3.4.3. Tobacco and Smoking Cessation Flashcards

1
Q

military personnel ________ likely as civilians to use smokeless tobacco

A

military personnel more than twice as likely as civilians to use smokeless tobacco

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Relationship between smoking and rank

A

inverse relationship between smoking prevalence and military rank (lower rank = more smokers)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Smoking by branch

A

Army 27%
Navy 24%
MC 31%
AF 17%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

every day, nearly ____ youth try smoking and ____ become regular smokers (education has reduced this data a lot)

A

every day, nearly 4,000 youth try smoking and 1,000 become regular smokers (education has reduced this data a lot)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

almost 90% adult smokers began when?

A

almost 90% adult smokers began by 18 years of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Ethnic background vs smoking

A
  1. 8% American Indians/Alaska Natives
  2. 7% whites
  3. 1% African Americans
  4. 9% Hispanic
  5. 7% Asians (including Hawaiians and other Pacific Islanders)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

World Cigarette Consumption

A

48% western pacific

24% Europe

11% Americas

8% South East Asia

6% Eastern Mediterranean

3% Africa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Non-neoplastic Bronchopulmonary Diseases (e.g. COPD) can cause death in smokers. How often?

A

Non-neoplastic Bronchopulmonary Diseases (e.g. COPD (third leading contributor to mortality associated with cigarette smoking))

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What percent of bronchopulmonary diseases are secondary to smoking?

A

80-90% of these diseases are due to smoking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

5 problems with babies who had smoking moms, and I don’t mean smoking hot.

A

babies born to women who smoke during pregnancy are on average 200g lighter (and have

  1. decreased body length
  2. chest circumference
  3. head circumference
  4. abnormal lung development)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

This finding is associated with mothers who smoke

A

nicotine is found in the breast milk of smokers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

smoking + oral contraceptives can increase risks of ______by 10 fold

A

smoking + oral contraceptives can increase risks of cardiovascular disease by 10 fold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are we worried about with post menopausal women and smoking

A

post-menopausal women smokers tend to have decreased bone density and increased risk for hip fractures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What condition with men increases due to smoking?

A

Men: smoking has been associated with erectile dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is third hand smoke

A

third-hand smoke: contamination remains as toxins that lingers on surfaces and materials (carpets and clothes) for hours and days after cigarette is extinguished and build up over time.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Mortality: single most important factor contributing to premature mortality in the US (and it’s a preventable cause!)

Prematurity mortality ratio with smoking?

A

2.0

increases with amount smoked

increases with duration of smoking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

every ____ seconds someone dies from tobacco use

A

every 6 seconds someone dies from tobacco use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

tobacco kills 2x more Americans than what?

A

tobacco kills 2x more Americans than AIDS, alcohol, auto accidents, homicides, drugs and suicides combined

19
Q

What was the silver screen in smoking?

A

the silver screen in 1920s: tobacco a symbol of masculinity and strength

20
Q

Discuss the image of smoking from the 20s through the 60s

A

the silver screen in 1920s: tobacco a symbol of masculinity and strength

1950s→ when smoking was first considered dangerous: you have to be a tough guy to smoke (rebellious image)

1960s→ heros of silver screen replaced with rock bands, Rolling Stones and the Beatles, also smokers

21
Q

What are hooks?

A

hooks: devices or techniques used to appeal to target audience, i.e. implying you will get something if you buy their product, like happiness or sex appeal

22
Q

What are messages?

A

messages: what the ad is really saying in words and in pictures (overt and covert)

23
Q

Salient vs subliminal

Relate it to the message of the ad

A

Marlboro: the Marlboro man→ appeals to men and boys

salient (what you see): Marlboro man

subliminal (the background): clear sky and snow

message:→ you are manly and smoking is clean like a clear sky and white snow if you smoke Marlboros

24
Q

Number one reason given for why people smoke?

A

to relax or calm down 75.3% (nicotine has bimodal action→ can bring us up when we are down, and down when we are up)

25
Q

Why is nicotine so addictive?

A

Most powerful way to get drug to the brain: smoke it (nicotine crosses the blood brain barrier)

26
Q

Nicotine mechanism

A

binds to nicotinic acetylcholine receptors

mood modulating chemicals

other stimulating actions

→ cascade of events leads to a strong reward

27
Q

Why mechanistically is nicotine so powerful on the brain?

A

nicotine is the only chemical that upregulates number of its own active receptors in brain over course of exposure so you need more over time, and it has a greater hold on the brain and its actions when it arrives in the brain

28
Q

How is nicotine altered in a cigarette?

A

pH alters nicotine delivery

chemicals are added to tobacco to alter nicotine’s “kick”

29
Q

Positive vs. negative reinforcement effects of nicotine

A

positive reinforcement -
eupphoria induced by nicotine

calming effect of nicotine

negative reinforcement -
off-setting withdrawal effects of nicotine abstinence

30
Q

the ideal tobacco cessation program considers what three things?

A

the ideal tobacco cessation program considers the specific patient and both biological and psychological factors

31
Q

In regards to pharmacotherapy, what is Nicotine Replacement Therapy an example of?

A

Nicotine agonist

32
Q

Four steps to maximizing steps of smoking cessation

A

multicomponents

motivation and stages

custom tailoring

relapse prevention

33
Q

5 best settings for smoking cessation

A

home/work

hospitals/clinics

community centers

places of worship

deployment settings

34
Q

5 key steps for quitting

A

get ready

get support and encouragement

learn new skills and behaviors

get medication and use correctly

be prepared for relapse and difficult situations

35
Q

Four A’s of quitting smoking

A

The Four A’s

Avoid trigger situations until confident in the ability to stay quit

Alter strength of trigger by changing behaviors that one typically engages in during the trigger situation

Alternative oral substitutes (e.g. gum) for trigger situations

engage in other Activities (e.g. walking) to distract from cravings

36
Q

Philosophy of smoking advice from doctors prior to 1988

A

Prior to 1988: physicians’ general approach to patients who smoked was not to counsel them on their smoking habit unless they presented with symptoms (i.e. it’s the patient’s choice to smoke and none of the doctors’ business)

37
Q

Philosophy of smoking advice from doctors after 1988

A

After 1988, since surgeon general determined that cigarette smoking and nicotine was addictive, physicians felt they should tell patients that the drug was addictive, to counsel them against smoking, and definitely tell them to stop smoking if they have symptoms

38
Q

What happened after the 1988 surgeon general warning regarding tobacco companies?

A

Since 1998

Master Settlement Agreement, MSA, tobacco industry under some regulations

39
Q

What was the truth campaign?

A

unlike food and drug companies, tobacco companies aren’t required to include list of ingredients on packaging

40
Q

Control of cigarettes prior to 2009

A

age and advertising restrictions

packaging and labeling guidelines

WHO tobacco control initiatives

41
Q

What happened in 2009?

A

Family Smoking Prevention and Tobacco Control Act (FSPTCA) of 2009

FDA granted regulatory control over tobacco products and established the Center for Tobacco Products as focal point to implement FSPTCA policies and initiatives

42
Q

FSPTCA guidelines

A

Tobacco companies must disclose: ingredients
marketing research
delivery method

Requires larger, more prominent warning labels on tobacco products

43
Q

When did the DOD begin smoking policies? What did it entail?

A

DoD Policy: “Smoke-free DoD Workplace” 2001

provides limited prohibition of tobacco-usage by DoD employees