Smoking is one of the world’s most pressing public health problems. Cigarettes, Nicotine, and Health reviews the severe problems caused by smoking and examines individual and public health approaches to reducing smoking and its attendant health problems. Cigarettes are the most popular, most addictive, and most deadly form of tobacco use, with cigarette design contributing directly to the dangers of smoking; most of the book focuses on this predominant form of nicotine use.
Chapter 5: The Natural History of a Dependence Disorder
The Natural History of a Dependence Disorder
By inhaling, the smoker can get nicotine in his brain more rapidly than the heroin addict can get a “buzz” when he shoots heroin into a vein.
About two thirds of college students have tried tobacco, but far fewer of them will use tobacco throughout their lives. What risk factors make a person susceptible to long-term smoking? And what is it about cigarettes that draws a young person toward experimentation and then moves him or her on to regular use? This chapter explores some of those forces, including cultural attitudes about smoking, biological vulnerability, and tobacco's reinforcing properties.
Picture a 12-year-old hunched over on the front steps of an apartment building ...