Effects

Your Skin

The real cost of smoking goes way past just buying cigarettes. Smokers pay a serious price with premature aging and wrinkles. Are you willing to sacrifice your skin for a smoke?

Learn more about the effects of smoking tobacco.

See what smoking could cost you

> Teeth and Gum Disease

Image of smoker's teeth

Smoking causes gum disease, which could cost you teeth

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Tooth Takedown

A shooter game follows this text and is hidden due to inaccessibility to assistive technology.

The message of the game is that playing with cigarettes harms your teeth. Smoking can cause serious gum disease that makes you more likely to lose teeth. Go to the following link to find out what else can happen

> Stunted lungs

Smoking as a teen can stunt your lungs
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> Stained Nails

Image of hand with stained nails

Smoking can stain your nails

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Dance

People using screen readers may not be able to fully view this information. Video description: A tiny bully is bullying a teenager while he’s taking pictures with his date at prom. Bully: Hey, handsome. Remember me? Cheeeese! You and me, outside, right now. Let’s hit it! Bully drags teen away from his prom date. Cut to later: teen and his date are dancing. Bully: Hey, Romeo! Time to cha cha cha outside, champ. Let’s go! Move it! Come on, twinkle toes. Don’t forget who your real date is. Bully pushes teen off the dance floor. Male voiceover: Cigarettes are bullies. Don’t let tobacco control you. Text is displayed: The Real Cost logo, #CigarettesAreBullies, FDA logo. For any more help, please email tobaccocampaigns@fda.hhs.gov.

Cigarettes are a lot like bullies. They can boss you around, take you away from the fun, and even ruin your big night. Smoke just a few and they could start telling you what to do.

Learn more about smoking and nicotine addiction.

Why let cigarettes ruin your big night?

> Wrinkles and Grayish Skin

Image of teen elephant with gray skin and wrinkles wearing a hoodie

Smoking can cause wrinkles and grayish skin

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> Brain Change

Image of brain hooked up to wires

Nicotine changes the way your brain works

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> Smokers Die 10 Years Sooner

Image of gravestone with a decomposing hand reaching out of the ground
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> Cigarettes Can Make You Lose Control

Image of teen attached to puppet strings

Cigarettes can make you lose control

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> hooked on cigarettes

Image of fish getting near a cigarette hook

Most people get hooked on cigarettes before they even realize it

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> Smoking Occasionally Can Lead to Daily Use

A teen is stuck inside a spinning hamster wheel with rungs made to look like cigarettes

Even smoking occasionally can lead to daily use

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> Smoking Can Make Stress Even Worse

Image of pencil damaged by bite marks

Smoking can make stress even worse

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question 3

QUIZ: Cigarette smoking causes 480,000 deaths per year

Cigarette smoking causes 480,000 deaths per year.
Right.

Smoking and exposure to secondhand smoke causes 480,000 deaths in the U.S. every year.
Wrong.

Smoking and exposure to secondhand smoke causes 480,000 deaths in the U.S. every year.
Cigarette smoking causes 480,000 deaths per year.
Response Correct: 
<span class="response_answer">Right.</span><br><br>Smoking and exposure to secondhand smoke causes 480,000 deaths in the U.S. every year.
Response Incorrect: 
<span class="response_answer">Wrong.</span><br><br>Smoking and exposure to secondhand smoke causes 480,000 deaths in the U.S. every year.
Target Option: 
A

QUIZ: When you smoke, toxic chemicals reach every organ in your body

When you smoke, toxic chemicals only reach your lungs.
Right.

When you smoke, your blood carries toxic chemicals from your lungs to every organ in your body.
Wrong.

When you smoke, your blood carries toxic chemicals from your lungs to every organ in your body.
When you smoke, toxic chemicals only reach your lungs.
Response Correct: 
<span class="response_answer">Right.</span><br><br> When you smoke, your blood carries toxic chemicals from your lungs to every organ in your body.
Response Incorrect: 
<span class="response_answer">Wrong.</span><br> <br>When you smoke, your blood carries toxic chemicals from your lungs to every organ in your body.
Target Option: 
B

QUIZ: Depression may increase your risk of smoking, and regular smoking may increase the chance you’ll develop depression

What’s the link between depression and smoking?
Right,

Research suggests that the relationship between depression and smoking may work both ways. Depression may increase your risk of smoking, and regular smoking may increase the chance you’ll develop depression.
Wrong,

Research suggests that the relationship between depression and smoking may work both ways. Depression may increase your risk of smoking, and regular smoking may increase the chance you’ll develop depression.
What’s the link between depression and smoking?
Response Correct: 
<span class="response_answer">Right,</span><br><br> Research suggests that the relationship between depression and smoking may work both ways. Depression may increase your risk of smoking, and regular smoking may increase the chance you’ll develop depression.
Response Incorrect: 
<span class="response_answer">Wrong,</span><br><br> Research suggests that the relationship between depression and smoking may work both ways. Depression may increase your risk of smoking, and regular smoking may increase the chance you’ll develop depression.
Target Option: 
C

Congrats - Quiz

CONGRATS!

You've completed all the quiz questions.

How'd you do? If you're trying to make up your mind about tobacco, it's good to know the facts.

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Your Teeth

The real cost of smoking goes deeper than your pockets — it can literally come out of your mouth. Are you willing to sacrifice your teeth for a smoke?

See the health costs of smoking tobacco.

See what smoking could do to you

> Nicotine cravings

GIF of wind-up toy with exposed brain walking back and forth

Even just a few cigarettes now and then can lead to nicotine cravings in some teens

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> Breath like an ashtray

GIF of mouth opening and closing, with ash falling out

Smoking makes your breath smell like an ashtray

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> Every Cigarette Takes 11 Minutes Off Your Life

Image of teen stuck in an hourglass

On average, every cigarette takes 11 minutes off your life

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Stay in Control

This is a time when you’re gaining control of your life and finally making your own decisions. Do you really want to give up your newfound freedom to smoking? Symptoms of addiction can start after just a few cigarettes in some teens.

Learn more about how to stay in charge of your own life.

There's a contract in every cigarette. When you light up, you sign up

> 1 in 5 Deaths is Smoking-Related

Nearly 1 in 5 deaths in the U.S. is smoking-related
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> 3 Out Of 4 Teens

3 out of 4 teens who think they’ll stop smoking in a few years don’t
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1 in 5 Deaths is Smoking-Related

  • Hoyert DL, Xu JQ. Deaths: Preliminary data for 2011. National vital statistics reports. 2012; 61(6):1-51.

    0006
  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking - 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014. 

    0031, 0005, 0006, 0054

3 Out Of 4 Teens

  • U.S. Department of Health and Human Services (USDHHS). Preventing Tobacco Use Among Youth and Young Adults (Fact Sheet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012.

    0015

Brain Change

  • U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.

    0014, 0016

Cigarettes Can Make You Lose Control

  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking: Nicotine Addiction. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 1988. 

    0031

Every Cigarette Takes 11 Minutes Off Your Life

  • Shaw M, Mitchell R, Dorling D. Time for a smoke? One cigarette reduces your life by 11 minutes. British Medical Journal. 2005; 320(7226):53. 

    0002

hooked on cigarettes

  • Doubeni CA, Reed G, DiFranza JR. Early course of nicotine dependence in adolescent smokers. Pediatrics. 2010;125(6):1127-1133.

    0011, 0050
  • Ursprung WW, DiFranza JR. The loss of autonomy over smoking in relation to lifetime cigarette consumption. Addictive Behaviors. 2010;35(1):14-18.

    0011, 0050
  • U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.

    0013, 0017, 0093, 0012
  • U.S. Department of Health and Human Services (USDHHS). Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012.

Nicotine cravings

  • Doubeni CA, Reed G, DiFranza JR. Early course of nicotine dependence in adolescent smokers. Pediatrics. 2010;125(6):1127-1133.

    0011, 0050
  • Ursprung WW, DiFranza JR. The loss of autonomy over smoking in relation to lifetime cigarette consumption. Addictive Behaviors. 2010;35(1):14-18.

    0011, 0050

QUIZ: Cigarette smoking causes 480,000 deaths per year

  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking - 50 Years of Progress. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014. 

    0031, 0005, 0006, 0054

QUIZ: Depression may increase your risk of smoking, and regular smoking may increase the chance you’ll develop depression

  • Minnix J, Blalock J, Marani S, Prokhorov A, et al. Self-Efficacy Mediates the Effect of Depression on Smoking Susceptibility in Adolescents. Nicotine & Tobacco Research 2011; 13(8):699-705.

    0061
  • National Institute of Mental Health (NIMH). Expert panel addresses high rates of smoking in people with psychiatric disorders. https://www.nimh.nih.gov/news/science-news/2009/expert-panel-addresses-high-rates-of-smoking-in-people-with-psychiatric-disorders.shtml. Updated February 18, 2009. Accessed August 18, 2014.

    0061
  • U.S. Department of Health and Human Services (USDHHS). Preventing Tobacco Use among Youth and Young Adults: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012.

    0038, 0039
  • Ziedonis D, Hitsman B, Beckham JC, et al. Tobacco use and cessation in psychiatric disorders: National Institute of Mental Health report. Nicotine & Tobacco Research. 2008; 10(12):1691-1715.

    0061

QUIZ: When you smoke, toxic chemicals reach every organ in your body

  • U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: How Tobacco Smoke Causes Disease (Fact Sheet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010. 

    0042, 0027, 0071, 0265

Smokers Die 10 Years Sooner

  • Jha P, Ramasundarahettige C, Landsman V, et al. 21st Century hazards of smoking and benefits of cessation in the United States. New England Journal of Medicine. 2013; 368(4):341–350.

    0003

Smoking Can Make Stress Even Worse

  • Parrott A. Does cigarette smoking cause stress? The American Psychologist. 1999; 54(10):817-820.

    0056

Smoking Occasionally Can Lead to Daily Use

  • Waters K, Harris K, Hall S, Nazir N, Waigandt A. Characteristics of social smoking among college students. Journal of American College Health. 2006; 55(3):133-139.

    0051, 0052

Stained Nails

  • Ortiz A, Grando SA. Smoking and the skin. International Journal of Dermatology. 2012; 51:250–262.

    0028, 0029, 00285

Stunted lungs

  • U.S. Department of Health and Human Services (USDHHS). Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012.

Teeth and Gum Disease

  • U.S. Department of Health and Human Services (USDHHS). The Health Consequences of Smoking: What It Means to You (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004.

    0073, 0068
  • Watts A, Addy M. Tooth discolouration and staining: a review of the literature. British Dental Journal. 2001; 190(6):309-316.

    0070

Wrinkles and Grayish Skin

  • Just M, Ribera M, Monsó E, Lorenzo JC, Ferrándiz C. Effect of smoking on skin elastic fibres: morphometric and immunohistochemical analysis. British Journal of Dermatology. 2007;156(1):85-91. 

    0028
  • Ortiz A, Grando SA. Smoking and the skin. International Journal of Dermatology. 2012; 51:250–262.

    0028, 0029, 00285
  • Urbánska M, Ratajczak L, Witkowska-Nagiewicz. Analysis of knowledge about tobacco smoking influence on skin condition. Przeglad Lekarski. 2012; 69(10):1055-1059.

    0028