User:Mr. Ibrahem/Tobacco use disorder

Tobacco use disorder is tobacco use in a manner that results in significant impairment. This may involve taking more than was intended, ongoing desire to use, use resulting in work or school issues, and not stopping despite health problems from such use. Other symptoms may include nicotine withdrawal. Despite more than 70% of smokers wanting to quit, it is often a long-term and relapsing condition. Tobacco use is a serious public health concern, being a leading causes of avoidable death worldwide.

Following a single use of nicotine, 32% go on to develop tobacco use disorder. Risk factors include family history, lower education, poverty, ADHD, conduct disorder, depression, anxiety, personality disorders, psychosis, and other substance use disorders. There are various research methods to diagnose tobacco dependence. Many with the condition smoke within a half hour of waking and develop cravings if without for a few hours.

Treatment can double or triple quitting success. It is recommended that healthcare providers ask all adults about tobacco use and provide counselling and medications to support those who wish to stop. Recommended medications include nicotine replacement therapy, bupropion, and varenicline. The usefulness of electronic cigarettes is unclear as of 2021. The ability to quit after one attempt is less than 5%; however, about 50% are able to quit after multiple attempts. Half of long-term smokers die from a smoking related disease.

There are approximately 1.3 billion people who use tobacco globally, of which about 1.2 billion do so daily. In the United States about 20% of people are current smokers of which 80% smoke daily. Males and females are affected in the US at similar rates, while in most developing countries males are more frequently affected. Of those who smoke daily, about half have tobacco use disorder. It is rare for people to start smoking after the age of 21. Concerns of nicotine addition were first raised in 1610 by Sir Francis Bacon.