Bunbaker - What I don't understand is why so many young people start smoking these days when everyone knows how bad it is for you, and has known for a number of years.
I think it's the addiction message that isn't getting across. Nobody starts smoking thinking 'I'll smoke 20 a day for the next 40 years', they think they'll just smoke a few to impress their mates and they'll stop when they want, before it does them too much damage. It's not until they actually try to stop they realise just how addicted they are.
This is where I think the 'smokers are just selfish and could stop if they wanted to' argument is incredibly dangerous and destructive. If that were true, what would anyone have to fear from smoking a few fags in their youth?
This is the kind of info we need to be getting across to youngsters (from page 15 of this paper):
ADDICTION IN ADOLESCENCE
Only a few exposures to nicotine are required to produce neuroplastic changes in adolescent rats, and in adolescent humans, only a few cigarettes are required to produce symptoms of tobacco dependence.
In the largest study of adolescent addiction to smoking published so far, 7,482 adolescents interviewed at 14 to 15 years of age, had rapidly become addicted to smoking, as judged by symptoms of loss of control over their smoking.
Addiction is assessed by questions on symptoms of loss of autonomy over smoking (the Hooked on Nicotine Checklist or HONC), validated against brain scans. We found that:
- One quarter lose some control over their smoking after smoking only one to two cigarettes.
- Forty percent lose some control after smoking one to nine cigarettes ever.
- At 10-19 cigarettes ever smoked, half reported some loss of control over their smoking.
- Of those 14- to 15-year-olds who had ever smoked 100 cigarettes or more, half had high scores for loss of autonomy (7 to 10 out of 10 on the HONC scale).
- Most of these 7,482 students had not smoked 100 cigarettes or more in their lifetime, but of those who had, 93 percent had diminished autonomy over their smoking, as measured by the Hooked on Nicotine Checklist (HONC).
Adolescent addiction cannot be dismissed as trivial, something they grow out of. It is intense, and in the majority who become lifelong smokers, it will shorten the lifespan of two-thirds of them, and markedly affect their lifetime health status.