Smoking, whether through cigarettes, menthols, or other tobacco products, poses serious risks to your heart and overall health2. Tobacco smoke contains over 7,000 chemicals that can damage blood vessels, raise blood pressure, and increase the risk of heart disease, stroke, and diabetes1.

Nicotine in cigarettes is a stressor to the heart triggering increased heart rate and blood pressure. It can disrupt insulin regulation, increasing an individual’s risk of developing type 2 diabetes1. Menthol cigarettes have been linked to even higher mortality rates from cardiovascular conditions, especially among marginalized communities2.

Secondhand smoke can be just as harmful1. Breathing in smoke from others exposes others to the same toxic chemicals, increasing your risk of heart disease and other chronic conditions.

Helpful Facts:

  • Smoking causes 1 in 5 deaths annually in the U.S.
  • Menthol cigarettes increase heart disease mortality risk by up to 88% for some populations.
  • Secondhand smoke exposure contributes to over 8 million deaths globally each year

Cultural Context in Tobacco Cessation: Ceremonial Use

It’s important to recognize that, for Native American communities, tobacco use often holds deep cultural and ceremonial significance. Unlike recreational smoking, traditional tobacco use is part of spiritual practices and community rituals. Dialogue among cultural leaders and health experts can help shape more respectful, effective cessation programs.

Tobacco Cessation:  

Quitting smoking is one of the most powerful steps you can take toward a healthier heart and a longer life. Support is available, your heart deserves it. 

  • Within 20 minutes: Heart rate and blood pressure begin to drop
  • Within 1 year: Risk of heart disease is cut in half
  • Long-term: Lower risk of stroke, diabetes, and cancer; improved circulation and lung function

Helpful Handouts

 

Quit Tobacco Handout 
Date: 1/5/2026

References

  1. Centers for Disease Control and Prevention, Office on Smoking and Health. (2021). Summary of scientific evidence: Flavored tobacco products, including menthol. https://www.cdc.gov/tobacco/data_statistics/evidence/pdfs/Scientific-Evidence-Brief-Flavored-Tobacco-Products-Including-Menthol-508.pdf
  2. Ferdinand, P. (2025, April 7). Menthol cigarettes linked to higher death risk, especially for Black smokers. U.S. Right to Know. https://usrtk.org/healthwire/menthol-cigarettes-higher-death-risk/