Lots of people say they're just social smokers.
Odds are, they're fooling themselves.
You've seen them at parties and in bars. They usually
bum smokes from more serious cigarette addicts. Their excuse: They
aren't really smokers -- they're just social smokers.
Is there really such a thing? The surprising answer
is yes. Some people really do smoke just a few cigarettes a week.
But if you think you're one of them, think again.
Chippers
Researchers call them "chippers." There's
much to learn from this. The term is a slang word for heroin users
who try to avoid addiction by infrequent use of small drug doses.
It's not a strategy that often works -- for heroin, or for nicotine,
says Elizabeth E. Lloyd-Richardson, PhD, assistant professor of
psychiatry and health behavior at Brown University, Providence,
R.I. She's an expert in adolescent and college-age smoking behavior.
"This is absolutely not a good thing to try,"
Lloyd-Richardson tells WebMD. "We certainly know the health
risks associated with smoking. At this point we have not determined
a safe amount of smoking. Research also suggests that particularly
with adolescents, they often are kind of lulled into this sense
they can smoke a little in social situations and then can quit when
they go to college or get a job. And we don't actually see that
happening that much. Overall, these smokers end up smoking for many,
many more years than they intended to."
It's not entirely a bad thing for a person to try
to smoke just a little instead of a lot, says Jack E. Henningfield,
PhD, professor of psychiatry at Johns Hopkins Medical School.
"The good side is if a person is honest, and
truly is only smoking in social situations -- and those are not
daily situations -- that person is at a lower level of dependence,"
Henningfield tells WebMD. "If properly motivated, such people
should be able to quit completely. And they should. A person wouldn't
go out to their car four times a week and inhale exhaust fumes.
But that is the health equivalent of smoking cigarettes four times
a week."
Just like one shot of heroin, one cigarette leads
to another. Well, not just like heroin. Cigarettes may be more addictive
than heroin or cocaine. Two-thirds to three-fourths of current cocaine
users, Henningfield notes, did not use the drug in the last month.
But two-thirds of current cigarette smokers had a cigarette today.
"The other bad side of social smoking: Like
a lot of people on the road to addiction, many of these people are
flat-out denying they do have a problem," Henningfield says.
"So people say, 'Oh, I only smoke when I drink socially' --
like in the bar -- but they find themselves going to the bar more
often. And with cigarettes, soon they find themselves out on the
street at 20 degrees below freezing with the other social smokers."
Do Social Smokers Exist?
John Bachman, PhD, assistant vice president for
special projects at United Behavioral Health, San Francisco, helps
people with serious nicotine addictions.
"The social smoker, I would say that type of
person exists," Bachman tells WebMD. "The social smoker,
who smokes once or twice a week or at a party, my guess is this
is not a person who is smoking cigarette tobacco in order to self-administer
nicotine. The people addicted to nicotine will smoke cigarettes,
pipes, chew tobacco, put on skin patches, whatever they have to
do to get the drug they crave. So I am distinguishing between the
social smoker who may get high on the acute effect of carbon dioxide
and nicotine, as contrasted with the nicotine-addicted smoker."
This extremely low level of smoking may not be as
dangerous as heavier cigarette use.
"I think if a person is healthy, in the broad
sense of the word, and smokes one or two cigarettes a week, something
else will probably kill that person before cigarette smoking will,"
Bachman says.
That level of smoking appears to be very rare indeed.
Henningfield notes that depending on state of residence, only 5%-15%
of smokers have five or fewer cigarettes a day. And half of daily
smokers, he says, die prematurely.
"The only thing that is relevant is this: If
you smoke at all you are at increased risk of cancer and heart disease.
Any smoking does that," he says. "So if people say, 'I
only smoke occasionally,' or 'I never smoke more than 10 a day,'
they have increased risk because this substance is so toxic."
Current Smokers Usually Can't Just Scale
Down
Social smoking is likely less harmful than heavy
smoking. But if you're already a smoker, it's very unlikely you
can cut back to being a social smoker.
"What I counsel my patients is that, particularly
with individuals who have smoked more regularly, it is very difficult
to practice that harm reduction where you get down to smoking one
or two cigarettes a day," Lloyd-Richardson says. "For
someone who has been a regular smoker, it is hard to do that because
the number of cigarettes smoked tends to creep up over time."
It's especially true for younger smokers. They feel
they can smoke without getting addicted. In other words, they try
to become social smokers.
"It is so tricky. College students really want
to become social smokers, especially those who are more regular
smokers and know they should quit, but still want to go out with
friends and smoke and drink and not smoke during the week,"
Lloyd-Richardson says. "I have never seen any students be successful
at trying to do that. It is really an all -or-none kind of thing
when you're trying to quit. And that is really harder with younger
people who feel invulnerable and think they can do anything and
get away with it."