Addiction Nicotine Addiction Coping and Recovery What Are Cigarettes? By Terry Martin Terry Martin Terry Martin quit smoking after 26 years and is now an advocate for those seeking freedom from nicotine addiction. Learn about our editorial process Updated on December 18, 2023 Learn more." tabindex="0" data-inline-tooltip="true"> Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Armeen Poor, MD Medically reviewed by Armeen Poor, MD Armeen Poor, MD, is a board-certified pulmonologist and intensivist. He specializes in pulmonary health, critical care, and sleep medicine. Learn about our Medical Review Board Print Peter Dazeley / Getty Images Table of Contents View All Table of Contents Ingredients History Types Impact What Is a Cigarette? A cigarette is "a cylindrical roll of shredded or ground tobacco that is wrapped in paper or another substance that does not contain tobacco. To smoke a cigarette, the end is lit and the smoke is inhaled." Many manufactured cigarettes feature filters on one end to trap some of the toxic chemicals in cigarette smoke before they're inhaled into the lungs. Smoking cigarettes can lead to nicotine addiction and has been linked to serious health risks including cancer, heart disease, stroke, and death. Even for those who don't smoke cigarettes, just being exposed to secondhand smoke can have serious health consequences. What's in Cigarettes? Depending on the type of cigarette, ingredients vary somewhat. Commercially produced cigarettes manufactured by one of the Big Tobacco companies can and do contain hundreds of additives on top of the tobacco that's in the cigarettes. Ingredients Some additives are used as flavoring agents, but others, such as ammonia, are added to boost the effect that nicotine has on the body. Additives also do things like keep the tobacco moist and extend shelf life. In April 1994, five of the Big Tobacco companies in the United States provided the Department of Health and Human Services with a list of 599 potential additives used in manufacturing their cigarettes. They were required to do this because of a federal court ruling. In June 2009, the Family Smoking Prevention and Tobacco Control Act was passed, placing requirements on tobacco companies to report all ingredients used in cigarettes and other tobacco products. New products must be submitted for approval before going to market. Hand-rolled or roll-your-own cigarettes use loose tobacco. They don't contain all of the same additives that traditional manufactured cigarettes do, but they are still hazardous to health. Cigarette Smoke Cigarette smoke is a complex mix of more than 7,000 chemicals. These chemicals can be formed or produced: By the additives in the product itself From pesticides that are used in the tobacco farming process When those additives are heated and/or burned When burning chemicals combine, producing yet more unique chemicals To date, 250 poisonous chemicals have been identified in cigarette smoke as well as at least 69 carcinogens. History of Cigarettes The Maya may have been the first people to smoke tobacco in the Americas. Images of tobacco use have been found carved into stone that date to 600 to 900 CE. North American Indians have long smoked pipes filled with tobacco as part of religious ceremonies and medical purposes. Smoking was not a daily activity; rather, it was a special ritual filled with meaning. Early 1900s Cigarette smoking became a popular activity with men in the early 1900s, but it wasn't until World War I and World War II that it really took off. Cigarette companies gave soldiers free cigarettes and marketed them to women back home as well. By 1950, the per person consumption of cigarettes was 2,000 per year. Later 1900s Later in the 1950s, however, concerns over the health effects of smoking were surfacing. In 1964, the U.S. Surgeon General published a report about the dangers of smoking. Not long after, Congress passed the Cigarette Labeling and Advertising Act, which said that every cigarette pack must have a warning label on its side stating, "Cigarettes may be hazardous to your health." The U.S. legal age limit is 21 for purchasing cigarettes, cigars, or any other tobacco products in the U.S. 2000s Today, cigarette smoking is on the wane in many parts of the world, but plenty of people still smoke with few, if any, legislative restrictions on them. It's likely that cigarette consumption will continue to decrease as more and more people understand the tremendous health hazards they pose. Smoking kills more than 480,000 people in the U.S. That's more deaths than from alcohol, drugs, HIV/AIDS, and car accidents combined. Types of Cigarettes Manufactured cigarettes come in various sizes, differing in length and circumference. Cigarettes may also be labeled as light, organic, all-natural, or non-additive. These labels may give the misperception that they are safer than other types of cigarettes. The terms "light," "low," and "mild" can no longer be used to market cigarettes in the United States without exception from the Food and Drug Administration (FDA). Menthol is a flavor that comes from mint and helps make cigarettes less harsh. It's the only flavor of cigarettes now allowed in the United States; all others have been banned as of 2009. However, in April 2021, the FDA revealed that it plans to ban menthol as a characterizing flavor in cigarettes. There are other types of cigarettes, in addition to traditional manufactured cigarettes as well. While these are different, according to the American Cancer Society, there is no safe form of tobacco. Roll-your-own: Hand-rolled cigarettes are made using loose tobacco and rolling paper. Because they are hand-rolled, they may not have a filter. Clove: Clove cigarettes, also called kreteks, are from Indonesia. They are made from tobacco and cloves and are rolled in paper. As of 2009, clove cigarettes have been banned in the United States. Bidis: Bidis are a type of cigarette from India and other southeast Asian countries that's made with loose tobacco rolled in a tendu or temburni leaf, which are native to Asia. What Are E-Cigarettes? Electronic cigarettes, also known as e-cigarettes, are made with a liquid typically containing nicotine, chemicals, and other flavors that is heated eletronically to create an aerosol that is then inhaled. Unlike traditional cigarettes, e-cigarettes don't contain tobacco, but they are still considered a tobacco product according to the FDA because they contain nicotine. Impacts of Cigarette Smoking Although cigarette use is declining, it remains a threat to the health of millions around the world. As of 2019, approximately 34 million adults in the United States, or 14% of the adult population, smoked cigarettes, according to the Centers for Disease Control and Prevention. Globally in 2019, smoking tobacco use accounted for 7,69 million (7.16–8.20) deaths and 200 million (185–214) disability-adjusted life-years, and was the leading risk factor for death among males (20.2% [19.3–21.1] of male deaths). 6.68 million [86.9%] of 7.69 million deaths attributable to smoking tobacco use were among current smokers. Smoking is the leading cause of premature death in the United States, according to a 2014 Surgeon General report from the Department of Health and Human Services. It's also estimated to cost more than $300 billion dollars annually in the United States, when considering healthcare-related costs and lost productivity. A Word From Verywell 27 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Merriam-Webster. (n.d.). Cigarette. 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Reitsma MB, Kendrick PJ, Ababneh E, et al. Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990–2019: A systematic analysis from the Global Burden of Disease Study 2019. The Lancet. 2021;397(10292):2337-2360. doi:10.1016/S0140-6736(21)01169-7 U.S. Department of Health and Human Services. The health consequences of smoking—50 years of progress. Centers for Disease Control and Prevention. Economic trends in tobacco. By Terry Martin Terry Martin quit smoking after 26 years and is now an advocate for those seeking freedom from nicotine addiction. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Helpful Report an Error Other Submit