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These studies suggest smoking is bad because it leads to premature death, various diseases, increased medical costs, and significant public health threats.
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Smoking is a pervasive habit that significantly impacts global health. It is the leading preventable cause of death and disability in developed countries and is rapidly increasing in prevalence in developing nations . This article synthesizes research findings to elucidate why smoking is detrimental to health.
Smoking is responsible for a staggering number of premature deaths. In the United States alone, tobacco use kills more people annually than AIDS, suicide, murder, car accidents, and illicit drugs combined. Globally, smoking-related mortality is projected to rise from 3 million annually in 1995 to 10 million by 2030, with 70% of these deaths occurring in developing countries. Half of all smokers will die prematurely from a disease caused by their smoking, losing an average of eight years of life.
The economic burden of smoking is substantial. In the United States, 8% of all annual healthcare expenditures are used to treat smoking-related diseases. Additionally, the loss of productivity due to smoking-related illnesses is significant but harder to quantify.
Smoking is a well-known cause of lung cancer and is linked to various other cancers, including those of the mouth, throat, esophagus, pancreas, bladder, and cervix . Recent evidence suggests that current smoking is an independent predictor of shortened lung cancer survival.
Smoking contributes to numerous cardiovascular and pulmonary diseases, such as chronic obstructive pulmonary disease (COPD), coronary heart disease, stroke, and chronic bronchitis . It also exacerbates conditions like hypertension and peripheral vascular disease.
Beyond cancer and cardiovascular diseases, smoking is associated with peptic ulcer disease, osteoporosis, infertility, and adverse effects on fetal and neonatal growth and development during pregnancy . It also causes systemic oxidative and genotoxic stress, leading to premature aging.
Smoking significantly reduces the quality of life (QOL) for smokers. Lung cancer survivors who continue to smoke report worse QOL, including poorer appetite, increased fatigue, cough, dyspnea, and distress compared to non-smokers and former smokers.
Non-smokers exposed to environmental tobacco smoke also suffer health consequences. Second-hand smoke increases the risk of heart disease and lung cancer in adults and is a significant risk factor for asthma and other health problems in children .
Smoking remains prevalent among adolescents and young adults, with many starting the habit at a young age. In Ukraine, for example, more than 500,000 young people take up smoking each year. The mean age of onset of smoking is alarmingly low, around 13 years.
The rise of alternative smoking products, such as electronic cigarettes, vapes, and hookahs, is particularly concerning among youth. These products are often perceived as less harmful but still pose significant health risks.
The evidence is clear: smoking is a major health hazard with far-reaching consequences. It causes a wide range of diseases, reduces life expectancy, and imposes a significant economic burden. Effective prevention and cessation programs are crucial to reducing the prevalence of smoking and mitigating its impact on global health. Encouraging smoking cessation is one of the most effective and cost-effective measures to improve health and prolong life .
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