The smoking spectrum: review of the existing evidence and future directions
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The health hazards of tobacco use are well documented in the literature. Harms caused by tobacco products are not only confined to smokers themselves; non-smokers exposed to smoking may suffer from the ill consequences of tobacco as well. There is a need for a fresh health promotion strategy to prevent smoking initiation.
This paper aims to: (1) describe the natural history of smoking through its different phases, (2) review the evidence and identify independent correlates of each transitory phase, and (3) suggest possible opportunities for future preventive measures to reduce smoking initiation and tobacco use.
We conducted a literature review to identify potential factors that influence cigarette smoking. The findings are summarized to give an understanding of the natural history of smoking.
Public health departments should explore and encourage health creation in addition to disease prevention to attain an optimum population health status. This paper advocates a comprehensive healthy lifestyle approach at schools, including education about behavioral risks and protective factors. A smoke-free health promotion should promote education on the locus of control and self-determination to inform not only about the harms of smoking and its social influences, but also to empower teenagers with the knowledge and tools to recognize the manipulative techniques of the tobacco industry and victimization of its clientele.
Smoke-free efforts of public health departments should focus on empowering consumers—at least as much as on tobacco legislation—in order to enable them not to be drawn into using tobacco products in the first place.
KeywordsSmoking history Review Empowerment Salutogenesis Prevention
The author thanks Dr. Ak’ingabe Guyon for her comments and suggestions with regard to the first draft of the manuscript.
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Compliance with ethical standards
Conflict of interest
The author declares that he has no conflict of interest.
No human and/or animal experimentations were involved in this research.
- American Lung Association (2017) Smoking facts. http://www.lung.org/stop-smoking/smoking-facts. Accessed 23 August 2017
- Arrazola RA, Neff LJ, Kennedy SM, Holder-Hayes E, Jones CD (2014) Tobacco use among middle and high school students—United States, 2013. MMWR Morb Mortal Wkly Rep 63:1021–1026Google Scholar
- Aubin HJ, Peiffer G, Stoebner-Delbarre A, Vicaut E, Jeanpetit Y, Solesse A, Bonnelye G, Thomas D (2010) The French Observational Cohort of Usual Smokers (FOCUS) cohort: French smokers perceptions and attitudes towards smoking cessation. BMC Public Health 10:100. https://doi.org/10.1186/1471-2458-10-100 CrossRefGoogle Scholar
- Baldwin AS, Rothman AJ, Hertel AW, Linde JA, Jeffery RW, Finch EA, Lando HA (2006) Specifying the determinants of the initiation and maintenance of behavior change: an examination of self-efficacy, satisfaction, and smoking cessation. Health Psychol 25:626–634. https://doi.org/10.1037/0278-6184.108.40.2066 CrossRefGoogle Scholar
- Baliunas D, Patra J, Rehm J, Popova S, Kaiserman M, Taylor B (2007a) Smoking-attributable mortality and expected years of life lost in Canada 2002: conclusions for prevention and policy. Chronic Dis Can 27:154–162Google Scholar
- Canadian Cancer Society (2018) Top 6 reasons people say they smoke. http://www.cancer.ca/en/prevention-and-screening/reduce-cancer-risk/make-healthy-choices/live-smokefree/top-6-reasons-people-say-they-smoke/?region=on. Accessed 27 Dec 2018
- Centers for Diseases Control and Prevention (2011) Cigarette smoking--United States1965-2008. https://www.cdc.gov/mmwr/preview/mmwrhtml/su6001a24.htm. Accessed 27 Dec 2018
- Centers for Disease Control and Prevention (2017) Economic trends in tobacco. http://www.cdc.gov/tobacco/data_statistics/fact_sheets/economics/econ_facts. Accessed 23 August 2017
- Deci EL, Ryan RM (2004) Handbook of self-determination research. University of Rochester Press, Rochester, NYGoogle Scholar
- García-Rodríguez O, Secades-Villa R, Flórez-Salamanca L, Okuda M, Liu SM, Blanco C (2013) Probability and predictors of relapse to smoking: results of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Drug Alcohol Depend 132:479–485. https://doi.org/10.1016/j.drugalcdep.2013.03.008 CrossRefGoogle Scholar
- Harrabi I, Chahed H, Maatoug J, Gaha J, Essoussi S, Ghannem H (2009) Predictors of smoking initiation among schoolchildren in Tunisia: a 4 years cohort study. Afr Health Sci 9:147–152Google Scholar
- Health Canada (2015) You can quit smoking. We can help. https://www.canada.ca/en/health-canada/services/smoking-tobacco/quit-smoking/tips-help-someone-quit-smoking/you-can-quit-smoking-we-can-help.html. Accessed 23 August 2017
- Health Canada and the Canadian Cancer Society (2017) Break It Off. Pan-Canadian quitline. http://breakitoff.ca/. Accessed 23 August 2017
- Henderson PN, Rhoades D, Henderson JA, Welty TK, Buchwald D (2004) Smoking cessation and its determinants among older American Indians: the Strong Heart Study. Ethn Dis 14:274–279Google Scholar
- Jamieson PE, Romer D (2015) Portrayal of tobacco use in prime-time TV dramas: trends and associations with adult cigarette consumption—USA, 1955–2010. Tob Control 24:243–248. https://doi.org/10.1136/tobaccocontrol-2012-050896 CrossRefGoogle Scholar
- Johnson NB, Hayes LD, Brown K, Hoo EC, Ethier KA; Centers for Disease Control and Prevention (CDC) (2014) CDC National Health Report: leading causes of morbidity and mortality and associated behavioral risk and protective factors—United States, 2005–2013. MMWR Suppl 63:3–27Google Scholar
- Kaleta D, Makowiec-Dąbrowska T, Dziankowska-Zaborszczyk E, Fronczak A (2013) Predictors of smoking initiation—results from the Global Adult Tobacco Survey (GATS) in Poland 2009–2010. Ann Agric Environ Med 20:756–766Google Scholar
- Li L, Borland R, Yong HH, Fong GT, Bansal-Travers M, Quah AC, Sirirassamee B, Omar M, Zanna MP, Fotuhi O (2010) Predictors of smoking cessation among adult smokers in Malaysia and Thailand: findings from the International Tobacco Control Southeast Asia Survey. Nicotine Tob Res 12:S34–S44. https://doi.org/10.1093/ntr/ntq030 CrossRefGoogle Scholar
- Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H et al (2012) A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380:2224–2260. https://doi.org/10.1016/S0140-6736(12)61766-8 CrossRefGoogle Scholar
- Marino MG, Fusconi E, Magnatta R, Panà A, Maurici M (2010) Epidemiologic determinants affecting cigarette smoking cessation: a retrospective study in a National Health System (SSN) treatment service in Rome (Italy). J Environ Public Health. https://doi.org/10.1155/2010/183206
- Oh DL, Heck JE, Dresler C, Allwright S, Haglund M, Del Mazo SS, Kralikova E, Stucker I, Tamang E, Gritz ER, Hashibe M (2010) Determinants of smoking initiation among women in five European countries: a cross-sectional survey. BMC Public Health 10:74. https://doi.org/10.1186/1471-2458-10-74 CrossRefGoogle Scholar
- Peltzer K (2011) Early smoking initiation and associated factors among in-school male and female adolescents in seven African countries. Afr Health Sci 11:320–328Google Scholar
- Physicians for a Smoke-Free Canada (2009) The global tobacco economy: a snapshot of the economies of multinational tobacco companies and of international tobacco control efforts in 2008. http://www.smoke-free.ca/pdf_1/GlobalTobaccoEconomy-2009.pdf. Accessed 23 August 2017
- Propel Centre for Population Health Impact (2012) 2010/2011 Youth Smoking Survey: results profile for Quebec. University of Waterloo, Waterloo, pp 1–21Google Scholar
- Reid JL, Hammond D, Rynard VL, Madill CL, Burkhalter R (2017) Tobacco use in Canada: patterns and trends, 2017 edition. Propel Centre for Population Health Impact, University of Waterloo. https://uwaterloo.ca/tobacco-use-canada/sites/ca.tobacco-use-canada/files/uploads/files/2017_tobaccouseincanada_final_0.pdf. Accessed 23 August 2017
- Swayampakala K, Thrasher J, Carpenter MJ, Shigematsu LM, Cupertio AP, Berg CJ (2013) Level of cigarette consumption and quit behavior in a population of low-intensity smokers—longitudinal results from the International Tobacco Control (ITC) survey in Mexico. Addict Behav 38:1958–1965. https://doi.org/10.1016/j.addbeh.2012.12.007 CrossRefGoogle Scholar
- U.S. Department of Health and Human Services (2014) The health consequences of smoking—50 years of progress. A report of the Surgeon General. http://www.surgeongeneral.gov/library/reports/50-years-of-progress/full-report.pdf. Accessed 23 August 2017
- Wikipedia (2017) Salutogenesis. https://en.wikipedia.org/wiki/Salutogenesis. Accessed 23 August 2017
- World Health Organization (2012) The tobacco industry interference: a global brief. http://www.euro.who.int/__data/assets/pdf_file/0005/165254/Tobacco-Industry-Interference-A-Global-Brief.pdf. Accessed 23 August 2017
- World Health Organization (2013) WHO report on the global tobacco epidemic, 2013: enforcing bans on tobacco advertising,promotion and sponsorship. http://apps.who.int/iris/bitstream/10665/85380/1/9789241505871_eng.pdf. Accessed 23 August 2017
- World Health Organization (2014) Tobacco. Fact sheet no. 339. http://www.who.int/mediacentre/factsheets/fs339/en. Accessed 23 August 2017