Ўзбекистон республикаси олий ва ўрта махсус таълим вазирлиги ўзбекистон республикаси соғЛИҚНИ

Actuality: It is no argue that smoking is bad for your health. Smokers 
know this and continue smoking because they are addicted. It is hard to make 
them to give up smoking. Do not beginning to smoke is a good idea. All 
smokers began before 20 years old and become addicted. If someone do not 
smoking before he is 20 he would not start. By the time of 25 the person will 
develop the mental skills to be able to resist the social pressure to start. Smokers 
come from teen smokers who can not quite.
Teens are the most vulnerable age group. There are not children, can not be 
close controlled, in the same times there are not mature enough. They are like a 
bird leaving nest, their mother can not protect them and there are do not fly 
properly. In this time we have to teach them to say not to the smoking. 
Sometimes it is important to say not for teens, we have to teach them how 
to say NO. It is very important word when someone pushes them to do 
something. Firstly children have to be strong enough to resist the pressure from 
peers. Sport activities can help them to be strong. Secondly, they have to know 
how to act and what to say when schoolmates smoking in the corner of the 
school and someone hold him a cigarette.

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Many heavy drags began from “harmless” and legal cigarettes. Smoking 
teens are more likely to have a marijuana or heroin than non smokers. They will 
be in the smokers company, so they can push the child to have another 
experiment. Those teens are with the risky behavior. Being drug addicted person 
is not a good career for teens.
On the other hand the children want to be adult and they want to act as 
adults, if adult smokes, they want to smoke. They think that smoking is a part of 
being adult. May be it is true; being free on actions is a part of adult world. But 
they get all consequences of their actions. It is very important decision to be a 
smoker or not, to have education or to have children. From those depend who 
they become. Adults have to help them to have a right choice. Many teens do 
not want to do what parents say, they want to make their own mistake.
One first seeks to help the problem smoker acknowledge the problem, 
understand its consequences, and recognize the need for treatment.
The etiology of cigarette smoking remains incompletely understood, but is 
clearly multifactorial. Biogenetics, sociocultural, psychological, and behavioral 
elements have been elucidated. No single model accounts for all dependence, 
but each is helpful in understanding the problem.
Biogenetic model. Genetic factors appear to influence the metabolism of 
nicotine and the effect of nicotine on neurotransmitters, receptors and cell 
membranes. The significance of the purported “gene” for smoking.
Sociocultural model. External factors such as poverty,
Teenagers are vulnerable for the big tobacco companies, they can not 
resist to the social pressure and we adults are steel responsible for them. 
Therefore we took teen as a target in our research.
GP, which in day consults about 15-20 patients, deals on 1-2 teen patients. 
Teenagers are usually healthy, do not come to the consultation. In the same 
times they have so many issues to deal with. Behavioral issues, hygienic and 
sexual issues are become really important on this age. On the other hand, 
collages and lyceums have their own teen doctors, who are in charge of them. 
Each of these cases doctor should look through PUNs and DENs (Patients 
unmeet needs and doctors educational needs)
It is no argue, that they require more time and effort from doctor. Each of 
these teens is followed by the special approach, but at the same time there are 
general principles of consultation [2].