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What Is the Impact and Extent of Tobacco Use?

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According to the 1999 National Household Survey on Drug abuse, an estimated 57.0 million Americans were current smokers and 7.6 million used smokeless Tobacco, which means that Nicotine is one of the most widely abused substances. In addition, in 1998 each day in the United States more than 2,000 people under the age of 18 began daily smoking. According to the Centers for Disease Control and Prevention (CDC), the prevalence of cigarette smoking among U.S. high school students increased from 27.5 percent in 1991 to 36.4 percent in 1997 before declining to 34.8 percent in 1999. NIDA's own Monitoring the Future Study, which annually surveys Drug use and related attitudes of America's adolescents, also found the prevalence rates for smoking among youth declined from 1999 to 2000. Since 1975, nicotine in the form of cigarettes has consistently been the substance the greatest number of high school students use daily.

Percentage of high school students who currently use cigarettes, smokeless tobacco, or cigars, by gender, race/ethnicity, and grade

Category Cigarettes Smokeless Cigars
Gender
Male
34.7%
14.2%
25.4%
Female 34.9% 1.3% 9.9%
Race/Ethnicity

White, non-Hispanic

38.6%
10.4%
18.8%
Male
38.2%
18.8%
28.3%
Female
39.1%
1.5%
8.6%

Black, non-Hispanic

19.7%
1.3%
13.7%
Male
21.8%
2.5%
16.0%
Female
17.7%
0.2%
11.6%

Hispanic

32.7%
3.9%
16.7%
Male
34.0%
6.1%
21.9%
Female
31.5% 1.8% 11.6%
Grade
9
10
11
12
27.6%
34.7%
36.0%
42.8%
6.8%
7.1%
8.4%
8.9%
13.7%
17.8%
18.2%
22.0%
Total % Surveyed 34.8% 7.8% 17.7%
Source: Centers for Disease Control and Prevention, CDC Surveillance Summaries, June 9, 2000. MMWR 49, SS-5, 2000.


The impact of nicotine Addiction in terms of morbidity, mortality, and economic costs to society is staggering. Tobacco kills more than 430,000 U.S. citizens each year-more than Alcohol, Cocaine, Heroin, homicide, suicide, car accidents, fire, and AIDS combined. Tobacco use is the leading preventable cause of death in the United States.

Economically, an estimated $80 billion of total U.S. health care costs each year is attributable to smoking. However, this cost is well below the total cost to society because it does not include burn care from smoking-related fires, perinatal care for low-birth-weight infants of mothers who smoke, and medical care costs associated with disease caused by secondhand smoke. Taken together, the direct and indirect costs of smoking are estimated at $138 billion per year.
Definitions of Terms Used

TermDescription
AIDS Acquired Immunodeficiency Syndrome. A condition characterized by a defect in the body's natural immunity to diseases. Individuals who suffer from it are at risk for severe illnesses that are usually not a threat to anyone whose immune system is working properly. 
Addiction Strong physiological, emotional and/or psychological dependence on a substance such as alcohol or drugs that has progressed beyond voluntary control. For more on addiction see the section Addiction Information in this website. 
Alcohol Refers to ethyl alcohol or ethanol. 
Cocaine A highly addictive stimulant drug derived from the cocoa plant that produces feelings of euphoria. Also see Crack. 
Drug Any substance, other than food, that changes the function or structure of the body or mind when ingested. Drugs essentially are poisons. The degree they are taken determines the effect. A small amount acts as a stimulant. A greater amount acts as a sedative. A larger amount acts as a poison and can kill one dead. This is true of any drug. Each has a different amount at which it gives those results. 
Drug abuse The use of illegal drugs or the inappropriate use of legal drugs. The repeated use of drugs to produce pleasure, to alleviate stress, or to alter or avoid reality - or all three. 
Heroin The potent, widely abused opiate that produces a profound addiction. It consists of two morphine molecules linked together chemically. 
Nicotine The drug in tobacco that is addictive. Nicotine also activates a specific kind of acetylcholine receptor. 
Tobacco A plant widely cultivated for its leaves, which are used primarily for smoking; the tabacum species is the major source of tobacco products. 
©2005 remository.com


Source: National Institute on Drug Abuse

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