smoking; cigarette smoking; tobacco smoking

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Etiology

Epidemiology

  • cigarette smoking among U.S. high school students has dropped to the lowest level in more than 20 years (16%)[37]
  • hispanic youth most susceptible to smoking[49]
  • smoking during pregnancy[57]
    • most common among women age 20-24
    • most common among Native Americans (17%)
    • least common among Asian women (< 1%)
    • most common in West Virginia > Kentucky, Montana, Missouri, & Vermont -least common in California, Connecticut, & Texas[57]

Pathology

Some known carcinogens in smoke

Genetics

Laboratory

Diagnostic procedures

Radiology

Complications

* Unfiltered high-tar cigarettes associated with greatest risk Amount of tar in filtered cigarettes has little effect on risk[11]

# 26-fold increase risk of lung cancer for 1 pack/day relative to non-smoker

reduction in smoking reduces lung cancer risk[16]

even consistent smoking < 1 cigarette/day is associated with excess mortality relative to never smokers (RR=1.6)[52]

Diseases associated with or aggravated by smoking:

Other increased risks:

Pipe & cigar smoking also associated with COPD[25]

Water pipe smoking with pulmonary effects similar to cigarettes[27]

2nd hand smoke or passive smoking:

Management

Notes

  • menthol cigarettes*
    • increase initiation of smoking by youth
    • increase dependence
    • reduce likelihood of successfully quitting smoking
    • do not increase smoke toxicity
    • do not increase risk for disease[33]

smoking bans in US prisons reduces smoking-related mortality by 9%[38]

FDA announces plans to reduce nicotine levels in combustible cigarettes to nonaddictive levels[54][58]

* comparisons relative to non-menthol cigarettes

More general terms

More specific terms

Additional terms

References

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    NGC guideline updated Feb 2016
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