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AMITY INSTITUTE OF ANTHROPOLOGY AMITY UNIVERSITY

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One of the greatest known problems currently that are killing people, universally is smoking. In spite of broad knowledge of the health results, smoking is common throughout the world. The vast majority of youngsters start this habit due to stress, personal issues, depression, , boredom, and out of their interest. The present study aimed at highlight the purposes for smoking amongst the youth of age 18 to 25 years in Delhi.

A cross-sectional study was conducted on 70 college students to know their perspectives with respect to the reasons behind smoking habit. A questionnaire consisting demographic information, respondent smoking status, the reasons for starting and continuing smoking and awareness and opinion concerning smoking was used in the present study. Majority of the respondents were non-smokers 41 (58.57%) and 29 (41.42%) smokers. Among the respondents, 30(73.17%) reported having never tried or tested smoking and 11(26.82%) respondents tried smoking once or twice. The results showed that 31.03% smokers agreed that they started smoking out of their interest, 34.48% started because they are depressed,34.28% smoked due to peer encouragement. The reasons given for continuing smoking were an addiction, popularity or fame, peer influence, depression, and pleasure.

Every one of the respondents reported that they are aware of passive smoking and negative health impacts of smoking. 78.57% respondents mentioned that smoking should be prohibited.  Reasons to starting and continuing smoking 15 Different smoking behaviour amongst smokers 16 Different smoking practices of smokers 16 Family smoking status 17 Awareness and opinion towards smoking 17-18

INTRODUCTION

Smoking is one of the supreme noteworthy common bad practice all over the world. Smoking is practiced by one billion persons and one- third of the adult individuals.

At the present time, every person knows that smoking is harmful to health still, adolescent girls and boys are initiating smoking. Smoking has become a regular habit in our society. An individual with a cigarette is a normal thing, we can observe them on the road, actors smoke in movies, there are also book personalities who smoke, we have family members or friends who smoke. It is one of the biggest public health warning the world has ever encountered killing seven million individuals per year. Smokers who die early deprive their blood relations of income, the high cost of health care and hamper economic development. The adolescent is a crucial age in the development of smoking habit.

The practice of smoking is viewed as true drug addiction and is widespread all over the world. Smoking is related with various of illness and disorders in people. The exposure of adolescents in any way to tobacco products can cause a variety of infections and could impact their psychosocial improvement. Around 4000 teenagers begin smoking each day, though 1500 of the teenagers aged <18 years are standard smokers. It is regular that numerous individuals begin smoking at youthful ages and become addicted to nicotine.

There are different determinants of smoking among youth such as social and religious standards, accessibility of various sorts of tobacco products, tobacco control approaches and systems, and maybe in particular, tobacco industry behaviour to promote tobacco use, and undercut tobacco control methodologies. Advertising, promotion, and marketing endeavours of the tobacco business influence pre-adult smoking behaviour, regularly to a more prominent degree than it impacts the conduct of grown-ups. Smoking at open places in India is restricted in public since October 2, 2008, under the Prohibition of Smoking in Public Places Rules, 2008 and Cigarettes and Additional Tobacco Products (Ban of Advertisement and Guideline of Trade and Commerce, Production, Supply, and Distribution) Act, 2003. As yet smoking among the youngsters have not come down. There are around 120 million smokers in India. As per WHO, India is home to 12% of the world’s smokers.

The early start of smoking habits and consistent exposure to tobacco increase the relative risk factor in the events of serious acute or chronic health disorders. Smoking can be define as the inhalation and exhalation of smoke from burning tobacco in cigars, cigarettes, and pipes. The main types of smoking tobacco include cigarettes, smoking pipes, cigars, etc. A cigarette is a thin roll of tobacco is come in a paper.

A smoking funnel is a thin tube used to breathe in smoke, produced by burning tobacco in a bowl that is connected to it. A cigar is a compact roll of tobacco leaves utilized for smoking. Tobacco smoke contains nicotine – a fatal alkaloid – and other deadly substances like carbon monoxide, acrolein, ammonia, prussic acid and a number of aldehydes and tars. Tobacco smoke contains around 4,800 chemicals, 69 of those can cause different types of cancer.

The impact of utilizing tobacco are wide and diverse but all of them are threatening to each user’s well-being. A investigation done by the American Lung Association states that smokers die notably earlier than non-smokers. Smoking people have an average of 14 years of less life than an individual who doesn’t smoke. (U.S. Department of Health and Human Services) As per World Health Organization (WHO), smoking is at present responsible for more than 5 million deaths worldwide every year. They estimate that by 2020, the worldwide death toll from smoking will reach 10 million every year, causing about 18 percent of all deaths in the developed world. Teenagers are the most exposed population to start smoking. The tobacco companies are now aggressively focusing on their promoting strategies in the developing nations like India. It is vital to comprehend different factors that influence and encourage youngsters to initiate smoking or to practice other tobacco products. The World Bank has revealed that almost 82,000–99,000 adolescents throughout the world start smoking each day.

About half of them would keep on smoking to adulthood and half of the adult smokers are estimated to die prematurely due to smoking-related diseases. If present smoking patterns continue, smoking will kill almost 250 million of today’s teenagers. On eighth June 2017, rating from the second Global Adult Tobacco Survey (GATS 2) of India was released. GATS is a worldwide standard for methodically observing adult tobacco use and following key tobacco control pointers. India is the world’s biggest democracy, and the second largest consumer and third largest maker, of tobacco.

Tobacco control results from India take on a global significance in terms of impact on total mortality and sickness burden. The nation has a extensive past of tobacco use. Tobacco is utilized in a variety of ways in India; its utilization has unfortunately been well recognized among the teenagers. A smoker has a fundamentally more noteworthy possibility of contracting lung tumour than a non-smoker, depending on features such as a number of cigarettes smoked every day, number of years the subject smoked and the time in an individual’s life when he or she started smoking.

Smoking is like a slow death. As per Forester, Author of Game of eons “Smoking is suicide by instalments”. Other than influencing oneself, it likewise negatively affects the other individuals who are known as second- hand smokers. (the American Cancer Society and Vital Strategies) Reasons of Smoking Majority of people begin smoking in their adolescents. There are different causes why teens take to smoking.

Pressure and Influence by Smoking- If your friend is a smoker, you will be affected by them. At times, your peers may constrain you to smoke or force you to leave their gathering if you don’t go along with them in smoking. To Create a Cool Image- Many teenagers think it looks cool flaunt a cigarette in their fingers. Others think smoking can help to lose weight. Numerous adolescents test and try smoking cigarettes or marijuana for excitement and to alleviate boredom.

Parental Influence- If your parents smoke, it can impact you. So guardians ought to guarantee they set a decent case for their youngsters and furthermore make limitations that can enable their children to fight the temptation to smoke. Media Influence-The tobacco industry spreads the message that it is cool to smoke through ads and in movies, etc. Psychosocial Factors Leading to Initiation: Various components impact the utilization of tobacco by adolescent and teenagers.

Some of these are the family past of tobacco consumption by elders, peers, experimentation, modest access to such products, personality factors, mental problems, accompanied risk-taking behaviors, and most importantly, the aggressive marketing strategies of the tobacco industry. tobacco use by parents or an elder sibling increases the probability that a child starts smoking. In spite of the fact children may initiate smoking for psychosocial reasons like friends,interest, want for experimentation or as a solution for stress, the pharmacological thought take on place very early in their smoking career. Peer pressure is a crucial determining element for start of tobacco use among adolescents. Reduced school performance, truancy, small ambition for future achievement, and school dropouts have been observed to be related with smoking at an initial age. Children and adolescents with pressure and unhappiness are expected to use tobacco and other drugs, as these have stress-relieving and mood lifting properties.

moreover, such teenagers may socially be restless and feel separated in a company of peer groups. start of smoking causes them to relate with the group and thus decreases social anxiety. teenagers with low confidence are probably to be susceptible to drug usage as well as the tobacco. As smoking habit is related with development and adulthood, tobacco use may serve to advance confidence. Health outcomes of smoking among youngsters Cigarette smoking during adolescence seems to reduce the rate of lung development and the level of maximum lung function that can be accomplished. teenage smokers are probably going to be less physically fit than teenage non-smokers; fitness levels are inversely related to the duration and the intensity of smoking.

Adolescent smokers report that they are essentially more probable than their non-smoking peers to encounter shortness of breath, coughing spells, mucus production, wheezing, and general decrease in physical health. Cigarette smoking during adolescence and teenage poses a clear risk for respiratory symptoms and problems during adolescence; these health problems are risk factors for other chronic conditions in adulthood, including chronic obstructive pulmonary disease. How Smoking Affects Health? smoking influences well-being in various perspectives. Smokers develop yellow teeth and wrinkles.

smokers suffer a loss of bone thickness, making them inclined to osteoporosis, which builds the risk of bone fractures. Smokers’ athletic performance is additionally influenced as their lung capacity is reduced. Smoking Affects Fertility- Smoking influences the sexual execution of people and causes fertility problems. female smokers who use hormone-based conception prevention strategies, for example, a ring, fix or pills, increases the risk of heart attack.

Bad Skin- Smoking narrows blood veins, which keeps the sufficient supply of supplements and oxygen to the skin. This is the fact that why chain smokers look unnatural and pale. Smoking also expands the risk of getting psoriasis, which is a skin rash. Bad Breath- Regular smokers can’t maintain a strategic distance from halitosis or unending awful breath.

Evil-Smelling Hair and Clothes-Stale tobacco smoke wait on furniture, hair, garments and inside auto mobiles. Subsequently smokers smell awful, which definitely diminishes their attractiveness. Less Immunity- smokers suffer more episodes of pneumonia, bronchitis, influenza, and colds. Certain conditions for example asthma become much worse with smoking.

Smokers likewise have a tendency to eat less, which implies they do not acquire adequate supplements to keep up good growth. Smoking impacts on the body Body part Role Consequences of smoking Brain The mind makes considering and feeling conceivable. The mind manages body processes. Nicotine influences a smoker’s brain. It affects mood .tobacco smoke is a major cause of stroke.

Eyes Eyes empower individuals to see. Light enters the eye is engaged by the focal point onto the retina. Smokers have a 3times greater possibility of creating cataracts, a key cause of visual impairment. Mouth and throat Used to make the echoes of communication Smokers will possibly acquire periodontitis.

smoking origins mouth cancer Lungs Lungs move air in and out of the body. Lungs transfer carbon dioxide out of the body Smokers are at greater threat of lung tumour. smoking causes COPD. Heart the Heart pumps blood throughout the body. Smoking is primary reason of coronary heart disease.

The sample included 3642 students from secondary school and 4422 from high school. The study concluded that the problems of smoking increases with respondent age and students smoked in parks, road or open space areas. Merima Ibisevic et al (2015) conducted the study among students at the University of Tuzla. The study was done to determine the smoking habits of students.

The study included 250 students. The study showed no significant gender difference in smoking habits of students. Mohammad Khajehdaulee et al (2014) conducted a cross-sectional research to understand the smoking examples among students in Sarakhs County Iran. The study included 945 subjects and 19.5 percent had a smoking history.

The study showed that mean age of smokers was 16.01 and the mean age of initiating smoking was 14.35. Yousif M. Gadalla et al (2012) led a cross-sectional survey in primary and secondary school in Khartoum state. The survey aimed to estimate the trends of smoking and associated personal factors. A total of 900 students were included in the study, 12.2 percent were current smokers.

majority of smokers 82 percent smoked less than 5 cigarettes per day. A cross-sectional study by O.O Adeyeye (2011) examined the cigarettes smoking habits among students in Lagos southwest Nigeria. The study showed that most of the students were light smokers, 54.3 percent students smoked for the first time to imitate friends who smoke,15 percent smoked out of curiosity, and 13 percent smoked as a sign of maturity. The study also revealed that more males (16 percent) smoked compared with females (7 percent) and students in addition to smoking cigarette abuse other substances.

Most of the smokers picked up the habit between 10 and 14 years. NATIONAL Madipally Kumar Srikanth et al (2016) conducted a research in Telangana India to understand the reasons for smoking among the adolescents of age 15-17 years. The study included 380 teenagers The study revealed that majority of 74.4 percent subjects agreed that smoking habit gives psychological pleasure and 65.2 percent agreed that they started smoking as an inspiration for outlook and identity. A study on the prevalence of smoking among 15-20 years old college students in Bangalore city was done by Vasudha Sharma et al in 2015.

The study reported that (12.5 %) subjects use cigarettes and 29 % subjects started smoking before the age of 15 years. The study shows that prevalence of smoking was substantially higher among the private institution students instead students of government institutions. Ramesh Nagarajappa et al (2013) directed an investigation to distinguish the perception towards smoking among college students of Rajasthan, India. The study included 1383 undergraduate and postgraduate students. It was found that majority of males (24%) initiated smoking habit at a very young age before 16 years, about 78% males and 72% females felt that it was difficult for them to quit smoking. Moreover 33% percent males and 51% females tried or experimented smoking.

It was observed in the study that smoking prevalence was high among dental college students. Rahul Sharma, L.Grover and Sanjay Chaturvedi (2012) examine the prevalence of smoking among students in South Delhi India. The research included 500 adolescent students aged 14-19. the study reported that 16 percent students tried smoking, the predominance of smoking was 20 percent. Deepthi and Arumugam (2014) studied the awareness made by the warning visual and caption on the packets in India.

The investigation found that the smokers noticed the visual and captions while purchasing the cigarette packets. The examination likewise demonstrates that warning visuals on packets create awareness among the public about the health impact of smoking.

To determine the frequency of smoking amongst the youth in Delhi To understand the reasons behind initiating and continuing smoking among the age group of 18 to 25 years. To study awareness and opinion towards smoking amongst youth.

METHODOLOGY

The present cross-sectional study was done on 18 to 25 years of age college students in Delhi. The study sample consisted 70 respondents both male and female. The Questionnaire was prepared for the data collection. The content and format of the questionnaire used in the study were discussed and finalized in discussion with the supervisor. The questionnaire included questions on demographic information for example age, gender, and their level of education, and questions regarding the smoking habits, family smoking status, the explanations behind starting and continuing smoking and awareness and opinion towards smoking. The respondents were informed about the motivation of the study and their intentional participation was sought.

The random sampling of respondents was done in order to target the total sample size of 70 respondents. Both smokers and non-smokers were included as to know the perspectives of the non-smokers in regards of what are the other possible reasons for their peer group for picking up smoking and for the smokers why they have started smoking. The fundamental goal of the present study was to understand the purposes behind starting and continuing smoking among youth, therefore the code sheet of the whole questionnaire was prepared in order to analyse the data in a more sophisticated manner and then entire data were analysed using Microsoft Excel and different types of tables were made.

RESULT AND DISCUSSION

The purpose of the study was to know the different reasons behind beginning smoking and continuing smoking amongst the age group of 18-25 years.

Demographic data of participants gender, age, education and smoking status are characterized in table 1. Table 1. Demographic information Frequency Percentage (%) Gender: Male Female 32 38 45.71 54.28 Age: 18 to 20 years 21 to 23 years Above 24 32 28 10 45.71 40 14.28 Education: Undergraduate Postgraduate Diploma Others 46 23 – 01 65.71 32.85 1.42 Smoking status Non-smoker Smoker Male smoker Female smoker 41 29 15 14 58.57 41.42 51.72 48.27 Tried smoking Never smoked Once or twice 30 11 73.17 26.82 In the present study 32 (45.71%) were males and 38 (54.28%) were females. Table 1 also shows the distribution of the respondents in different age groups: 32(45.71%) belong to the age group of 18-20 years, 28(40%) belong to the age group of 21-23 years and 10 (14.28%) reported above 24 years of age. Majority of the respondents were undergraduate. According to the data analysis majority of the respondents were non-smokers 41 (58.57%) and 29 (41.42%) smokers.

Among these 15 (51.72%) males smoking once or twice. and 14(48.82%) females. About 30(73.17%) respondents had never tried or experimented smoking and 11(26.82%) respondents tried Table 1.1 statistical analysis Males (n=15) Females (n=14) Average of smoking age 20.6 20.9 T test( smoking age) 0.358159 Table 1.1 depicts that average smoking age of males were 20.6 and females were 20.9. males and females smoking age t-test is 0.358159 this shows there is no significance in the age of male and female. Table 2 reasons to start smoking and continue smoking Parameters smoker(n= 29) Non-smoker (n= 41) Reasons for initiating smoking: Curious Depressed/stressed peer impact fashionable Media exposure Loneliness and anger No.

% 09 31.03 10 34.48 10 34.48 No. % 02 4.87 12 41.37 05 12.19 18 43.90 02 4.87 02 4.87 Reasons for continuing smoking: Addicted Looks fashionable or cool Because all friends do Releases stress Gives pleasure Depression Relieves boredom Other reasons 08 27.58 05 17.24 01 3.44 08 27.58 06 20.68 – – 01 3.44 20 40.78 07 17.07 – 01 2.43 03 7.31 07 17.07 03 7.31 Table 2 shows the reasons for smoking, whereby it was examined that among smokers 31.03% smokers agreed that they started smoking out of their curiosity, 34.48% started because they are depressed ,34.28% smoked due to peer influence and among Non-smokers chose; 4.87% curious, 41.37% depressed , 12.19% selected peer influence , 43.90% reported fashion , 4.87% by media exposure and 4.87% respondents claimed that people feel angry or lonely which results in smoking .Another parameter focused of reasons for continuing smoking whereby it was examined that among smokers, 08% chose addicted, 27.58 % found smoking fashionable or cool, 05% claimed that they smoke because their friends do it, 17.24% quoted that smoking release stress whereas non -smokers quoted that people mostly smoke as a result of addiction and total of 40% non- smokers selected the said reason, 17.07% non -smoked addressed that smokers think it looks fashionable. Table 3 Different smoking behaviour among smokers (n = 29) frequency Percentage (%) Duration of smoking Few months Few years Number of cigarettes per day Only one 2-4 5-7 8-10 More than 10 Tried to quit smoking Yes no 20 09 01 12 06 04 06 18 11 68.96 12.85 3.44 41.37 20.68 13.79 20.68 62.06 37.93 Table 3 shows smoking behaviour among the smokers, after data analysis it was found that 68.96% smokers started smoking from few months, and 12.85 % are smoking from few years. 3.44% smokers smoke one cigarettes in a day, 41.37% smoke 2-4 cigarettes, 20.68% smokes 5-7 pipes, 13.79% smoke 8-10 cigarettes and 20.68% smoke more than 10 cigarettes a day.

62.06% smokers tried quit smoking while as 37.93% did not even try to quit smoking. Table 4 Different smoking experiences of the smokers (n =29) Frequency Percentage (%) Pleasure feeling Good taste in mouth Bad taste in mouth Relaxed feeling An increase in concentration Decrease in stress Decrease in appetite 21 12 12 21 13 15 07 72.41 41.37 41.37 72.41 44.82 51.72 24.13 According to data analysis, 72.41% respondents quoted that smoking is a pleasure feeling, 41.37 % addressed that it tastes good , 41.37% selected Bad taste in mouth , 72.41 % said its a relaxed feeling , 44.82% selected an increase in concentration , 51.72% selected decrease in stress and 24.13 % selected decrease in appetite . Table 5 family smoking status (n = 70) Frequency Percentage (%) Smoking family Non- smoking family 18 52 25.71 74.28 Rules about smoking in home Allowed Not allowed 09 61 12.85 87.14 Family members discourage for smoking Yes No 64 06 91.42 8.57 Table 5 shows the family smoking status. 25.71% respondents belonged to smoking family whereas 74.28% respondents were from Non-Smoking family.

12.85% respondents are allowed to smoke at home but 87.14% are not allowed at all. 91.42% respondents quoted that their family members discourage for smoking where as 8.57 % answered that their families do no discourage smoking Table 6 awareness and opinion towards smoking (n = 70) Frequency Percentage(%) Aware of passive smoking 70 100 Aware of negative health impacts 70 100 Hear or see anti-smoking messages: Never Sometimes A lot Don’t know 06 26 37 01 8.57 37.14 52.85 1.42 Anti-smoking advertisements have an impact Yes No Little bit 30 27 13 42.85 38.57 18.57 Type of campaign would encourage smokers: awareness programme in schools and colleges counselling more advertisements (showing bad examples) workshops high rates through films(play, nukad natak etc) don’t know 07 08 15 03 04 04 29 10 11.4 21.42 4.28 5.71 5.71 41.42 Smoking should be banned Yes No 55 15 78.57 21.42 Table 6 shows the awareness and opinion of the respondents towards smoking. 70(100) reported that they are aware of passive smoking and negative health impacts of smoking. About 30(42.85) gave their opinion that anti- smoking advertisements have an impact.

According to the data analysis,100% respondents were aware of passive smoking, 100% individuals were aware or negative health impacts of smoking. The respondents were asked whether they saw or ever heard anti-smoking messages; 8.57% selected “never”, 37.14% selected “sometimes” 52.85% selected “a lot” and 1.42% selected “don’t know”. 42% respondents believed that anti- smoking ads have an impact, 38.5% believe that there is no impact of such ads ,18.57% believe that there is a little bit impact of smoking ads on smokers. At the time of data collection, the respondents were asked of some campaigns to be started in order to overcome smoking issue where by 10% respondents selected awareness programme in schools and colleges, 11.4% selected “counselling” , 21.42% selected “more advertisements (showing bad examples)” ,4.42% selected workshops , 5.71% selected “through films” and 41.42% respondents selected an option “don’t know”.

The latter part of the questionnaire focused on the question whether smoking should be banned? 78.57% respondents selected that it should be banned whereas only 21.42% quotes that smoking should not be banned. DISCUSSION In the present study majority of the respondents were non-smokers 41 (58.57%) and 29 (41.42%) smokers. Among these 15 (51.72%) males and 14(48.82%), females revealed smokers. An investigation in Lagos in the year 2011 among students, detailed 43 smoking prevalence which is similar to the resent study.

In this study 30(73.17%) respondents had never tried or experimented smoking and 11(26.82%) respondents tried smoking once or twice this finding is consistent with a study conducted on students in Delhi. The outcomes showed that 31.03% smokers agreed that they began smoking out of their interest, 34.48% started because they are depressed,34.28% smoked due to peer influence. among Non-smokers chose; 4.87% curious, 41.37% depressed, 12.19% selected peer influence, 43.90% reported fashion, 4.87% by media exposure and 4.87% respondents claimed that people feel angry or lonely which results in smoking. Madipally Kumar Srikanth et al revealed comparable findings among teenagers in Telangana India.

The of reasons behind continuing smoking whereby it was analysed that among smokers, 08% chose addicted, 27.58 % found smoking fashionable or cool, 05% claimed that they smoke because their friends do it, 17.24% quoted that smoking release stress whereas non -smokers quoted that people mostly smoke as a result of addiction and total of 40% non- smokers selected the said reason, 17.07% non-smoked addressed that smokers think it looks fashionable. Addiction is one of the major reasons for the continuation of smoking. Different national and international researches have reported the similar findings. 62.06% smokers tried to quit smoking while as 37.93% did not even try to quit smoking. As indicated by this study 72.41% respondents reported that smoking is a pleasant feeling, 41.37 % tended to that it tastes great , 41.37% selected Bad taste in mouth , 72.41 % said its a relaxed feeling, 44.82% selected an increase in concentration, 51.72% selected decrease in stress and 24.13 % selected diminish in appetite .It was also observed that 25.71% respondents belonged to smoking family whereas 74.28% respondents were from Non-Smoking family. 100% respondents knew about passive smoking, 100% individuals were aware or negative health impacts of smoking.

42% respondents believed that anti-smoking ads have an impact, 38.5% believe that there is no impact of such ads,18.57% believe that there is a little bit impact of smoking ads on smokers. This is similar to the findings of Paulina Wojtyla et al among students. This research explored the different reasons behind smoking among youth. Majority of the smokers picked up the habit because of stress and peer influence. The reasons why teenagers smoke was observed to be multifactorial and the combined impact of all was creating high chances of smoking among them.

Peer influence and curiosity about smoking were the main reasons for smoking followed by teenagers considering smoking as in CONCLUSION Since prevention is said to be better than cure, it is important to examine the root origin of the problem. Therefore in this study reasons behind smoking have been studied to understand why teenagers become correlated with smoking. It was observed in the present research that almost of the respondents were non-smokers 41 (58.57%) and 29 (41.42%) were smokers. Smoking problem is increasing day by day.

Many kinds of frustration are the major cause of smoking. Students are rulers of future, who are addicted smoking rapidly. So we should stop smoking to left the students or future pioneers. The respondents suggested certain methods for demoralizing smokers. 5 respondents believed that high cost of the cigarette packets would reduce the amount of smokers. From the investigation, it was analysed that 21.42% respondents recommended “more advertisements (showing bad examples)” 11.4% respondents recommended “counselling, and 10% respondents recommended awareness programme in schools and colleges.

Another suggestion was the prohibition on the cigarette as a whole. Survey results indicated that peer influence, fashion, depression and curiosity were the main reasons behind starting smoking and that joy, addiction, and academic stress were the main reasons behind continuing smoking. thus it is very important to create preventive strategies to reduce smoking. Cigarette smoking is prevalent amongst school-going, college students in Delhi, therefore it is essential to study the different forms of smoking which would be helpful in planning the better antismoking programs. There is a need to implement public and private well-being interventions, with unique focus to the smoking trends and harmful effects amongst the students for the youth age group18- 25 who are the golden future of our nation. Smoking prevention programs should aim at identifying risk groups and finding measures to protect these vulnerable group from initiation.

Teenagers should be counselled on the effects of keeping bad company and advised to pick their friends wisely. Projects should aim at helping youngsters gain enthusiastic control so that they don’t surrenders to pressures from peers. Additionally since teenagers learn by imitation, older siblings and family members should be educated on the risks of smoking in the presence of youngsters and furthermore about leaving cigarettes at the disposal of adolescents. Young people ought to be upheld in methods for managing stress with the goal that they don’t turn to cigarettes. Smoking is proven to be harmful to health numerous diseases are related with it.

Anybody with a smoking addiction has a higher percentage of having lung and other types of cancer. The only way to prevent the negative effects of smoking would be to stop smoking altogether. Because Brooke Shields once said, “Smoking kills. In case you are killed, you’ve lost an essential piece of your life.

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