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Pop culture embraces smoking as ‘cool’ again — and Gen Z youth are watching

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Pop culture embraces smoking as ‘cool’ again — and Gen Z youth are watching

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Gen Z — largely comprised of middle- and high-school students — reported the lowest smoking rates on record in 2024, according to CDC and FDA data, but that trend may be in jeopardy.

“Overall, the decline in smoking in the U.S., [down] to about 11.9% of the population overall, is a great public health success story that has occurred over the past 20 years,” Dr. Neil W. Schluger, dean of the School of Medicine of New York Medical College and pulmonologist, told Fox News Digital.

Some experts, however, fear that the “cool factor” could be making a comeback, hooking a new generation on smoking.

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In certain populations, there is reportedly a movement to re-glamorize cigarette smoking, Schluger said.

One Instagram account, @Cigfluencers, posts photos of celebrities with cigarettes to its more than 83,000 followers.

Some experts fear that the “cool factor” could be making a comeback, hooking a new generation on smoking. (iStock)

“SMOKING HOT!” reads a caption for a provocative image of Sabrina Carpenter smoking over a bathroom sink. “Also, Smoking = Hot.”

Additional celebrities who have been open about their cigarette use — and are also pictured on @Cigfluencers — include Ben Affleck, Jeremy Allen White and Natalie Portman, among others.

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“Influencers can be influenced by marketing dollars and can attract younger generations, particularly if the channels used are popular among younger people, such as with social media,” said Judith J. Prochaska, Ph.D., professor in the Department of Medicine at Stanford University in California, whose research focuses on developing effective treatments for tobacco dependence.

Multiple studies show that adolescents and young adults who watch smoking-related content are more likely to begin using tobacco products in the future, but those risks are magnified when they engage with tobacco content on social media.

Gen Z reported the lowest smoking rates on record in 2024, according to CDC and FDA data, though that trend may be in jeopardy. (iStock)

“It’s confusing and a dangerous contradiction for young people who take their cues from pop culture and celebrity influencers, and are especially vulnerable to believe that smoking is more popular than it really is,” said Truth Initiative CEO and President Robin Koval in a news article on the organization’s website.

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In a recent opinion piece published in The BMJ, the author wrote that smoking is experiencing a “pop-culture revival” that is an “unwelcome throw-back for public health.”

“This normalization of smoking risks is re-igniting a harmful cultural association between cigarettes and coolness, to which young people are particularly vulnerable,” the article says.

Smoking trends among youth

In the mid- to late-90s, around one-third of high-schoolers smoked cigarettes. That has dropped to less than 3% today, according to the American Lung Association.

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“It is harder to track trends in youth and young adults, because they tend to be less connected to survey efforts, and behaviors can change quickly,” Dr. Daniel J. Boffa, vice chair of the American College of Surgeons Commission on Cancer and division chief of thoracic surgery at Yale School of Medicine, told Fox News Digital.

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“The signals we do have suggest that tobacco smoking rates are much lower in Gen Z than for some earlier generations.”

Boffa noted, however, that around 8% of Gen Z teens use e-cigarettes — “which is important because we really don’t know the long-term effect of e-cigarettes yet, and some young adults will switch over from e-cigarettes to smoking tobacco.”

In the mid- to late-90s, around one-third of high-schoolers smoked cigarettes. That has dropped to less than 3% today, according to the American Lung Association. (iStock)

The U.S. saw a surge in vaping rates in 2019, largely due to the popularity of the brand JUUL, which resonated among youth because of its high nicotine delivery, discreet design, kid-friendly flavors and appealing marketing tactics, Prochaska noted.

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E-cigarettes are also on the rise among young adults — in part due to adolescents aging into young adulthood, she added.

Health risks of smoking

Over 90% of long-term smokers started before the age of 18, Boffa said.

“The problem with tobacco smoking in the teenage and young adult years is that the most severe health-related consequences won’t appear for a few decades, making it easier to ignore the warnings,” he warned.

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When someone smokes over time, the inhaled combusted tobacco and paper damage the tiny air sacs in the lungs called alveoli, which facilitate the exchange of oxygen and carbon dioxide. This damage could lead to chronic obstructive lung disease, according to Mayo Clinic.

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The habit can also increase cancer risk, health experts warn. Humans produce random mutated cells that can potentially become cancerous, but a healthy immune system usually eliminates those cells.

When someone smokes, toxic substances enter the body and depress the immune system, giving those mutated cells a chance to grow and become cancerous. (iStock)

When someone smokes, however, toxic substances enter the body and depress the immune system, giving those mutated cells a chance to grow and become cancerous.

Repeated exposure can also increase the risk of oral health problems, pregnancy harms, sexual dysfunction and even mental health effects, Prochaska warned.

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Smoking is also a risk factor for coronary artery disease, aneurysms in the aorta (the main artery of the heart), peripheral vascular disease, and heart attacks and strokes, according to the FDA.

“The reduction in tobacco use in the U.S. is a huge advance in public health, and we should be vigilant not to slide backwards,” Schluger said.

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To maintain this progress, the doctor is a proponent of banning smoking in public places, raising tobacco taxes, increasing funding for cessation programs, and cracking down on illegal advertising and sales to minors.

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GLP-1 Drugs Linked to Osteoporosis and Gout: Here’s How To Stay Safe

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GLP-1 Drugs Linked to Osteoporosis and Gout: Here’s How To Stay Safe


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Ozempic-style drugs could slash complication risks after heart attacks, research suggests

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Ozempic-style drugs could slash complication risks after heart attacks, research suggests

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A popular class of weight-loss drugs may prevent life-threatening cardiac complications by opening microscopic blood vessels that often remain blocked after a heart attack, according to a study published this week in Nature Communications.

The research, led by the University of Bristol and University College London, identified a biological brain-gut-heart signaling pathway. 

This discovery appears to explain how GLP-1 drugs — which mimic glucagon-like peptide-1, a hormone that helps regulate blood sugar and appetite — protect heart tissue from a condition known as “no-reflow.”

“In nearly half of all heart attack patients, tiny blood vessels within the heart muscle remain narrowed, even after the main artery is cleared during emergency medical treatment,” Dr. Svetlana Mastitskaya, the study’s lead author and a senior lecturer at Bristol Medical School, said in a press release.

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“This results in a complication known as ‘no-reflow,’ where blood is unable to reach certain parts of the heart tissue.”

In nearly half of all heart attack patients, tiny capillaries (blood vessels) remain narrowed even after the main blocked artery is cleared. (iStock)

This lack of blood flow increases the risk of heart failure and death within a year. GLP-1 medications could prevent this, according to the researchers.

How it works

When the GLP-1 hormone is released in the gut or administered as a drug, it sends a signal to the brain, which then sends a signal to the heart that switches on special potassium channels in tiny cells called pericytes.

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When these channels open, the pericytes relax, which allows the small blood vessels (capillaries) to widen and improve blood flow to the heart muscle, the researchers noted.

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The new study used animal models and cellular imaging to track how GLP-1 interacts with heart tissue. When the researchers removed the potassium channels, the drugs no longer protected the heart — confirming they play a key role.

The findings suggest that existing GLP-1 medications, already used for type 2 diabetes and obesity, could be repurposed as emergency treatments. (iStock)

The findings suggest that existing GLP-1 medications, already used for type 2 diabetes and obesity, could be repurposed as emergency treatments during or immediately after a heart attack to reduce tissue damage.

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The researchers noted several limitations, including that the study relied on animal models.

Clinical trials are necessary to determine whether the brain-gut-heart pathway operates with the same timing and efficacy in humans.

While the study highlights the drug’s immediate benefits during a heart attack, it des not establish whether long-term use of these drugs provides a pre-existing level of protection. (iStock)

Additionally, while the study highlights the drug’s immediate benefits during a heart attack, it does not establish whether long-term use of the medication provides a pre-existing level of protection.

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The research was primarily funded by the British Heart Foundation.

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Do collagen supplements really improve skin? Major review reveals the truth

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Do collagen supplements really improve skin? Major review reveals the truth

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Collagen supplements have exploded in popularity, touted as everything from an anti-aging miracle to a muscle recovery booster.

But a sweeping new review conducted by U.K. researchers suggests that while collagen may help improve skin elasticity and ease arthritis pain, it does little for athletic performance or wrinkle reduction.

Researchers from Anglia Ruskin University analyzed 16 systematic reviews and 113 randomized controlled trials involving nearly 8,000 participants worldwide, which they say is the most extensive evaluation of collagen’s health effects to date. 

The review found consistent evidence that collagen supplementation improves skin elasticity and hydration over time and provides significant relief from osteoarthritis-related joint pain and stiffness, according to findings published in Aesthetic Surgery Journal Open Forum. 

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A large U.K. review found that collagen supplements may improve skin elasticity and hydration over time. (iStock)

The researchers, however, did not find meaningful improvements in post-exercise muscle recovery, soreness or tendon mechanical properties (strength, springiness and stretch resistance).

“Collagen is not a cure-all, but it does have credible benefits when used consistently over time, particularly for skin and osteoarthritis,” co-author Lee Smith, professor of public health at Anglia Ruskin University, said in a statement.

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“Our findings show clear benefits in key areas of healthy aging, while also dispelling some of the myths surrounding its use,” Smith added.

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Collagen, the most abundant protein in the body, supports skin, bones, tendons, cartilage and connective tissue, according to experts. Natural collagen production begins to drop in early adulthood and declines more sharply with age.

The study found that collagen supplements may help reduce joint pain and stiffness in people with osteoarthritis. (iStock)

The review found that long-term collagen supplementation was linked to improved skin firmness and hydration, but did not help skin roughness — a proxy for visible wrinkles. 

Benefits appear to accumulate gradually, suggesting that collagen should not be viewed as an “anti-wrinkle ‘quick fix,’ but as a foundational dermal support for individuals seeking holistic skin maintenance,” the researchers said.

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“If we define anti-aging as a product or technique designed to prevent the appearance of getting older, then I believe our findings do support this claim for some parameters,” Smith told the BBC. “For example, an improvement in skin tone and moisture is associated with a more youthful-looking appearance.”

Collagen supplementation was linked to reduced pain and stiffness in people with osteoarthritis, with stronger benefits seen over longer periods of use, and showed modest improvements in muscle mass and tendon structure that may support healthy aging. 

Collagen did not significantly improve skin roughness, a marker of visible wrinkles. (iStock)

However, it did not show meaningful results when used as a fast-acting sports performance supplement, and evidence for benefits related to cholesterol, blood sugar, blood pressure and oral health was mixed or inconclusive.

Dr. Daniel Ghiyam, a California-based physician and longevity specialist, said the findings align with what he sees in clinical practice.

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“Collagen is a targeted support tool, not a foundation of health or performance,” Ghiyam, who was not involved in the study, told Fox News Digital. “When marketed that way, it makes sense. When marketed as a cure-all, it doesn’t hold up to the data.”

The authors noted that while many previous collagen studies have received financial support from the supplement industry, the current review did not receive industry funding.

Experts say collagen supplements may offer modest benefits for skin hydration and joint comfort, but they are not a cure-all. (iStock)

The team called for more high-quality clinical trials examining long-term outcomes, optimal dosages and differences between collagen sources, such as marine, bovine and plant-based alternatives. 

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Among its limitations, the review could not determine whether certain forms of collagen work better than others or what the optimal regimen should be. 

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While the review included randomized controlled trials, the quality of the studies varied, with newer research generally showing stronger results.

Experts say more data and studies are needed to build on the findings. They also noted that diet plays a crucial role in skin health.

Collagen supplements, often sold as powders or pills, may improve skin elasticity and ease joint pain, experts say. (iStock)

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Dr. Erum Ilyas, a Pennsylvania-based dermatologist and chair of dermatology at Drexel University College of Medicine, noted that the review analyzed previously published meta-analyses rather than generating new primary data.

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“At this time, I have not seen sufficiently strong independent evidence to routinely recommend collagen supplements to my patients,” Ilyas, who was not involved in the review, told Fox News Digital.

“Although some studies show modest improvements in markers such as hydration and elasticity, there remains limited independent, biopsy-confirmed evidence demonstrating sustained increases in dermal collagen content,” she added.

Fox News Digital has reached out to the researchers for comment.

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