The Link Between Smoking and Lung Cancer “Smoking cigarettes causes lung cancer.” You’ve probably heard this statement many times throughout your life, so what leads health experts and Warfighters alike to share this belief? All tobacco and nicotine products contain carcinogens (cancer-causing substances). Cigarettes have over 7,000 chemicals and at least 70 are known carcinogens. They damage the DNA in your cells, which can cause cells to grow abnormally and turn into cancer. The Impact of Smoking Smoking tobacco products is one of the few health behaviors directly linked to causing a negative health outcome, like lung cancer. Cigarettes directly impact your airway and lungs since you inhale the smoke. Nearly 90% of all lung cancer deaths are due to smoking cigarettes or exposure to secondhand smoke. Cigarette use is also the number one risk factor for developing lung cancer. Almost one fifth of Warfighters report they smoke cigarettes. As a Warfighter, reducing your risk for chronic conditions like cancer is a key aspect of staying operationally ready. Lung Cancer Risk Even smoking irregularly can increase your risk of lung cancer. You may only smoke cigarettes or other tobacco products like cigars and hookah in social settings as a way to bond with your friends and unit. No matter how infrequent, tobacco use can lead to cancer and other negative health outcomes. If you smoke cigarettes, you are up to 30 times more likely to develop lung cancer. The more frequently you smoke and higher number of cigarettes you smoke, the greater your risk. Additional Negative Outcomes Smoking cigarettes can lead to cancer anywhere in the body. Though individuals who smoke have the highest risk of lung cancer, other areas of the body impacted by smoking include: Mouth & throat Esophagus Stomach Colon & rectum Liver Pancreas Voicebox (larynx) Trachea Lungs Bronchus Kidney & renal pelvis Urinary bladder Cervix In addition to multiple cancers, there are other negative health and financial outcomes of cigarette use. It’s also common to receive multiple smoking-related diagnoses. Smoking increases your risk for lung diseases like chronic obstructive pulmonary disease (COPD) and asthma, heart disease, stroke and type 2 diabetes to name a few. Less known health impacts include fertility issues, a weakened immune system, lower bone density (i.e., increased risk of musculoskeletal injury) and poor oral health. A strong, healthy body is necessary to perform your duties and support the mission. Any cancer and negative smoking-related outcomes directly impact your ability to be operationally ready. You know smoking cigarettes causes an array of negative health outcomes, including lung cancer. If you smoke, consider making a plan to quit. If you don’t smoke, avoid trying any tobacco products in the first place. Your health and safety matters both during and long after your military service. Significantly reduce your risk of developing lung cancer by quitting or avoiding cigarettes. Additional ResourcesTruth Initiative - “Truth Initiative”YouCanQuit2 - “YouCanQuit2”Center for Disease Control and Prevention - “Lung Cancer Risk Factors”Center for Disease Control and Prevention - “Cancer”Durham, A.L. & Addock, I.M. - “The relationship between COPD and lung cancer”Military Health System - “Tobacco and Nicotine Use Among Active Component U.S. Military Service Members: A Comparison of 2018 Estimates from the Health Related Behaviors Survey and the Periodic Health Assessment”