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Tobacco |
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Prevalence of tobacco use is reported by the World Health Organization (WHO), which focuses on cigarette smoking due to reported data limitations. [1] Smoking has therefore been studied more extensively than any other form of consumption. [2]
Smoking is globally five times more prevalent among men than women; [3] [4] however, the gender gap is smaller in rich countries and in younger age groups. [5] [6] In developed countries smoking rates for men have peaked and have begun to decline, and also started to stall or decline for women. [7] Smoking prevalence has changed little since the mid-1990s, before which time it declined in English-speaking countries due to the implementation of tobacco control. However, the number of smokers worldwide has increased from 721 million in 1980 to 967 million in 2012 and the number of cigarettes smoked increased from 4.96 trillion to 6.25 trillion due to population growth. [8]
In Western countries, smoking is more prevalent among populations with mental health problems, with alcohol and drug problems, among criminals, and among the homeless. [9] In 2002, about 20% of young teens (aged 13–15) smoked worldwide. 80,000 to 100,000 children begin smoking every day. Half of those who begin smoking in adolescent years are projected to go on to smoke for 15 to 20 years. [10]
One of the targets of the Sustainable Development Goal 3 of the United Nations (to be achieved by 2030) is to "Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate." The indicator that is used to measure progress is the prevalence of tobacco use. [11]
WHO states that "Much of the disease burden and premature mortality attributable to tobacco use disproportionately affect the poor". Of the 1.22 billion smokers, 1 billion of them live in developing or transitional economies. Rates of smoking have leveled off or declined in the developed world. [12] In the developing world, tobacco consumption is rising by 3.4% per year as of 2002. [10]
The WHO in 2004 projected 58.8 million deaths to occur globally, from which 5.4 million are tobacco-attributed, and 4.9 million as of 2007. [13] As of 2002, 70% of the deaths are in developing countries. [13]
One of the targets of the Sustainable Development Goal 3 of the United Nations (to be achieved by 2030) is to "Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate." The indicator that is used to measure progress is the "age-standardized prevalence of current tobacco use among persons aged 15 years and older". [14]
Prevalence of tobacco use (% of adults) worldwide [15]
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The following is a list of countries by the percentage of age-standardized prevalence of tobacco use (including products such as snus) among persons 15 years and older as published by the World Health Organization. [16]
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In the 20th century, smoking was common. There were social events like the smoke night which promoted the habit. In Australia the prevalence of smoking is in decline, with figures from the 2011-12 Australian Health Survey showing 18% of the population to be current smokers, [21] a decline from 28% in 1989–90. [22]
Among the indigenous population, the rate was much higher: 50% of men and 44% of women reported being current smokers in 2007–08. [23]
People aged 25 to 34 were the most likely to smoke (24%), with a marked decline in smoking rates as age increased past 45 years in 2011–12. [21]
In 2007–08, the prevalence of smoking was strongly associated with socioeconomic disadvantage: a greater proportion of men (33%) and women (26%) who live in the most disadvantaged 20% of areas were current smokers than those who live in the least disadvantaged 20% of areas (12% and 11% respectively). [22]
In 2016 the daily smoking rate was less than 13%. [24] By 2022, this number had fallen to 10.6% in Australian adults. [25]
In December 2002, Statistics Canada published a report on smoking prevalence from 1985 to 2001. In that report they found from 1985 to 1991, prevalence of "current smoking" (which they defined as daily smokers and occasional smokers) declined overall, for both sexes and all age groups except for those aged 15 to 24. Even larger declines occurred from 1991 to 2001. While current smoking prevalence for youths did not significantly change from 1985 to 1994–1995, there was a significant decrease of 6 percentage points from 1994–1995 to 2001 (from 28.5% to 22.5%). Provincially, Newfoundland and Labrador, Nova Scotia, Quebec, Ontario, Saskatchewan, Alberta and British Columbia, experienced most of their declines in current smoking prevalence from 1994 to 1995 onwards. All of the provinces experienced some level of declines over the entire 1985 to 2001 period. Declines in daily smoking prevalence occurred for both sexes and all age groups over the entire 17-year time span, although youth smoking did not start significantly declining until the mid-1990s. Overall, for daily cigarette consumption, smokers by 2001 had a significantly lower proportion of smoking 26 or more cigarettes daily compared with 1985 (14.0% to 5.8%). Most of the declines in the different sex or age groups occurred after 1991. At the same time, smokers in 2001 had a higher proportion of smoking 1 to 10 cigarettes daily compared with 1985 (18.6% to 31.1%). Most of the decline occurred after 1991. [26] As of 2008 the rate was estimated to be 18%, and declining. [27] A 2011 survey estimates that 17% of Canadians smoke. [28]
In 2005, 27% of the population admitted to being current smokers. 23% were daily smokers (28% of men and 19% of women,) while 4% smoked occasionally. The highest ratio of daily smokers was in the 20-24 age group: 38% of men and 30% of women. [29] According to a 2010 study by University of Bielefeld, 9.9% of all 15-year-old males and 10.8% of 15-year-old females smoked daily, which showed a strong decline during the previous decade. [30]
As in other industrial countries the prevalence of smoking in Germany is lower among people with higher education level.
A 2006 a comparative study found that 25.1% of male and 20.6% of female medical students in Göttingen smoked, while in London the percentages were only 10.9% and 9.1%. [31]
Germany had the largest number of cigarette vending machines per capita in the world: 1 per 102.5 people. [32]
In Israel, [33] smoking prevalence among males had remained relatively constant at 30% in the years 1994–2004. [34] Among females the prevalence has declined slightly from 25% in 1998 to 18% in 2003. [34] For the youth, 14% smoked at least once per week, according to a 2001 publication. [35]
In 2005, research has shown that Israeli youths have begun to use bidis and hookah, as alternative methods of tobacco use. [34] In 1990, smoking was the cause of about 1,800 male deaths in Israel which was around 12% of all male deaths. [36] Smoking has not been found to be significant cause of death among Israeli women. [36] The average number of cigarettes smoked per Israeli stands at 2162 (6). [34]
There are several anti-tobacco use legislations in effect. For instance, advertising is prohibited in youth publications and is forbidden on television and radio, [36] in addition to substantial increases in tobacco taxes, although the prices are still among the lowest compared to all of the European countries. [36] In addition, until 2004, there was no minimum age requirement for buying tobacco products in Israel; [37] however, an amendment to the tobacco marketing and advertisement law that became effective at 2004 has limited the sale of tobacco to people above the age of 18. [38]
According to Israel Central Bureau of Statistics, the smoking rate in the Israeli adult population in 2009 was 20.9%, down from 34% in 2000. [39] A Ministry of Health nationwide survey conducted in 2011 found that 20.6% of the population aged 21 and older were smokers. [40] The highest percentage of smokers was among Arab males, 44% percent of whom smoked, though this figure is down from 50% in 1996.
Tobacco consumption in New Zealand peaked in the mid-1970s when 60% of the population were smokers. By 2011 that number had fallen to 20% of the population, thanks to stringent tobacco control laws which are amongst the world's strictest. However, despite these laws, the number of smokers appears to be increasing as the global economy worsens and a recent spate of natural disasters have seen an increase in tobacco sales and although more males smoke than females, this gap is slowly narrowing. Tobacco consumption by Maori remains disproportionately high despite having decreased over recent years thanks to television, internet, radio and print media anti-smoking advertising aimed at Maori. The high rate of Maori tobacco consumption has been described by many Maori health advocates and academics as a "cultural genocide".
According to the Romanian Ministry of Health, the smoking rate among the general population declined from 36% in 2004 to 26% in 2011. [41] A report commissioned in 2012 revealed that 34.9% of men smoked daily, compared to 14.5% of women, and in the preceding 12 months, 37.8% of regular smokers had attempted to quit at least once. [42] Despite a general decline in smoking prevalence, the rate among women nearly doubled from 1991 to 2011, with 55% of women smokers belonging to the 15–34 age group. [43]
According to the 2017 National Health Survey [44] 22.1% of the population above the age of 15 reports smoking daily, 2.3% declares smoking occasionally, 24.9% reports being ex-smokers and 50.7% never smoked. The survey also revealed that 25.6% of men smoked, compared to 18.8% women. The historical data series shows the rate in Spain has fallen more than 10 points from 1993 to 2017, from 44% to 25.6% for men and from 20.8% to 18.8% for women. However, since 2014, the trend has slowed, with just less than 1 point improvement, from 23% to 22.1%.
The first research of smoking in Sweden was performed in 1946; it showed that 50% of men, and 9% of women were smokers. In 1977 41% of men and 32% of women were smokers. [46] By 2011, the use of smoking tobacco on a daily basis had decreased to only 12.5% among men and 14.3% among women. The use of snus, on a daily basis among men older than 15 years, was approximately 19.4% and only 3.0% for women. [45]
The Health Survey for England in 2002 found a smoking rate of 26%. By 2007 the proportion of adult smokers in England had declined four percentage points to 22%. [47] In 2015, it was reported smoking rates in England had fallen to 16.9%, a record low. [48] The rate in England had fallen to 14.4% in 2018. [49]
Overall, the numbers of smokers in the UK in 2007 was estimated at 13.7 million. [50] In 2007 the rate of smoking amongst the most socioeconomically affluent patients was 14%, compared to 34% for the most deprived. [50] Figures from 2013 show that proportion of the British population (UK excluding Northern Ireland) who smoke has fallen to 19%. [51]
In 2005 23.9% of men and 18.1% of women were current smokers. Among racial and ethnic groups, Native Americans and Alaska Natives had the highest prevalence at 32.0%, followed by non-Hispanic whites at 21.9%, and non-Hispanic blacks at 21.5%. Hispanics at 16.2%, and Asians at 13.3% had the lowest rates. Based on education level, the highest percentage of smokers among adults had those who earned a General Educational Development (GED) diploma at 43.2% and those with 9–11 years of education at 32.6%. The prevalence of tobacco use was generally lower among those with higher education levels. Adults aged 18–24 years were at 24.4% and 25–44 years were at 24.1%, which were the highest prevalence indicators. The prevalence of current smoking was higher among adults living below the poverty line at 29.9% than among those at or above the poverty line at 20.6%. [53]
In November 2015, the Centers for Disease Control and Prevention noted in their report, "The percentage of U.S. adults who smoke cigarettes declined from 20.9 percent in 2005 to 16.8 percent in 2014. Cigarette smoking was significantly lower in 2014 (16.8 percent) than in 2013 (17.8 percent)." The CDC concluded this from data obtained by a survey of Americans. However, researchers said that they are not sure if products like e-cigarettes are in any way helpful to reduce smoking in the country. Around 4,000 minors start smoking in the US every day. [54]
As of 2022, a total of 11.2% of U.S. adults (11.7% of men and 10.8% of women) smoke. [55]
Tobacco smoking is the practice of burning tobacco and ingesting the resulting smoke. The smoke may be inhaled, as is done with cigarettes, or simply released from the mouth, as is generally done with pipes and cigars. The practice is believed to have begun as early as 5000–3000 BC in Mesoamerica and South America. Tobacco was introduced to Eurasia in the late 17th century by European colonists, where it followed common trade routes. The practice encountered criticism from its first import into the Western world onwards but embedded itself in certain strata of a number of societies before becoming widespread upon the introduction of automated cigarette-rolling apparatus.
Tobacco products, especially when smoked or used orally, have serious negative effects on human health. Smoking and smokeless tobacco use are the single greatest causes of preventable death globally. Half of tobacco users die from complications related to such use. Current smokers are estimated to die an average of 10 years earlier than non-smokers. The World Health Organization estimates that, in total, about 8 million people die from tobacco-related causes, including 1.3 million non-smokers due to secondhand smoke. It is further estimated to have caused 100 million deaths in the 20th century.
Tobacco harm reduction (THR) is a public health strategy to lower the health risks to individuals and wider society associated with using tobacco products. It is an example of the concept of harm reduction, a strategy for dealing with the use of drugs. Tobacco smoking is widely acknowledged as a leading cause of illness and death, and reducing smoking is vital to public health.
Smoking is a practice in which a substance is combusted and the resulting smoke is typically inhaled to be tasted and absorbed into the bloodstream of a person. Most commonly, the substance used is the dried leaves of the tobacco plant, which have been rolled with a small rectangle of paper into an elongated cylinder called a cigarette. Other forms of smoking include the use of a smoking pipe or a bong.
Health in Israel is generally considered good.
Tobacco control is a field of international public health science, policy and practice dedicated to addressing tobacco use and thereby reducing the morbidity and mortality it causes. Since most cigarettes and cigars and hookahs contain/use tobacco, tobacco control also concerns these. E-cigarettes do not contain tobacco itself, but (often) do contain nicotine. Tobacco control is a priority area for the World Health Organization (WHO), through the Framework Convention on Tobacco Control. References to a tobacco control movement may have either positive or negative connotations, depending upon the commentator.
Tobacco has a long cultural, economic, and social impact on the United States. Tobacco cultivation in Jamestown, Virginia, in 1610 led to the expansion of British colonialism in the Southern United States. As the demand for Tobacco grew in Europe, further colonization in British America and Tobacco production saw a parallel increase. Tobacco use became normalized in American society and was heavily consumed before and after American independence.
Tobacco smoking has serious negative effects on the body. A wide variety of diseases and medical phenomena affect the sexes differently, and the same holds true for the effects of tobacco. Since the proliferation of tobacco, many cultures have viewed smoking as a masculine vice, and as such the majority of research into the specific differences between men and women with regards to the effects of tobacco have only been studied in-depth in recent years.
Smoking in China is prevalent, as the People's Republic of China is the world's largest consumer and producer of tobacco. As of 2022, there are around 300 million Chinese smokers, and 2.4 trillion cigarettes are sold there every year, 46% of the world total.
Smokingamong youth and adolescents is an issue that affects countries worldwide. While the extent to which smoking is viewed as a negative health behavior may vary across different nations, it remains an issue regardless of how it is perceived by different societies. The United States has taken numerous measures, ranging from changes in national policy surrounding youth cigarette access to changes in media campaigns, in attempts to eliminate the use of tobacco products among teenagers. Approximately 90% of smokers begin smoking prior to the age of 18.
The majority of lifelong smokers begin smoking habits before the age of 24, which makes the college years a critical time for tobacco companies to convince college students to pick up the habit of cigarette smoking. Cigarette smoking in college is seen as a social activity by those who partake in it, and more than half of the students that are users do not consider themselves smokers. This may be because most college students plan to quit smoking by the time that they graduate.
Smoking in Syria is steadily increasing in popularity amongst the Syrian population, mainly in the forms of cigarettes or narghiles. In Syria, the General Organization of Tobacco manages the growth and exportation of tobacco products. Syrians collectively spend about $600 million per year on tobacco consumption. As of 2010, 20% of women and 60% of men smoke and 98% of the overall population is affected by passive smoking. Narghiles and cigarettes are the two main forms of tobacco consumption. Despite the assumption that smoking, specifically the narghile, is embedded in Syrian culture, this phenomenon has only recently become widespread. Health officials are currently working on smoking cessation programs and policies, to remove this idea that smoking in Syria is an essential part of the culture, to educate regarding health effects, and to prevent citizens from smoking in public places.
The use of tobacco products in Egypt is widespread. It is estimated that approximately twenty percent of the population uses tobacco products daily. Cigarettes are the most common form of tobacco consumption in Egypt, with an estimated twenty billion cigarettes smoked annually in the country. After cigarettes, shisha water-pipes are the most common form of tobacco consumption.
SmokinginCanada is banned in indoor public spaces, public transit facilities and workplaces, by all territories and provinces, and by the federal government. As of 2010, legislation banning smoking within each of these jurisdictions is mostly consistent, despite the separate development of legislation by each jurisdiction. Notable variations between the jurisdictions include: whether, and in what circumstances ventilated smoking rooms are permitted; whether, and up to what distance away from a building is smoking banned outside of a building; and, whether smoking is banned in private vehicles occupied by children.
Smoking in South Korea has decreased overall for both men and women in the past decades. However, a high prevalence of tobacco use is still observed, especially with the rise of novel tobacco products such as e-cigarettes and heat-not-burn tobacco products. There are socioeconomic inequalities in smoking prevalence according to gender, income, education, and occupational class. Advocates call for measures to reduce the smoking rates and address smoking inequalities using a combination of monitoring and tobacco control policies. These measures include significant price hikes, mandatory warning photos on cigarette packs, advertising bans, financial incentives, medical help for quitting, and complete smoking bans in public places.
Smoking in Albania is prevalent as about 40% of Albanians smoke regularly. In Europe, only Turkey has a higher smoking rate than Albania. Albanians annually spend more than €300 million on tobacco products. Zog I of Albania was reported to smoke 200 cigarettes a day. Albania adopted tough anti-smoking laws in 2007, but they are not strictly enforced. Smoking prevalence is increasing, especially among females ages 13 to 15. The smoking rate for teens between the ages of 13 and 15 is currently 15%.
Tobacco smoking is popular in North Korea and culturally acceptable among men, but not for women. As of 2019, some 43.6% of men are reported to smoke daily, whilst in contrast only 4.5% of women smoke daily, with most of these being older women from rural areas. Smoking is a leading cause of death in North Korea, and as of 2021 mortality figures indicate that 14.2% of North Koreans die due to smoking-related causes, which is the 6th highest rate after China, Greenland, Kiribati, Denmark and Micronesia. There are tobacco control programs in North Korea, and although smoking was not prohibited in all public spaces, the smoking rates have declined since their peak in the 2000s.
Tobacco policy in Armenia is the attempt by the Armenian authorities to regulate smoking in Armenia. Tobacco laws and regulations are controlled by the Ministry of Health of Armenia. Armenian men tend to be the most common tobacco users, as 42.5% of men over the age of 15 smoke.
Smoking in Latvia is common, with a rate higher than the OECD average, and Latvian men are among the heaviest smokers in the European Union. One in four Latvians smoke, as compared to one in five in the rest of the European Union. While the overall smoking rate in Latvia has decreased in recent years, it is considered a significant factor in the country's significant health challenges, particularly with regard to preventable diseases such as heart disease, diabetes, and cancer.
Smoking in Australia is restricted in enclosed public places, workplaces, in areas of public transport and near underage events, except new laws in New South Wales that ban smoking within ten metres of children's play spaces.
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