Smoking Habits and Lung Cancer Risks for Young Adults - Pulmonology

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Smoking cessation issues


Hello, doctor: I have two questions I would like to ask.
I will turn 22 in three months.
I have been smoking for about 8-9 years, averaging around a pack a day (sometimes I smoke only 4-5 cigarettes).
On days when I go out, I might smoke up to 2 packs, but I do not smoke on Saturdays and Sundays.
However, when I do smoke, I usually smoke 4-5 cigarettes in a row, then wait 3-4 hours before smoking again, and I do not smoke at night.
I have been smoke-free for nearly a month now.
I would like to know if my smoking history is considered heavy.
I read online that quitting smoking before the age of 30 can reduce the risk of lung cancer to nearly that of a non-smoker.
If my smoking is not considered heavy, can I still reach that level? After all, I started smoking at the age of 12-13.
Thank you, doctor, for your concern.

Mr. Li, 20~29 year old female. Ask Date: 2016/08/19

Dr. Yang Wenda reply Pulmonology


Hello: If you can refrain from smoking on weekends, it indicates that your nicotine addiction is not very deep.
If you quit now, your risk of developing lung cancer will be equivalent to that of the general population.
Wishing you success in quitting smoking! Give yourself the best birthday gift!

Reply Date: 2016/08/19

More Info


Dear Patient,
Thank you for reaching out with your questions regarding smoking habits and lung cancer risks, especially as you approach your 22nd birthday. It's commendable that you are considering the impact of your smoking history on your health and are taking steps towards quitting.

To address your first question about your smoking history, smoking a pack a day, or even occasionally more, is considered a significant smoking habit. Starting at the age of 12 or 13 and maintaining this level of consumption for 8-9 years places you at a higher risk for various health issues, including lung cancer. The cumulative effects of smoking can lead to serious respiratory problems, cardiovascular diseases, and multiple types of cancer, particularly lung cancer, which is one of the most common and deadly forms of cancer associated with smoking.

Regarding your concern about lung cancer risk, research indicates that the earlier one starts smoking, the greater the risk of developing lung cancer later in life. This is due to the prolonged exposure to harmful substances found in tobacco smoke, which can cause mutations in lung cells. However, it is also important to note that the body has a remarkable ability to heal itself after quitting smoking. Studies have shown that individuals who quit smoking before the age of 30 can significantly reduce their risk of developing lung cancer to levels closer to those of non-smokers.
You mentioned that you have been smoke-free for nearly a month, which is a fantastic achievement. The benefits of quitting smoking begin almost immediately. Within 20 minutes of your last cigarette, your heart rate and blood pressure drop. Within a few weeks, your lung function begins to improve, and within a year, your risk of coronary heart disease is cut in half. Over time, the risk of lung cancer decreases, although it may take several years for your risk to approach that of a non-smoker.

To answer your question about whether you can reach a level of lung cancer risk similar to that of non-smokers, the answer is yes, but it depends on several factors, including how long you have smoked, how much you have smoked, and your overall health. The earlier you quit, the better your chances of reducing your risk. It’s also crucial to maintain a healthy lifestyle, including a balanced diet, regular exercise, and avoiding exposure to secondhand smoke and other carcinogens.

I encourage you to continue your journey towards quitting smoking. If you find it challenging, consider seeking support from healthcare professionals or smoking cessation programs. They can provide you with resources, counseling, and possibly medications that can help ease withdrawal symptoms and cravings.

In conclusion, while your smoking history does place you at a higher risk for lung cancer, quitting smoking can significantly reduce that risk over time. Your commitment to quitting is a positive step towards a healthier future. Remember, it’s never too late to quit, and the benefits of cessation are profound and far-reaching.

Best wishes on your journey to better health!
Sincerely,
Doctor Q&A Teams

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