Anyway, no matter how you will live, what you will drink or eat, in the end most likely that you won't be healthy when you will die.
They definitely know that it is causing harm to their body, but I am in doubt that they know to what level the damage is caused and what exactly is the damage. Additionally, I feel that maybe the dangers of smoking hasn’t been elaborated enough to them other than the “smokers die young”. They really need to know how it happens and the fact it could happen anytime unexpectedly.
Some smokers have quitted smoking because they don't want any side effect from smoking or maybe their loved ones don't want them to smoke, so they just have to sacrifice for love by giving up to smoking.
In the reply you replied to, you can see that I am writing about how they may know the dangers but may not know to what extent the danger is (probably because they always wake up the next day). For instance, if a doctor told a smoker that his lungs are so damaged that one more cigarette, he’d be dead, I can guarantee you that the addiction will vanish because now he knows that it’s to the extent his life would be gone in the next try.