Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging

Bucket	Category	Subcategory	ID#	Fact
1	Addiction (10)	General	TF0016	Addiction keeps people smoking even when they want to quit .
		Becoming Addicted	TF0009	People who start smoking as young teens are more likely to get addicted to nicotine and become lifelong smokers .
		Becoming Addicted	TF0010	Teens' brains are still developing, which can make it easier for them to get addicted to nicotine
		Becoming Addicted	TF0011	Research shows that even just a few cigarettes now and then can lead to cravings and other symptoms of addiction in some teens.
		Becoming Addicted	TF0013	Many teens underestimate how easy it is to become addicted to nicotine.
		Becoming Addicted	TF0015	Because of nicotine addiction, 3 out of 4 teen smokers will become adult smokers.
		Becoming Addicted	TF0050	As little as one cigarette a month. That’s all it can take to show symptoms of addiction.
		Ammonia	TF0048	Some chemicals that are added to tobacco, like ammonia, may increase the absorption of nicotine in the brain. This can make the product more addictive .
		Role of Product Contents and Design	TF0042	Cigarettes today deliver nicotine more quickly from the lungs to the brain. This makes them more addictive than ever before.
		Progression to Regular Use	TF0051	Even smoking occasionally can lead to daily   use.
2	Health Effects (10)	Cardiovascular Disease	TF0008	Smoking can cause plaque buildup in your arteries, which can lead to heart attack or stroke.
		Cardiovascular Disease	TF0097	Smoking changes a person's blood chemistry. This can lead to deadly clots that can cause heart attacks and block blood flow to the heart, brain, or legs.
		Aneurysms	TF0091	Smoking can cause aneurysms, which are bulging blood vessels that can burst and cause death.
		Immune Function Impairment	TF0073	Smoking can weaken a person's immune system and leave them more vulnerable to respiratory illnesses, like bronchitis and pneumonia
		Immune Function Impairment	TF0074	Smoking can cause inflammation throughout the body and weaken a person's immune system.
		Cataracts	TF0094	Smoking can cause cataracts.
		Depression	TF0061	Research suggests that the relationship between depression and smoking may work both ways: depression may increase the risk of smoking, and regular smoking may increase the chance that a person develops depression.
		Tuberculosis	TF0099	Smoking increases a person’s risk of getting tuberculosis (TB) and dying from it.
		Diabetes	TF0096	Smoking increases the risk of developing type 2 diabetes. It can also make managing diabetes more difficult.
		Blood Vessel Damage	TF0030	Smoking causes damage to the body that can lead to amputation of toes, feet or legs.
3	Health Effects (9)	Bad Breath	TF0069	Smoking makes a person's breath smell like an ashtray
		Gum and Teeth Damage	TF0068	Smoking causes gum disease that can lead to tooth loss.
		Gum and Teeth Damage	TF0070	Smoking may stain a person's teeth.
		Skin Damage	TF0028	Smoking accelerates skin aging and can lead to premature  wrinkles.
		Skin Damage	TF0029	Smoking can make your skin look grayish.
		General	TF0082	Smoking longer means more damage. Scientists now know that disease risk surges even higher after a person has smoked for about 20 years.
		General	TF0090	Smokers generally are much less healthy than nonsmokers. Their overall health is worse and they need to go to the doctor more often. They are also admitted to the hospital more often.
		General	TF0177	In the U.S., 8.6 million people have at least one serious illness caused by smoking.
		General	TF0265	Any amount of smoking —even an occasional cigarette —is harmful.
4	Health Effects (9)	Cancer	TF0075	Smoking can cause cancer almost anywhere in the body.
		Cancer	TF0076	Even young adults under age 30 who started smoking in their teens and early twenties can develop smoking-related health problems. For example, they can have DNA damage that can cause cancer almost anywhere in the body.
		Cancer	TF0092	If nobody smoked, 1 out of 3 cancer deaths in the U.S. could be prevented.
		Cancer	TF0093	Smoking causes cancer of the mouth, nose and throat; larynx; trachea; esophagus; lungs; stomach; pancreas; kidneys and ureters; bladder; cervix; bone marrow and blood.
		Asthma	TF0071	A person doesn't have to be a long-time smoker to have an asthma attack that is triggered by tobacco smoke.
		Asthma	TF0072	Even young adults under age 30 who started smoking in their teens and early twenties can develop smoking-related health problems. For example, they can experience wheezing that can lead to being diagnosed with asthma.
		Chronic Obstructive Pulmonary Disease (COPD)	TF0095	Smoking causes chronic obstructive pulmonary disease, or COPD. There is no cure for COPD. People with COPD slowly die from lack of air.
		Lung Damage	TF0026	Teens who smoke may develop smaller, weaker lungs that never grow to their potential size and never perform at maximum capacity.
		Lung Damage	TF0098	Smoking can damage and destroy cilia – the tiny hairs that line the airways and sweep out mucus and dirt to keep the lungs clear. When the cilia are damaged and destroyed by smoking, a person gets “smokers’ cough.”
5	HPHCs (10)	Ammonia	TF0208	Ammonia is a chemical found in household cleaning products and cigarette smoke.
		Benzene	TF0101	Benzene is a chemical found in crude oil, gasoline, diesel exhaust, and cigarette smoke.
		Beryllium	TF0281	Beryllium is a chemical found in chemical weapons, reactors, and cigarette smoke.
		Butane	TF0102	Butane is a chemical found in fuel gas and cigarette smoke.
		Cadmium	TF0046	Cadmium is a chemical found in batteries and cigarette smoke.
		Carbon Monoxide	TF0043	Carbon monoxide is a chemical that is found in cigarette smoke and car exhaust.
		Chromium	TF0103	Chromium is a chemical used to make steel. It is also found in cigarette smoke.
		Formaldehyde	TF0047	Formaldehyde is a chemical used to embalm dead bodies. It is also found in cigarette smoke.
		Hydrogen Cyanide	TF0207	Hydrogen cyanide is a chemical used in rat poison, insecticide, and chemical weapons. It is also found in cigarette smoke.
		Lead	TF0049	Lead is a chemical that was once used in paint. It is also found in cigarette smoke.
6	HPHCs (10)	Naphthalene	TF0282	Naphthalene is a chemical found in mothballs , auto exhaust, toilet deodorant blocks and cigarette smoke.
		Polonium-210	TF0209	Polonium-210 is a chemical found in nuclear reactors and cigarette smoke.
		Toluene	TF0210	Toluene is a chemical found in paint thinner and cigarette smoke.
		Vinyl Chloride	TF0104	Vinyl chloride is a chemical used to make PVC plastic. It is also found in cigarette smoke.
		HPHCs in Cigarette Smoke	TF0079	When you light a cigarette, new chemicals are created as the cigarette burns.
		HPHCs in Cigarette Smoke	TF0045	Cigarette smoke contains 7,000+ chemicals. Many of these chemicals are toxic, including more than 70 that can cause cancer.
		HPHCs in Tobacco Plant	TF0077	Some of the harmful chemicals found in tobacco occur naturally in the plant while others are absorbed from the soil and fertilizers around the plant.
		Nicotine	TF0012	Nicotine - the highly addictive chemical in cigarettes – reaches your brain within 10 seconds.
		Nicotine	TF0014	Nicotine can change the way the brain works, causing a person to crave more and more nicotine.
		Nicotine	TF0081	Nicotine - the highly addictive chemical in tobacco products - occurs naturally in the tobacco plant.
7	Mortality (10)	Cigarette Smoking	TF0003	Smokers are estimated to lose more than 10 years of life.
		Cigarette Smoking	TF0171	More than 160,000 people in the U.S. die each year from cancers caused by cigarette smoking.
		Cigarette Smoking	TF0005	Cigarette smoking causes 480,000 deaths in the U.S. per year.
		Cigarette Smoking	TF0006	Nearly 1 in every 5 deaths in the U.S. is caused by a smoking-related disease.
		Cigarette Smoking	TF0054	More than 1,300 people in the U.S. die each day because of cigarette use.
		Cigarette Smoking	TF0107	In the past 50 years, more than 20 million Americans have died because of smoking.
		Cigarette Smoking	TF0109	Of every three young smokers, only one will quit, and one of those remaining smokers will die from smoking -related  causes.
		Cigarette Smoking	TF0172	More than 100,000 people in the U.S. die each year from respiratory diseases (including COPD) caused by cigarette smoking.
		Cigarette Smoking, SHS Exposure	TF0185	In the U.S., 1 person dies every 66 seconds from smoking and exposure to cigarette smoke.
		Tobacco Use	TF0106	Tobacco use is the leading preventable cause of disease and death in the U.S.
8	Social Norms and Myths (9)	General	TF0066	Smoking is not the norm. 9 out of 10 high school students do not smoke.
		General	TF0067	There are a number of factors – like advertising, images of smoking in the movies, and smoking by family and friends - that increase the risk that teens try smoking.
		Family and Siblings	TF0119	Teens are more likely to smoke if they have an older sibling who smokes.
		Peers and Friends	TF0052	“Social smoking”, like smoking at parties or the occasional smoke with friends, is still smoking and can lead to daily use.
		Peers and Friends	TF0064	Some teens may use smoking as a way to fit in. But since the majority of teens don’t smoke, they are actually more likely to miss out if they smoke.
		Peers and Friends	TF0065	Teens are more likely to smoke if they have friends who smoke.
		Peers and Friends	TF0116	Of those who were surveyed, more than 3 out of 4 high school students said they prefer to date people who don’t smoke.
		Stress Reduction	TF0056	Smoking doesn’t reduce stress and can actually make the stress you already feel worse.
		Weight Loss	TF0117	Many young people believe that smoking can help them lose weight, but young people who smoke are not thinner than those who don’t.
9	Product Contents and Design (9)	Cigarettes	TF0078	Some dangerous chemicals are formed when tobacco leaves are processed.
		Cigarettes	TF0118	Cigarettes today are more deadly than ever before.
		Cigars, Little Cigars, and Cigarillos	TF0033	Cigars, cigarillos and little cigars can lead to nicotine addiction and contain toxic, cancer-causing chemicals that can cause serious health problems.
		Hookah/	TF0034a	Waterpipe (or hookah) smoking delivers the addictive drug nicotine.
		Hookah/	TF0034b	Waterpipe (or hookah) smokers are at risk for the same kinds of diseases caused by cigarette smoking.
		Menthol Products	TF0024	Menthols may be even more addictive and harder to quit than other cigarettes.
		Menthol Products	TF0025	People who smoke menthol cigarettes are at risk for the same kinds of diseases as those who smoke non-menthol cigarettes.
		"Safe" Alternatives	TF0031	There’s no such thing as safe tobacco. All tobacco products can lead to nicotine addiction and contain toxic, cancer-causing chemicals that can cause serious health problems.
		"Safe" Alternatives	TF0032	There is no such thing as safe tobacco. Tobacco products labeled as “natural” or “free of additives” are not a safer option than other tobacco products.
10	E-cigarettes (11)	Nicotine	TF0235	E-cigarettes can expose you to similar amounts of nicotine as traditional cigarettes.
		Nicotine	TF0236	Some e-cigarettes deliver more nicotine than others.
		Addiction	TF0231	Like other tobacco products, use of e-cigarettes that contain nicotine may lead to addiction.
		Nicotine	TF0266	Some e-cigarettes are marketed as nicotine-free, but those claims may not be accurate.
		E-liquid/Adverse Events	TF0240/TF0248	The liquid in e-cigarettes may leak out. E-liquids containing nicotine may  be poisonous if swallowed or absorbed through the skin.
		Flavorings	TF0246	Some flavorings in e-cigarettes are considered safe to eat, but they are not necessarily safe to inhale. Inhaling certain flavorings may harm the lungs.
		Health Effects	TF0267	E-cigarettes haven't been fully studied, so the potential health risks to users are unknown.
		HPHCs	TF0243/TF0244	We do not know all of the chemicals in e-cigarette aerosols. Chemicals that have been found in some e-cigarette aerosols include nicotine, volatile organic compounds, polycyclic aromatic hydrocarbons, flavorings, and metal particles.
		HPHCs	TF0245	E-cigarettes produce more than just water vapor. Chemicals like formaldehyde and acetaldehyde that are known or suspected to cause cancer have been found in some e-cigarette aerosols.
		HPHCs	TF0268	Some of the chemicals found in cigarette smoke like nicotine, formaldehyde, and acrolein are also found in some e-cigarette aerosols.
		Ingredients	TF0242	We do not know all of the ingredients in e-liquids. Ingredients that have been identified in some e-liquids include nicotine, propylene glycol,glycerin, and flavorings.