John Doe
age: 20
started smoking at age: 13
smoking frequency: currently 2 or 3 a week
monthly expenditure on tobacco: Um, maybe like $250 a month
tried to quit at age: 15, 19 and 20... now
Interview
the basics
What is your current status of tobacco use and in what form? (# of packs/cigs daily, quit, trying to quit)
I recently cut down to 2 or 3 cigarettes a week and maybe one cigar. Occasionally, I dip too. A few months ago, I was smoking about a pack of cigarettes a day, and at my max I had two packs a day.
Is smoking very popular among your friends?
It is very popular among some, and not so much among others. My closer friends generally don't smoke.
Do your parents know that you smoke?
Yes
If they do know, what do they think about it?
Clearly they would rather I didn't, but they didn't act surprised or disappointed.
Do you know the current dangers of smoking?
Yes.
Are you worried about how tobacco will impact your health in the future?
Minimally. I think I fit within the limits I set for myself in terms of how long I would smoke.
the beginning
Why did you start smoking?
It had something to do with experimentation, deviance, tempting fate, and it became a social activity. As more friends started smoking, I smoked more heavily. I also always found smoking sexy.
If you obtained tobacco products before you were 18, how did you get them?
Looking back, it's surprising how easy it was when I was 13 to bum them off people on the street, especially when I see how young 13 year oldslook to me now. Then I also started bumming them off older friends and also got a fake ID for when I started buying them myself. It was never really a problem.
Do you worry that you will not be able to get tobacco products when you need them?
Yes, but that's a situation I just try to avoid.
Did anything or anyone influence your decision to smoke, i.e. friends, movies, ads, family?
I would say no, not noticeably, just experimentation and curiosity.
How aware were you of the health dangers when you started smoking?
Oh, fully aware of them.
Did the health dangers scare you when you started?
No.
Why not?
Well for one thing, when you're young most of us haven't experienced death very closely. You have that invincibility that young people have. And also the intangible-seeming danger added to the pleasure of smoking.
the effects of smoking
What were some of health effects you experienced when you smoked a pack a day?
- Respiration: Inhibited. Not really shortness of breath, but I felt physically pushed. I try to keep myself in fairly good cardiovascular condition with exercise.
- Stamina: I always made the effort to keep working my lungs and heart while smoking to counterbalance the negative effects. I think you can maintain stamina if you exercise when you smoke.
- Skin color: No, no change. I think that's because I smoke filtered ones.
- breath: (shrugs) Yeah, I've been told it smells "cigarettey." And I taste it if I really overdo it. Yeah, you can taste it.
- teeth: Slight yellowing maybe, but still in good condition. I am conscious about smoking in such a way to minimize smoking through my teeth to prevent that.
- Heart rate: It's more painful; my heart definitely beats more quickly and harder.
- Energy: It's definitely decreased. Something I didn't notice until I cut back.
- Coughing: I never had a permanent smoker's cough or anything, but when I'd get sick the cough was definitely like 10 times worse and definitely lingered after I got better. That was annoying.
- Mucus: Increased when I was sick.
- Mood: It feels like it coincided with my state of emotions. It was tied to my emotions, goes along with depression. It allowed me to stew in my darkness, but it was also a happy reward that made me feel good. My mood is more "even" since cutting back, but before if I was forced to go with out a cigarette I would get snappy.
- other: It's hard to notice the effects while smoking. You really notice how it affected you after you stop and look back at how you felt when smoking more.
Did smoking have any effects on your personal life?
- Relationships (friends/parents/significant others): I hid it from my parents but when they found out and they didn't comment on it I realized I was hiding it from myself. It's divided with my friends. Some were vocally disappointed and rejecting towards it. Other friendships were made based around it. There's a whole social network that goes with it. That's why people start smoking. I chose my romantic relationships based on them smoking. I never dated anyone who didn't smoke, not that I would rule them out if they didn't.
- Sports or hobbies:Yeah, in the health reasons I mentioned.
quitting
Have you ever tried to quit?
Yes
If you have tried to quit, what was your motivation?
A bet with my brother - that I couldn't, and to get in better shape and was worried about my future health.
How did you quit (cutting back, cold turkey)?
This last time, cold turkey for the first 3 weeks and then I allowed myself to have one occasionally. My goal is to buy a pack and be able to keep them for when I have an appropriate social situation and not to have to smoke them just because I have them. That's why I started buying cigars. You just can't smoke those like cigarettes.
Have you had any lasting health problems since quitting/cutitng back?
My stamina is still reduced, but I think I can build it back up again.
Have you experienced any health improvements since quitting?
Increased energy.
If you have not tried to completely quit, why not?
I've cut down a lot and I consider myself to have pretty much quit. I don't think quitting has to mean never having a cigarette again. It is a power struggle between the chemical and my resentment towards being controlled by something. Quitting like this, I am fully in control (pause) of having a cigarette once in awhile. It's still a great comfort and I don t think it is unhealthy to have one once in a while if you can keep it under control.
Do you think you will have trouble quitting when you decide to completely quit?
Yes, 'cause you give up that comfort and nostalgia... an old friend. I is hard to train myself to do things I have never done without smoking like driving, and when I get off the subway and automatically reach for my
pocket.
Do you think you are addicted to cigarettes?
Yes.
the picture
Would you like to see a graphic picture of what happens to a smoker's body?
I wouldn't seek it out, but since it's here....
Comments?
That's just gross, can you put it away now?
If you had seen this picture before you started smoking, would you have started?
Probably.
parting words
Lastly, do you have any words of advice you would like to give to other teenagers who are either considering starting to smoke or already smoking?
Last year, my brother asked me if I see myself as a life-long smoker. I said no. It made me realize that I'll quit when I'm ready. So maybe I'd say that all this anti-smoking stuff, the interview, the gross picture, the lung they show you in school, won't make you quit if you don't want to. You have to be ready to quit. But I also don't regret smoking so I don't know what I'd say.
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