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Nicotine addiction is real and has health risks Addiction in itself is considered a health problem, says Rees, and nicotine use disorder has implications for young peoples social and emotional development. In part, he says, It narrows the behavioral repertoire, so rather than choosing activities that might be beneficial or that might enhance engagement with other people and the world in positive ways, they tend to make much narrower choices that substance use disorder imposes. Instead of hanging out with friends, for example, teens who are addicted will hang out alone and use nicotine. Other health risks of nicotine include a moderately elevated risk of increased blood pressure, heart rate, flow of blood to the heart, and a narrowing of the arteries, according to the American Heart Association