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Nicotine dependence or addiction is not just habitual but involves neurochemical changes that make cessation challenging even with a strong desire to quit, according to Neal L Benowitz in their research paper Nicotine Addiction. The high rate of dependency indicates why tobacco addiction is a critical public health concern

10.1080/17470218.2016.1223705 149 LabuschM.PereaM.RocabadoF.MarcetA.Fernndez-LpezM.CiveraT.et al

Since about 1990, a renewed focus on battling teen smoking, new warnings about the dangers of smoking and higher taxes on cigarettes have all contributed to lower smoking rates
Since traditional cigarettes remain a major source of revenues for tobacco companies, the ongoing decline in cigarette sales remains a key concern for the industry

This, in turn, increases blood pressure, respiration, and heart rate
