destructive behaviors the use and abuse of tobacco alcohol other drugs health effects smoking ___ cause avoidable mortality causes million days ________ per year increased risk 87 all ____________ 30 cancers ______ 2x if 1 pack day atherosclerosis blood pressure ulcers of__________ bronchitis chemistry cigarette smoke second hand mainstream that is _________________ sidestream _________ from burning tip contains nicotine __________ carcinogens as dangers heart disease ___________ trends in rates risks smokeless cancer mouth throat larynx esophagus unhealthy ________________ consumption 1981 to 1991 why teenagers start using _____________________ social acceptance sense independence maturity ______________________ advertising marketing appeal facts about quitting ____ smokers try quit each people who are successful techniques __________________ gradually decreasing number