Health promotion is the process of promoting health it enables the local population to be aware of policies and to promote the improvement in the standard of living. There are many added values of health awareness policies and iniatives. Health promotion enables people to take control and be aware in order to improve health. It is important for a person to reach a state of mind were he is able to identify and be able to cope with the environment to satisfy and to change. Eliminating and solving disease does not necessarily mean that you have created health and happiness. Individuals would respond to the expression of health and happiness and respond to challenge they meet in every day life.

There are different models of health promotion. Individuals have to clarify their own aim and value. Associations or organisations promoting health use an approach, which is suited to their career. Careful considerations take place because it has to facilitate the clients need. In order to do this assessments are taken to ensure that the client is receiving the right help.

In 1958 Doll and Hill proved that there is a link between smoking and lung cancer. Doll and Hill found that smoking can cause cancer of the lungs, chronic bronchitis, coronary artery disease and others. In the U.S.A research on smoking was done on a large scale. It was convincing to see the statistics from these cohort studies on smoking and the impact of cardiovascular diseases. In 1948 a group of people were studied. A long-term study was followed up in Massachusetts. It was clear that smoking effects blood cholesterol, blood pressure and heart disease (Shurtleff 1974).

Cigarettes are legal by law but there is a health risk associated with them. All cigarette packets carry a health warning. Since 1971 the health warnings on cigarette packets have increased. The packets have two health warnings and they also state information about nicotine and tar. Any form off tobacco product or advertising is issued with a health warning. The types of warnings on the packet are Smoking kills, Smoking causes cancer, and Smoking causes heart disease and Smoking when pregnant harms your baby. There are five approaches to health promotion: the medical, the behaviour change approach, the educational, the client centred and the societal change. These approaches could be applied to helping smokers quit.

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Even though the population know the harmful effects of smoking there is minimal change in smoking habits. There was a decline on tobacco sale in the early 60s. But then in the mid 80s there has been no decline. The census survey show 1972-1988 there was a decline in smoking men smokers from 52% to 33% comparing it to women 41% to 30%. In occasional male smokers there was a rise from 25% to 35 % and occasional female smokers a smaller but relative increase 49% to 51%.

There has been increased publicity in the U.K on the ...

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