Abstract
Although tobacco use by both men and women has been documented throughout history,’1–3two technological developments in the 19th century radically and irreversibly changed societal patterns of nicotine use. First, the introduction of flue-curing yielded a product with a lower pH and milder smoke that could be readily inhaled through the lungs, producing a rapid rise of nicotine in plasma that appears to contribute to the reinforcing and addictive properties of nicotine by partially overcoming tolerance,4 and delivering nicotine via a process that maximizes exposure to carcinogens. Second, the invention by a Virginian named James Bonsack of a cigaret-rolling machine, which could turn out as many cigarets as could 40 workers rolling manually,5 made that product widely and cheaply available. With these innovations, tobacco use was fairly quickly transformed from a somewhat distasteful and unhealthful habit, alternately lauded and reviled, to what is arguably the most critical public health problem we face today. Certainly.
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Pomerleau, C.S., Berman, B.A., Gritz, E.R., Marks, J.L., Goeters, S. (1994). Why Women Smoke. In: Watson, R.R. (eds) Addictive Behaviors in Women. Drug and Alcohol Abuse Reviews, vol 5. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-0299-8_2
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