The science behind why it’s so difficult to quit smoking is crystal clear: Nicotine is addictive – reportedly as addictive as cocaine or heroin in some medical literature.
Any adult smoker would have heard from a family, friend, or even medical practitioner to quit or switch to less harmful products if possible.
“If we look at worldwide prevalence of smoking at national levels, the numbers have decreased from 43% of the world population down to 26%, so it looks like success. We then created new health and warning labels, raised the minimum cigarette price through taxes, expanded the definition of “cigarettes” and now we have the smoking ban that was introduced fairly recently in 2018 – all for the sake of lifting the cost of noncommunicable diseases , what we call the disease burden.
This year, the NHMS Adolescent Health Survey 2022 involving secondary school students aged 13 to 17 years saw a decrease in cigarette use, with an increase in e-cigarettes and vape amongst Malaysian teens. According to Dr Harper, just like caffeine, nicotine releases dopamine when ingested and is addictive. To a non-smoker, it’s hard to imagine why smokers do what they do.
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