Smoking vs. Vaping: Is One Really Safer Than the Other?

When vaping first hit the market, it was often marketed as a "healthier alternative" to smoking. The idea of trading cigarette smoke for flavored vapor seemed like an upgrade—but years later, the evidence tells a different story. Whether it's a cigarette or a vape, both deliver nicotine and harmful chemicals that can damage your lungs, heart, and overall health. 

According to Jason Nesmith, MD, a primary care physician at Archbold Primary Care-Cairo, many people assume vaping is safer simply because it doesn't involve smoke. But that's a misconception. 

"Both vaping and smoking expose the body to toxic substances that can lead to long-term health issues, including lung cancer," said Dr. NeSmith. "Even though vaping may seem less harsh, it still introduces chemicals that irritate and inflame the airways over time. The reality is that neither option is safe, and both can have serious consequences for your overall health."

The Truth About Smoking: Still the Leading Cause of Preventable Death

Despite years of education and awareness, smoking remains one of the top causes of preventable disease and death in the United States. Cigarette smoke contains more than 7,000 chemicals—many of which are known carcinogens (cancer-causing agents). Over time, these toxins damage lung tissue, narrow blood vessels, and increase your risk of heart disease, stroke, and chronic obstructive pulmonary disease (COPD). 

"Every cigarette you smoke causes harm" said Dr. NeSmith. "Even light or occasional smoking can increase your risk of developing serious health conditions."

What About Vaping? The Hidden Dangers of "Smoke-Free"

Vaping products—also known as e-cigarettes—heat a liquid that usually contains nicotine, flavorings, and other chemicals. While vaping eliminates tar and some of the harmful byproducts of combustion, it actually introduces new risks. 

Many vape liquids contain high concentrations of nicotine, which can lead to addiction and negatively impact brain development in young adults. The aerosol produced by e-cigarettes also contains substances such as formaldehyde and acrolein, both linked to lung damage and inflammation.

"Vaping isn't harmless," explained Dr. NeSmith. "It can irritate the lungs, raise blood pressure, and even affect how your body handles infections. We're also seeing an increase in young adults who've never smoked before becoming addicted through vaping."

Both Habits Increase Your Risk for Lung Cancer

The connection between smoking and lung cancer is well established—but vaping may also paly a role in long-term lung health issues that we're only beginning to understand. Studies suggest that chronic exposure to vaping chemicals can alter lung cells and contribute to inflammation, which may increase the risk of cancer over time. 

Dr. NeSmith emphasizes, "No matter how you inhale nicotine—through smoke or vapor—you're putting your lungs under stress. The safest choices is to quit both."

Detecting Lung Cancer Early: The Power of Low-Dose CT Screenings

Even if you've quit smoking, it's important to talk to your doctor about lung cancer screening. Low-Dose CT (LDCT) scans are designed to detect lung cancer at an early, more treatable stage—often before symptoms appear. 

At Archbold, LDCT lung cancer screenings are available at three convenient South Georgia locations:

• Archbold Ambulatory Care Center in Thomasville
• Archbold Mitchell in Camilla
• Archbold Grady in Cairo

LDCT screenings are recommended for: 

• Adults ages 50-80
• those with a significant smoking history (20 pack-years or more)
• Current smokers or those who have quit within the last 15 years

"Lung cancer is often silent until it's advanced," said Dr. NeSmith. "LDCT scans give us the change to catch it early—when treatment is most effective."

Quitting Is Hard, But You're Not Alone

If you smoke or vape, the thought of quitting may feel overwhelming, but it's one of the best decisions you can make for your health. Talk to your primary care provider about smoking cessation resources, nicotine replacement therapies, and personalized strategies to help you succeed. 

"Every step toward quitting counts," said Dr. NeSmith. "Whether it's cutting back, switching to a nicotine patch, or joining a support group, your primary care provider can help you build a plan that works."

Frequently Asked Questions

• Is vaping better than smoking cigarettes?
  Not necessarily. While vaping may reduce some exposure to certain harmful chemicals, it still carries health risks—especially due to nicotine addiction and exposure to toxic substances found in vape aerosol.
   
• Can vaping cause lung cancer?
  Research is ongoing, but evidence suggests vaping can cause cellular damage and inflammation that may increase the risk of cancer over time.
   
• Who qualifies for a Low-Dose CT lung cancer screening?
  LDCT screenings are for adults ages 508- who have a history of heavy smoking and currently smoke or have quit within the past 15 years. 
   
• Where can I get an LDCT lung cancer screening near me?
  Archbold offers LDCT screenings at the Archbold Ambulatory Care Center in Thomasville, Archbold Mitchell in Camilla, and Archbold Grady in Cairo. 

Protect Your Lungs and Your Future

Whether you currently smoke, vape, or already have started the journey to quit, taking proactive steps today can make a lasting difference in your health. Schedule regular checkups with your primary care doctor, ask your provider about lung cancer screening options and explore resources to help you quit for good. 

Talk with your doctor about Low-Dose CT lung cancer screenings. If you meet the criteria, your primary care provider can provide a referral for an LDCT scan at an Archbold facility near you.