes: An evidence update. A report commissioned by Public Health England . London: Public Health England. [ Google Scholar ]
Noar S. M., Francis D. B., Bridges C., Sontag J. M., Ribisl K. M., & Brewer N. T. (2016). The impact of strengthening cigarette pack warnings: Systematic review of longitudinal observational studies . Social Science & Medicine , , 118–129. doi: 10.1016/j.socscimed.2016.06.011 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Office of National Satistics (2016). Smoking prevalence in Great Britain . London: ONS; Retrieved from https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/drugusealcoholandsmoking/datasets/adultsmokinghabitsingreatbritain [ Google Scholar ]
Royal College of Physicians and Royal College of Psychiatrists (2013). Smoking and mental health . London: RCP. [ Google Scholar ]
Pirie K., Peto R., Reeves G. K., Green J., & Beral V. (2013). The 21st century hazards of smoking and benefits of stopping: A prospective study of one million women in the UK . Lancet , , 133–141. doi: 10.1016/s0140-6736(12)61720-6 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Royal College of Physicians. (2016). Nicotine without smoke: Tobacco harm reduction . London: RCP. [ Google Scholar ]
Schepis T. S., & Rao U. (2005). Epidemiology and etiology of adolescent smoking . Current Opinion in Pediatrics , , 607–612. 10.1097/01.mop.0000176442.49743.31 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Shahab L., & West R. (2009). Do ex-smokers report feeling happier following cessation? Evidence from a cross-sectional survey . Nicotine & Tobacco Research , , 553–557. doi: 10.1093/ntr/ntp031 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Shahab L., & West R. (2012). Differences in happiness between smokers, ex-smokers and never smokers: cross-sectional findings from a national household survey . Drug and Alcohol Dependence , , 38–44. doi: 10.1016/j.drugalcdep.2011.08.011 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Stapleton J. A., & West R. (2012). A direct method and ICER tables for the estimation of the cost-effectiveness of smoking cessation interventions in general populations: application to a new cytisine trial and other examples . Nicotine & Tobacco Research , , 463–471. doi: 10.1093/ntr/ntr236 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Stead L. F., Buitrago D., Preciado N., Sanchez G., Hartmann-Boyce J., & Lancaster T (2013). Physician advice for smoking cessation . Cochrane Database of Systematic Reviews , , Cd000165. doi: 10.1002/14651858.CD000165.pub4 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Stead L. F., Hartmann-Boyce J., Perera R., & Lancaster T (2013). Telephone counselling for smoking cessation . Cochrane Database of Systematic Reviews , , Cd002850. doi: 10.1002/14651858.CD002850.pub3 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Stead L. F., Koilpillai P., & Lancaster T (2015). Additional behavioural support as an adjunct to pharmacotherapy for smoking cessation . Cochrane Database of Systematic Reviews , , Cd009670. doi: 10.1002/14651858.CD009670.pub3 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Stead L. F., & Lancaster T (2005). Group behaviour therapy programmes for smoking cessation . Cochrane Database of Systematic Reviews , , Cd001007. doi: 10.1002/14651858.CD001007.pub2 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Stead L. F., Perera R., Bullen C., Mant D., Hartmann-Boyce J., Cahill K., & Lancaster T. (2012). Nicotine replacement therapy for smoking cessation . Cochrane Database of Systematic Reviews , , Cd000146. doi: 10.1002/14651858.CD000146.pub4 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Sterling L. H., Windle S. B., Filion K. B., Touma L., & Eisenberg M. J. (2016). Varenicline and adverse cardiovascular events: A systematic review and meta-analysis of randomized controlled trials . Journal of the American Heart Association , , doi: 10.1161/jaha.115.002849 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Talati A., Keyes K., & Hasin D. (2016). Changing relationships between smoking and psychiatric disorders across twentieth century birth cohorts: Clinical and research implications . Molecular Psychiatry , , 464–471. doi: 10.1038/mp.2015.224 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Talip T., Murang Z., Kifli N., & Naing L. (2016). Systematic review of smoking initiation among Asian Adolescents, 2005–2015: Utilizing the frameworks of triadic influence and planned behavior . Asian Pacific Journal of Cancer Prevention , , 3341–3355. [ PubMed ] [ Google Scholar ]
Tappin D., Bauld L., Purves D., Boyd K., Sinclair L., MacAskill S., & Coleman T. (2015). Financial incentives for smoking cessation in pregnancy: Randomised controlled trial . British Medical Journal , , h134. doi: 10.1136/bmj.h134 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Thomas R. E., McLellan J., & Perera R. (2013). School-based programmes for preventing smoking . Evidence-based Child Health: A Cochrane Review Journal , , 1616–2040. 10.1002/ebch.v8.5 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
US Department of Health and Human Services (2004). The health consequences of smoking: a report of the surgeon general (p. 62). Atlanta, GA: US 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. [ Google Scholar ]
US Department of Health Human Services (2014). The health consequences of smoking – 50 years of progress: A report of the surgeon general (p. 17). Atlanta, GA: US 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. [ Google Scholar ]
US Surgeon General. (1990). The health benefits of smoking cessation . Washington, DC: Department of Health and Human Services. [ Google Scholar ]
Ussher M., Brown J., Rajamanoharan A., & West R. (2014). How do prompts for attempts to quit smoking relate to method of quitting and quit success? Annals of Behavioral Medicine , , 358–368. doi: 10.1007/s12160-013-9545-z [ PubMed ] [ CrossRef ] [ Google Scholar ]
van Hasselt M., Kruger J., Han B., Caraballo R. S., Penne M. A., Loomis B., & Gfroerer J. C. (2015). The relation between tobacco taxes and youth and young adult smoking: What happened following the 2009 US federal tax increase on cigarettes? Addictive Behaviors , , 104–109. 10.1016/j.addbeh.2015.01.023 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Vangeli E., Stapleton J., Smit E. S., Borland R., & West R. (2011). Predictors of attempts to stop smoking and their success in adult general population samples: A systematic review . Addiction , , 2110–2121. doi: 10.1111/j.1360-0443.2011.03565.x [ PubMed ] [ CrossRef ] [ Google Scholar ]
Vink J. M., Willemsen G., & Boomsma D. I. (2005). Heritability of smoking initiation and nicotine dependence . Behavior Genetics , , 397–406. doi: 10.1007/s10519-004-1327-8 [ PubMed ] [ CrossRef ] [ Google Scholar ]
West R. (2009). The multiple facets of cigarette addiction and what they mean for encouraging and helping smokers to stop . Chronic Obstructive Pulmonary Disease , , 277–283. 10.1080/15412550903049181 [ PubMed ] [ CrossRef ] [ Google Scholar ]
West R., Baker C. L., Cappelleri J. C., & Bushmakin A. G. (2008). Effect of varenicline and bupropion SR on craving, nicotine withdrawal symptoms, and rewarding effects of smoking during a quit attempt . Psychopharmacology (Berl) , , 371–377. doi: 10.1007/s00213-007-1041-3 [ PubMed ] [ CrossRef ] [ Google Scholar ]
West R., & Brown J. (2015). Smoking in England 2007–2014 . Retrieved from www.smokinginengland.info/latest-statistics/ [ Google Scholar ]
West R., Raw M., McNeill A., Stead L., Aveyard P., Bitton J., & Borland R. (2015). Health-care interventions to promote and assist tobacco cessation: A review of efficacy, effectiveness and affordability for use in national guideline development . Addiction , , 1388–1403. doi: 10.1111/add.12998 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
West R., & Shiffman S (2016). Smoking cessation (3rd ed.). Abingdon: Health Press. [ Google Scholar ]
White A. R., Rampes H., Liu J. P., Stead L.F., & Campbell J (2014). Acupuncture and related interventions for smoking cessation . Cochrane Database of Systematic Reviews , , Cd000009. doi: 10.1002/14651858.CD000009.pub4 [ PubMed ] [ CrossRef ] [ Google Scholar ]
Whittaker R., McRobbie H., Bullen C., Rodgers A., & Gu Y. (2016). Mobile phone-based interventions for smoking cessation . Cochrane Database of Systematic Reviews , , Cd006611. doi: 10.1002/14651858.CD006611.pub4 [ PubMed ] [ CrossRef ] [ Google Scholar ]
World Health Organization (2013). WHO report on the global tobacco epidemic, 2013: enforcing bans on tobacco advertising, promotion and sponsorship . Geneva: WHO. [ Google Scholar ]
Wu L., Sun S., He Y., & Zeng J. (2015). Effect of smoking reduction therapy on smoking cessation for smokers without an intention to quit: An updated systematic review and meta-analysis of randomized controlled . International Journal of Environmental Research and Public Health , , 10235–10253. doi: 10.3390/ijerph120910235 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
Zhou X., Nonnemaker J., Sherrill B., Gilsenan A. W., Coste F., & West R. (2009). Attempts to quit smoking and relapse: Factors associated with success or failure from the ATTEMPT cohort study . Addictive Behaviors , , 365–373. doi: 10.1016/j.addbeh.2008.11.013 [ PubMed ] [ CrossRef ] [ Google Scholar ]

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Nicotine Addiction

People say that they use tobacco for many different reasons—like stress relief, pleasure, or in social situations. One of the first steps to quitting is to learn why you feel like using tobacco . Then you can think about the reasons you want to quit .

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Nicotine is the main addictive substance in cigarettes and other forms of tobacco. Nicotine is a drug that affects many parts of your body, including your brain. Over time, your body and brain get used to having nicotine in them. About 80–90% of people who smoke regularly are addicted to nicotine.

Nicotine reaches your brain within 10 seconds of when it enters your body. It causes the brain to release adrenaline, and that creates a buzz of pleasure and energy. The buzz quickly fades, though. Then you may feel tired or a little down—and you may want that buzz again.

Your body is able to build up a high tolerance to nicotine, so you’ll need to smoke more cigarettes to get that same buzz. This up and down cycle happens over and over. That’s what leads to addiction.

When people don’t smoke, they may have withdrawal symptoms. That’s because their bodies have to get used to not having nicotine. Withdrawal symptoms may include:

Feeling down or sad
Having trouble sleeping
Feeling irritable‚ on edge‚ grouchy
Having trouble thinking clearly and concentrating
Feeling restless and jumpy
Slower heart rate
Feeling more hungry or gaining weight

Medication called nicotine replacement therapy (NRT) can help reduce cravings and withdrawal symptoms. Learn more about NRT and how it can help you stop smoking with our interactive NRT explorer .

Your VA health care provider can give you a prescription for NRT. It’s also available without a prescription from your local pharmacy.

Addiction is the main reason people smoke, but it’s not the only reason.

Smoking can become connected to other activities of your day-to-day life—like watching TV, talking on the phone, hanging out with friends, going certain places, or taking a break to relax. Then smoking becomes a part of a pattern or routine.

But you can get help to stop the routine. In-person counseling or talking with a counselor over the telephone can teach you how to break the link between smoking and your daily activities. Ask for help to create new patterns.

Many people smoke because it’s a way they’ve learned to cope with post-traumatic stress disorder (PTSD) symptoms, negative moods, and the stress of daily life. There are ways to deal with emotions without smoking. Counseling can teach you ways to cope, and getting support from loved ones can help, too.

Fact: Quitting smoking can re-wire your brain. The number of nicotine receptors in the brain will return to normal after a month smokefree.

Finding out how much you depend on nicotine can help you as you choose quit smoking strategies.

Celebrate! Rewards—no matter how small—can help keep you motivated to stay quit for good.

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Teenage Smoking Essay: Writing Guide & Smoking Essay Topics

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

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

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

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

🔗 References

✍️ how to write a teenage smoking essay.

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

argumentative essay;
cause and effect essay;
persuasive essay.

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

🚬 Argumentative Essay on Smoking

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

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

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

📈 Cause and Effect Essay on Smoking

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

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

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

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

🚭 Persuasive Essay on Smoking

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

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

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

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

🔥 Smoking Essay Topics

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

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

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

Teenage Smoking Essay Prompts

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

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

Effects of Teenage Smoking Essay Prompt

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

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

Smoking in School Essay Prompt

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

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

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

Peer Pressure Smoking Essay Prompt

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

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

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

Causes of Smoking Essay Prompt

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

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

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

Smoking Is Bad for Health Essay Prompt

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

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

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

Is Smoking Still a Problem Among Teenagers: Argumentative Essay Prompt

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

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

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

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

Smoking Essay: Why You Should Quit It

After smoking a cigarette the number of heat beats per minute increases, pressure increases, blood vessels constrict, all these later cause formation of blood clots. The risk of sudden death increases in several times.

As it is said in any essay about smoking, smoking is one of the most common habits that damages human health and effects negatively all human life. Heavy smokers have a great reason to quit their harmful habit, to become healthier and more active. World No Tobacco Day is celebrated on the 31st of May.

Today so many books and essays on smoking are written that give advice how to quit smoking. There are a lot of special systems, techniques and methods that say how to get rid of this harmful habit. But I think the main stimulus that will help to fight psychological nicotine addiction is realization that you harm yourself and you should have a strong desire to quit smoking once and for all and avoid the consequences of the addiction that lasted many years.

The harm of smoking on the human body

Smoking harms your health: physical aspect

Annually all over the world about 5 million people die from diseases caused by smoking.

Smoking is a terrible habit that may lead to arteries clogging, heart attacks and strokes. Smoker’s heart beats 15 thousands time more per day that the heart of non-smoker. There is no enough amount of oxygen delivered to the tissues since the vessels are narrowed.
Smoking is one of the main risk factors of respiratory system diseases, such as chronic obstructive pulmonary disease (chronic bronchitis and emphysema), pneumonia.
Tobacco and tobacco smoke contains over 3,000 chemical compounds, more than 60 of them are carcinogenic, it means they cam damage genetic material of cells and cause cancerous tumor growth. It is already proved that tobacco is the reason of lung cancer mortality rate in 90% of cases.
Also smoking influences visual acuity. Scientists during many years were discussing the harm smoking to the eyes, but only modern researches proved this unpleasant for the smokers truth. Cigarette components are really dangerous to the eyes because they disrupt the blood supply to the choroid and retina. Each smoker, especially those who smoke for many years, at any moment is under the danger of the vascular occlusion formation that can lead to complete sight loss.
There are diseases caused mostly by smoking, for example obliterating endarteritis (vascular disease of the legs). There is vasoconstriction and blood flow to the tissues and cells reduces greatly. The most terrifying consequence of this disease is limb(s) amputation. As the doctors claim annually about 20 thousands legs amputation surgeries are performed due to obliterating endarteritis.
Clinical trials carried out in recent years have proved that the smoker’s skin ages faster than the skin of non-smoker. For example it is proved that the skin of a 40-year-old woman, who smokes for many years, can be as much damaged as the skin of 70-year-old non-smoking woman. Doctors call such a kind of changes in human skin “tobacco” face syndrome.
Three times more cases of impotence are found among the men who smoke than of non-smokers. As well as women smokers suffer frigidity 2,5 times more comparing with non-smoking women. It happens because nicotine contributes to vasoconstriction of genitals.
Psychological health damage . Smoking harms not only physical but also psychological human health. Smokers are nervously exhausted more than others. They loosen the nervous system, living from cigarette to cigarette and are ready to fly into a tantrum without any real reason. Due to nervous processes disruption a person becomes irritated, quarrelsome and he develops bad temper.

This is an incomplete list of diseases that are possible and unavoidable when person smokes for many years and has tobacco addiction. I doubt you need it.

Smoking affects negatively brain functioning

Smoking slows down reactions, makes them less sharp. Attention and memory weaken, intelligence reduces. People, whose professions require good memory, attention, and fast reaction should remember that smoking reduces their professional efficiency and does not allow focusing on the work.

Scientists discovered that while smoking electroencephalogram shows changes that indicate weakening of the bioelectrical activity of the brain cells. And the level of the bioelectrical activity weakening depends on the number on smoked cigarettes.

The great German poet Goethe used to say: “Smoking makes you blunt. It is incompatible with the creative work”.

Harm of smoking on human body is immensely huge! Except the physical and psychological harm of smoking, there are many other reasons why you should quit smoking:

Among the unpleasant smoking consequences there is unpleasant taste in the mouth in the morning, yellow teeth, bad breath and bad hair smell.
Smoker always sleeps worse than non-smoker.
Smoking dulls the taste and smell. These senses return to a person only few years later after quitting smoking.
Smokers damage not only their own health, but also the health of those who surround them. Every year more than 600 thousand people die because of second hand smoke, a third of them is the children.
Smoking is a common cause of fires.
Smoking is a waste of money. Count how much money you spend per year on cigarettes. The sum is considerable. You can spend this money on something really useful and important.
Smoking is a waste of time. The average smoker spends on smoking between 10 to 15 days a year! If you do not believe me, let’s count. The average smoker smokes 20 cigarettes per day, and a cigarette takes up to 3 minutes. It means that in a day the smoker spends an hour smoking and consequently 365 hours per year.

So there are so many reasons to quit smoking first, last and all the time. Is not it enough for you? Do it today! Do it right now and you will be proud of you!

Facts about tobacco

Every 10 seconds one person in the world dies because of tobacco consumption.
Today tobacco kills about 3 million people in the world annually. This number will increase to 10 millions if in 30-40 years the current tendencies remain the same.
If current situation continues, about 500 million people (it is about 9% of the world population) will die because of tobacco.
Tobacco causes 6% of all world deaths and about 3% of global number of diseases. The number of deaths from tobacco is still increasing.
Tobacco becomes a greater cause of death and illness than any other single disease.
Nicotine is a drug that is easily available

“ Light” cigarettes: for and against

There is no safe cigarette or safe level of smoking.

Smoking of cigarettes with lower tar and nicotine amount reduces the risk of lung cancer and to some extend increases the smoker’s chances to live longer life on condition that there is no increase in the number of cigarettes smoked. However the benefits are really small comparing with complete smoking quitting. The only and the most effective way of reducing the dangers of smoking is complete cessation of smoking.

When smoker starts to use cigarettes with lower content of harmful substances, they often increase the number of smoked cigarettes and breathe the smoke more deeply. So-called “compensatory behavior” could nullify any benefits of products with low content of harmful substances and even increase the risk for health.

Smoking of low-nicotine filter cigarettes can cause adenocarcinoma , a special type of lung cancer. Researchers believe that those who smoke filter cigarettes with low tar and nicotine content make deeper and longer breath, and in such a way they increase the smoke effect on their lungs.

“Light” cigarettes are not less harmful that ordinary cigarettes. While smoking without realizing it smokers close with their fingers and lips ventilation holes around cigarette filter. These ventilation holes should reduce the amount of tar, nicotine and carbon monoxide, but two-thirds of smokers do not even know about them.

Also there is an unresolved question of whether new types of cigarettes can cause new kinds of risks due to their new design, filter mechanism, tobacco ingredients and additives.

The harm of smoking is obvious and smokers realize it. So maybe it is high time to quit.

There are a lot of effects of smoking essays, so you can easily get more information about it. I hope this argumentative essay on smoking was useful for you. If you look for more essays or you need help in essay writing , visit Livecustomwriting.com . Contact our support team for more details.

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8 Strategies to Use if You Want to Quit Smoking in 2024

E very year, we write our lists of things we want to accomplish to become a better version of ourselves in the new year. For many people, quitting smoking is at the top of the list. Unfortunately, not everyone is successful because they haven't adequately prepared to quit.

Making a plan that works for you is essential. Whether you want to know how to quit smoking cold turkey or how to stop smoking with a more gradual method, we're here to help. With these practical tips, you can start 2024 on the right foot and achieve your goals.

For more health tips, check out this supplement that will help you sleep and five tips to cope with sleep anxiety .

How to make a plan to quit smoking that works for you

Setting up a plan is a great way to start the process of giving up nicotine. That plan begins with examining your habits and considering what will work best for you.

Examine your current smoking habits

Once you've decided you want to stop smoking, it's a good practice to come up with a plan you will follow through with. That starts with looking at your smoking habits and figuring out how to change them

Become aware of how much you smoke: Before you cut back, it's important to understand how much you're smoking to begin with. It might be more than you think. Count how many cigarettes you're smoking each day and write it down so you can look at that number.
Identify the reasons you smoke: There are certainly reasons that you smoke or use tobacco and the next step in your journey is understanding them. There's a good possibility that it's a years-old habit that doesn't feel like it has its reasons anymore -- but think about why you started in the first place and why you turn to it throughout the day now. Every time you want to smoke, write down why you're doing it.
Think about why you want to quit smoking: Having a reason in place will help you stick to your guns when it comes to giving up tobacco. Whether it's for your health, the sake of your children or another reason, figure out why you really want to quit smoking -- beyond just quitting for the sake of quitting. While that is a great way to start, having something you can visualize in the tough parts of this journey can help you push through when you feel like giving up.

Learn how smoking affects your body

Smoking and general tobacco use can have a very negative effect on your body. According to the Centers for Disease Control and Prevention , "smoking can cause cancer, heart disease, stroke, lung diseases, diabetes and chronic obstructive pulmonary disease, which includes emphysema and chronic bronchitis. Smoking also increases risk for tuberculosis, certain eye diseases and problems of the immune system, including rheumatoid arthritis." All of these physical concerns can also lead to issues with your mental health with the added stress of a medical condition.

Studies have also proven that smoking at night may be a direct cause of insomnia , and poor sleep health can lead to other health issues like obesity and heart problems. The CDC also points out how harmful secondhand smoke is, especially around children: Secondhand smoke causes around 400 infant deaths each year.

Set a goal

Goals can help keep you motivated, but beyond one big goal of "quit smoking," set smaller goals that you can achieve along the way. Maybe you start with giving up smoking one day at a time. For a month, commit to not smoking on weekends. When you make it through the month, treat yourself and move on to the next goal. This feels more manageable than quitting cold turkey (although that method certainly works for some people).

Try nicotine replacement therapy

Nicotine replacement therapy -- like a nicotine patch or gum -- can help curb cravings for nicotine. These low doses of nicotine have been proven in numerous studies as a positive resource in giving up smoking. If you're considering nicotine replacement therapy, it's not a bad idea to speak to your healthcare provider to decide which product may work best for you.

Consider prescription pills

You can also speak to your doctor about a prescription medication to help you quit smoking. Chantix and Zyban are two popular prescription medications for smoking cessation that you can discuss with your doctor. Pfizer shared research on the effectiveness of Chantix , with various studies demonstrating upwards of 40% of participants successfully abstaining from smoking while using the drug.

Create a support system

Surrounding yourself with people to lean on while you're going through what will certainly be a difficult time can help you not only be successful but also stay motivated. When you're feeling like you want to give up, these people can help you keep going.

Let your friends and family know your goals: Share your goals with your trusted circle who will support you -- but leave out anyone who won't. Let them know what your goals are and let them know how they can help you. If you want them to not smoke around you, mention it. If you want them to cheer you on, tell them that. If you want them to be a silent supporter, express just that.
Create your community: It's also important to find people who are either currently going through the same journey as you or have at some point because they'll understand you better than anyone. Online communities and in-person communities like Nicotine Anonymous and Smokers Anonymous can be helpful.
Seek professional help: You can also turn to your doctor or therapist for guidance and support while you give up smoking. They can provide you with further resources or medically backed reasons for quitting. They can also help you see the positive effects your physical and mental health are going through as you smoke less and less, which can help keep you motivated.

Plan for the side effects

Most people who give up smoking experience withdrawal symptoms. When weaning yourself off tobacco, the CDC says you can expect to feel irritable, restless, hungry, depressed, and sad. You may also have trouble sleeping and see some weight gain. All of these are common but speak to your doctor about anything that doesn't feel right to you.

The CDC also recommends exercise to deal with restless, anxious feelings. Exercise will raise your heart rate and get your endorphins going, which can improve your mood. Plus, it's a way to channel those negative side effects into something positive.

Celebrate your wins

While it's great to celebrate reaching your big goal, it's just as important to celebrate smaller goals along the way. The first day you fully go without smoking, treat yourself. Once you hit a week, treat yourself again. Buy yourself a nice meal out or go get ice cream. Go have a spa day or buy yourself some shoes you've been eyeing. When you start, set up a bank of rewards you'll give yourself so you know exactly what you're working toward.

Kickstart the new year by quitting your smoking habit.

Essay on Negative Effects Of Smoking

Students are often asked to write an essay on Negative Effects Of 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 Negative Effects Of Smoking

Introduction to smoking.

Smoking is a bad habit that harms our body. Many people smoke cigarettes, cigars, or pipes. Some people also chew tobacco. These things contain nicotine, a harmful chemical. It’s highly addictive, meaning once you start smoking, it’s very hard to stop.

Health Problems Caused by Smoking

Smoking can cause many health problems. It can lead to lung cancer, heart disease, and stroke. It can also cause other types of cancer, like mouth and throat cancer. Smoking can make it hard to breathe and can cause chronic coughing.

Smoking and Secondhand Smoke

Not only does smoking hurt the smoker, but it also harms others around them. This is called secondhand smoke. It can cause the same health problems in non-smokers. Children exposed to secondhand smoke can get sick more often.

Smoking and Appearance

Smoking can also affect how you look. It can cause yellow teeth and bad breath. It can also cause your skin to age faster, leading to wrinkles. Smoking can even cause hair loss and turn your fingers yellow.

In conclusion, smoking is very harmful. It can cause many health problems and can even harm others around you. It’s best to avoid this bad habit. If you or someone you know smokes, try to quit. Your body will thank you.

250 Words Essay on Negative Effects Of Smoking

Introduction.

Smoking is a harmful habit that many people around the world have. It is bad for our health and the environment. This essay will talk about the negative effects of smoking.

Damages to Health

Smoking hurts our bodies in many ways. It is the main cause of lung cancer. This is a very serious disease that can lead to death. Other than lung cancer, smoking can also cause heart disease. This is because the smoke makes it harder for the heart to pump blood.

Problems for the Environment

Smoking is not just bad for our health, but also for our environment. Cigarette butts are often thrown on the ground, causing pollution. Also, the smoke from cigarettes adds to air pollution. This is bad for all living things, not just humans.

Effects on Others

Smoking is not only harmful to the person who smokes, but also to the people around them. This is called second-hand smoke. It can cause the same health problems as smoking does. This means that even if you do not smoke, you can still get sick from being around someone who does.

In conclusion, smoking is a harmful habit with many negative effects. It causes health problems, harms the environment, and can even make others sick. It is important to avoid smoking for a healthier and safer world.

500 Words Essay on Negative Effects Of Smoking

Smoking is a habit that many people pick up due to various reasons, such as stress, peer pressure, or even out of curiosity. Despite its popularity, smoking has many negative effects on our health and the environment. This essay will discuss these harmful effects in simple terms.

Effects on Personal Health

Firstly, let’s talk about how smoking harms our own health. When you smoke, you inhale many dangerous chemicals. These chemicals can harm nearly every organ in your body. The most commonly known health problem caused by smoking is lung cancer. But that’s not all. Smoking can also lead to other types of cancer, such as mouth cancer and throat cancer.

Apart from cancer, smoking can cause heart disease. The chemicals in smoke make it harder for your heart to work properly. This can lead to heart attacks. Smoking also harms your lungs, making it difficult to breathe. This can lead to diseases like bronchitis and emphysema.

Effects on Others’ Health

Smoking is not only harmful to the smoker but also to those around them. This is called secondhand smoke. When you smoke, the people around you also breathe in the harmful chemicals. This can lead to the same health problems that smokers face. Children are particularly at risk. They can suffer from problems like asthma, ear infections, and even sudden infant death syndrome.

Effects on the Environment

Smoking also hurts our environment. Cigarette butts, which are often thrown away carelessly, are a form of litter. They can take many years to break down and are harmful to wildlife. The smoke from cigarettes also adds to air pollution. This can harm the air we all breathe and contribute to climate change.

Effects on Personal Life

Lastly, smoking can affect your personal life. It can make your clothes and breath smell bad, which can affect your relationships with others. It can also be a costly habit. The money spent on cigarettes could be used for other things like education, hobbies, or saving for the future.

In conclusion, smoking has many negative effects. It harms our health, the health of those around us, our environment, and our personal lives. It’s important to understand these effects and to make healthy choices for ourselves and our communities. Remember, it’s never too late to quit smoking and start living a healthier life.

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

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

Essay on Negative Effects Of Religion
Essay on Negative Effects Of Music
Essay on Negative Effects Of Mobile Phones

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

Happy studying!

In the pandemic, we were told to keep 6 feet apart. There’s no science to support that.

In a congressional appearance, infectious-disease expert Anthony S. Fauci characterized the recommendation as “an empiric decision that wasn’t based on data.”

The nation’s top mental health official had spent months asking for evidence behind the Centers for Disease Control and Prevention’s social distancing guidelines, warning that keeping Americans physically apart during the coronavirus pandemic would harm patients, businesses, and overall health and wellness.

Now, Elinore McCance-Katz, the Trump administration’s assistant secretary for mental health and substance use, was urging the CDC to justify its recommendation that Americans stay six feet apart to avoid contracting covid-19 — or get rid of it.

“I very much hope that CDC will revisit this decision or at least tell us that there is more and stronger data to support this rule than what I have been able to find online,” McCance-Katz wrote in a June 2020 memo submitted to the CDC and other health agency leaders and obtained by The Washington Post. “If not, they should pull it back.”

The CDC would keep its six-foot social distance recommendation in place until August 2022, with some modifications as Americans got vaccinated against the virus and officials pushed to reopen schools. Now, congressional investigators are set Monday to press Anthony S. Fauci, the infectious-disease doctor who served as a key coronavirus adviser during the Trump and Biden administrations, on why the CDC’s recommendation was allowed to shape so much of American life for so long, particularly given Fauci and other officials’ recent acknowledgments that there was little science behind the six-foot rule after all.

“It sort of just appeared, that six feet is going to be the distance,” Fauci testified to Congress in a January closed-door hearing, according to a transcribed interview released Friday. Fauci characterized the recommendation as “an empiric decision that wasn’t based on data.”

Francis S. Collins, former director of the National Institutes of Health, also privately testified to Congress in January that he was not aware of evidence behind the social distancing recommendation, according to a transcript released in May.

Four years later, visible reminders of the six-foot rule remain with us, particularly in cities that rushed to adopt the CDC’s guidelines hoping to protect residents and keep businesses open. D.C. is dotted with signs in stores and schools — even on sidewalks or in government buildings — urging people to stand six feet apart.

Experts agree that social distancing saved lives, particularly early in the pandemic when Americans had no protections against a novel virus sickening millions of people. One recent paper published by the Brookings Institution , a nonpartisan think tank, concludes that behavior changes to avoid developing covid-19, followed later by vaccinations, prevented about 800,000 deaths. But that achievement came at enormous cost, the authors added, with inflexible strategies that weren’t driven by evidence.

“We never did the study about what works,” said Andrew Atkeson, a UCLA economist and co-author of the paper, lamenting the lack of evidence around the six-foot rule. He warned that persistent frustrations over social distancing and other measures might lead Americans to ignore public health advice during the next crisis.

The U.S. distancing measure was particularly stringent, as other countries adopted shorter distances; the World Health Organization set a distance of one meter, or slightly more than three feet, which experts concluded was roughly as effective as the six-foot mark at deterring infections, and would have allowed schools to reopen more rapidly.

The six-foot rule was “probably the single most costly intervention the CDC recommended that was consistently applied throughout the pandemic,” Scott Gottlieb, former Food and Drug Administration commissioner, wrote in his book about the pandemic, “Uncontrolled Spread.”

It’s still not clear who at the CDC settled on the six-foot distance; the agency has repeatedly declined to specify the authors of the guidance, which resembled its recommendations on how to avoid contracting the flu. A CDC spokesperson credited a team of experts, who drew from research such as a 1955 study on respiratory droplets . In his book, Gottlieb wrote that the Trump White House pushed back on the CDC’s initial recommendation of 10 feet of social distance, saying it would be too difficult to implement.

Perhaps the rule’s biggest impact was on children, despite ample evidence they were at relatively low risk of covid-related complications. Many schools were unable to accommodate six feet of space between students’ desks and forced to rely on virtual education for more than a year, said Joseph Allen, a Harvard University expert in environmental health, who called in 2020 for schools to adopt three feet of social distance.

“The six-foot rule was really an error that had been propagated for several decades, based on a misunderstanding of how particles traveled through indoor spaces,” Allen said, adding that health experts often wrongly focused on avoiding droplets from infected people rather than improving ventilation and filtration inside buildings.

Social distancing had champions before the pandemic. Bush administration officials, working on plans to fight bioterrorism, concluded that social distancing could save lives in a health crisis and renewed their calls as the coronavirus approached. The idea also took hold when public health experts initially believed that the coronavirus was often transmitted by droplets expelled by infected people, which could land several feet away; the CDC later acknowledged the virus was airborne and people could be exposed just by sharing the same air in a room, even if they were farther than six feet apart.

“There was no magic around six feet,” Robert R. Redfield, who served as CDC director during the Trump administration, told a congressional committee in March 2022. “It’s just historically that’s what was used for other respiratory pathogens. So that really became the first piece” of a strategy to protect Americans in the early days of the virus, he said.

It also became the standard that states and businesses adopted, with swift pressure on holdouts. Lawmakers and workers urged meat processing plants, delivery companies and other essential businesses to adopt the CDC’s social distancing recommendations as their employees continued reporting to work during the pandemic.

Some business leaders weren’t sure the measures made sense. Jeff Bezos, founder of online retail giant Amazon, petitioned the White House in March 2020 to consider revising the six-foot recommendation, said Adam Boehler, then a senior Trump administration official helping with the coronavirus response. At the time, Amazon was facing questions about a rising number of infections in its warehouses, and Democratic senators were urging the company to adopt social distancing.

“Bezos called me and asked, is there any real science behind this rule?” Boehler said, adding that Bezos pushed on whether Amazon could adopt an alternative distance if workers were masked, physically separated by dividers or other precautions were taken. “He said … it’s the backbone of trying to keep America running here, and when you separate somebody five feet versus six feet, it’s a big difference,” Boehler recalled. Bezos owns The Washington Post.

Kelly Nantel, an Amazon spokesperson, confirmed that Bezos called Boehler and said the Amazon founder’s focus was the discrepancy between the U.S. recommendation and the WHO’s shorter distance. The company soon said it would follow the CDC’s six-foot social distancing guidelines in its warehouses and later developed technologies to try to enforce those guidelines. “We did it globally everywhere because it was the right thing to do,” Nantel said.

Boehler said he spoke with Redfield and Fauci about testing alternatives to the six-foot recommendation but that he was not aware of what happened to those tests or what they found. Fauci declined to comment. Redfield did not respond to requests for comment.

But challenging the six-foot recommendation, particularly in the pandemic’s early days, was seen as politically difficult. Rochelle Walensky, then chief of infectious disease at Massachusetts General Hospital, argued in a July 2020 email that “if people are masked it is quite safe and much more practical to be at 3 feet” in many school settings.

Five months later, incoming president Joe Biden would tap Walensky as his CDC director. Walensky swiftly endorsed the six-foot distance before working to loosen it, announcing in March 2021 that elementary school students could sit three feet apart if they were masked. Walensky declined to comment.

The most persistent government critic of the social distancing guidelines may have been McCance-Katz, who did not respond to requests for comment for this article. Trump’s mental health chief had spent several years clashing with other Department of Health and Human Services officials on various matters and had few internal defenders by the time the pandemic arrived, hampering her message. But while her pleas failed to move the CDC, her warnings about the risks to mental health found an audience with Trump and his allies, who blamed federal bureaucrats for the six-foot rule and other measures.

“What is this nonsense that somehow it’s unsafe to return to school?” McCance-Katz said in September 2020 on an HHS podcast, lamenting the broader shutdown of American life. “I do think that Americans are smart people, and I think that they need to start asking questions about why is it this way.”

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Guest Essay

The Moral Limits of Bankruptcy Law

The torso of a man in a white shirt and tie is visible through a window, bordered by blinds.

By Melissa B. Jacoby

Ms. Jacoby is the author of the forthcoming book “Unjust Debts: How Our Bankruptcy System Makes America More Unequal.”

When Purdue Pharma filed for Chapter 11 bankruptcy in 2019 , it had over a billion dollars in the bank and owed no money to lenders. But it also had the Sacklers, its owners, who were eager to put behind them allegations that they played a leading role in the national opioid epidemic.

The United States Supreme Court is now considering whether the bankruptcy system should have given this wealthy family a permanent shield against civil liability. But there is a bigger question at stake, too: Why is a company with no lenders turning to the federal bankruptcy system in response to accusations of harm and misconduct?

The maker of OxyContin is one in a long line of companies that have turned Chapter 11 into a legal Swiss Army knife, tackling problems that are a mismatch for its rules. Managing costly and sprawling litigation through bankruptcy can be well intentioned. But Chapter 11 was designed around the goal of helping financially distressed businesses restructure loans and other contract obligations.

If companies instead turn to bankruptcy to permanently and comprehensively cap liability for wrongdoing — the objective not only of Purdue Pharma but also of many other entities over recent decades — they can shortchange the rights of individuals seeking accountability for corporate coverups of toxic products and other wrongdoing. And in a country that relies on lawsuits and the civil justice system to deter corporate malfeasance, permanently capping liability using a procedure focused primarily on debt and money could be making us less safe.

In 1978, a bipartisan group of lawmakers enacted sweeping reforms to American bankruptcy law. To enhance economic value and keep viable businesses alive for the benefit of workers and other stakeholders, these changes gave companies more protection and control in bankruptcy. This new bankruptcy code also made it easier to alter the legal rights of creditors during and after bankruptcy without their consent.

To provide more sweeping protection to a distressed but viable company, the new bankruptcy laws also expanded the definition of “creditor” to include people allegedly injured by the business. Yet the rules governing Chapter 11 were drafted primarily with loans and contracts, not large numbers of harmed individuals, in mind.

When this bankruptcy law expansion dovetailed with the rise of high-volume asbestos litigation, creative lawyers started a trend that bankruptcy code drafters did not anticipate: using Chapter 11 to manage widespread allegations of coverups and harm to individuals. The former Fortune 500 company Johns Manville, an asbestos manufacturer, filed for bankruptcy in 1982, arguing that being a defendant in so many lawsuits made it eligible for Chapter 11.

The company promoted a broad reading of bankruptcy’s scope: to save the business, it needed protection not only from injured people already pursuing the company but also from those who might discover how asbestos harmed them much later in the future. In exchange, a trust would be set up to compensate claimants. Federal court orders put these ideas into effect, and Congress eventually passed a law authorizing asbestos bankruptcies if structured like Manville’s.

When the pharmaceutical and consumer products company A.H. Robins demanded even more bankruptcy protection than Manville, it set the stage for strategies like the one Purdue Pharma would adopt. After A.H. Robins’s Dalkon Shield birth control device triggered a host of medical problems for hundreds of thousands of women around the world, including spontaneous septic abortion, loss of fertility and death, the company filed for Chapter 11 in 1985. The resulting court orders not only granted its requested relief and set up a trust for injured women but also shielded its owners, members of the Robins family, who were accused of fraudulently concealing the Shield’s hazards .

The use of Chapter 11 to permanently cap liability for a range of potentially liable parties attracted the attention of the Catholic Church. Since the 2000s, 35 dioceses have filed for Chapter 11 in response to allegations of child sex abuse and coverups. So have organizations like U.S.A. Gymnastics and the Boy Scouts of America . Illustrating how bankruptcy makes strange bedfellows, the U.S. Conference of Catholic Bishops filed a Supreme Court brief to support the protection of the Sacklers in the Purdue Pharma bankruptcy.

Some companies facing tens of thousands of lawsuits are too well off for bankruptcy yet are determined to access the system’s benefits. In a maneuver often called the Texas two-step, financially healthy companies have created special nonoperating subsidiaries to send into Chapter 11. By doing so, the hope is to permanently shield the entire corporate enterprise against liability for wrongdoing, in exchange for a fixed financial contribution to compensate claimants now and in the future.

The two-step provokes costly and time-consuming legal challenges, and even if they succeed, the bankruptcy filing typically results in the cancellation of scheduled jury trials in other courts in the meantime — to the companies’ benefit. The corporate giant Johnson & Johnson has already filed two two-step bankruptcies in its effort to cap liabilities for accusations that it ignored alleged cancer risks stemming from its talc-based personal hygiene products. Although both attempts were eventually dismissed because the entity was not in financial distress, Johnson & Johnson is planning to file a third time .

Some academics, and even more bankruptcy lawyers, believe Chapter 11 can be useful to manage a wide array of mass tort litigation, at least in some instances. The 1997 report of a federal commission concluded that the bankruptcy system had features well suited to managing mass tort liabilities if substantial guardrails were put in place (but Congress did not enact those guardrails).

The trade-off for overriding some laws and procedures was promoting equal treatment of similarly situated claimants , including those who discover harm long in the future who could not readily collect from the pot under other dispute resolutions systems, while saving otherwise viable organizations to the benefit of workers and other stakeholders. Supporters often say Chapter 11 is more efficient than civil litigation, which can translate into higher compensation for injured people.

Unfortunately, bankruptcy has a rocky track record in delivering its hoped-for financial benefits. While Manville lived on, the trust created by its bankruptcy swiftly ran out of money and slashed recoveries to even the most severely ill claimants. And asbestos cases continue to generate underfunding and inconsistent payouts . People have received vastly different recoveries depending on when they got sick. Concerns that asbestos trusts shortchanged people with severe injuries while potentially overcompensating others fueled several (ultimately unsuccessful) congressional efforts to move asbestos claims out of court systems altogether .

Recent non-asbestos cases reinforce that one cannot rely on organizations’ predictions of how and when injured people will be compensated. The opioid maker Mallinckrodt reduced the funding for opioid claimants by $1 billion in the year following the conclusion of negotiations and court approval of the company’s bankruptcy plan. The Boy Scouts of America predicted full compensation for survivors of child sex abuse when it sought approval of its Chapter 11 plan. Yet it was later made clear that survivors almost certainly will not recover at that level. To ensure the trust does not run out of money and shortchange later claimants, initial payouts to Boy Scouts survivors are set at just 1.5 percent of claim values ; claimants should collect more later, but no one can say how much more or when.

Any system that undercompensates for serious harm implicates more than claimants’ wallets. It undercuts a key objective of our justice system: deterring bad behavior.

Although bankruptcy advocates tend to focus on financial compensation, other issues are also at stake. Injured people in pursuit of accountability for organizational wrongdoing have found their diversion to the bankruptcy system frustrating and unfair , more business than justice . The perception of unfairness is especially strong in Texas two-step cases. Earlier this year, a bipartisan trio of senators and 24 states and the District of Columbia unsuccessfully implored the Supreme Court to override the Fourth Circuit decisions that enable profitable and thriving companies to keep personal injury claimants, some of whom are severely ill and dying, from pursuing their claims in other courts.

The Supreme Court’s examination of Purdue Pharma’s case also presents an opportunity to consider how expansive use of the national bankruptcy system can create tension with constitutional principles. For example, some experts worry that these cases insufficiently protect the due process of people who discover harm long after a bankruptcy case has changed their rights. Using bankruptcy to shift control away from claimants and halt lawsuits also has implications for federalism. Federal bankruptcy filings of dioceses and other organizations have impeded state initiatives, such as New York’s Child Victims Act, which reopened state courts to adult survivors of child sex abuse and included special procedures and trauma-related training.

Overall, these cases pose challenges bigger than the matter the Supreme Court must decide in Purdue Pharma. The looming question remains whether we the people may be at greater risk — monetarily, bodily, constitutionally — when a system designed for restructuring the debt of financially distressed companies is retrofitted for other policy problems.

Melissa B. Jacoby is a law professor at the University of North Carolina at Chapel Hill and the author of the forthcoming book “Unjust Debts: How Our Bankruptcy System Makes America More Unequal.”

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

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