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

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2
Q

Relationship between smoking and rank

A

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

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3
Q

Smoking by branch

A

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

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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)

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5
Q

almost 90% adult smokers began when?

A

almost 90% adult smokers began by 18 years of age

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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)
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7
Q

World Cigarette Consumption

A

48% western pacific

24% Europe

11% Americas

8% South East Asia

6% Eastern Mediterranean

3% Africa

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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))

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9
Q

What percent of bronchopulmonary diseases are secondary to smoking?

A

80-90% of these diseases are due to smoking

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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)
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11
Q

This finding is associated with mothers who smoke

A

nicotine is found in the breast milk of smokers

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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

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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

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14
Q

What condition with men increases due to smoking?

A

Men: smoking has been associated with erectile dysfunction

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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.

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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

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17
Q

every ____ seconds someone dies from tobacco use

A

every 6 seconds someone dies from tobacco use

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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
Why is nicotine so addictive?
Most powerful way to get drug to the brain: smoke it (nicotine crosses the blood brain barrier)
26
Nicotine mechanism
binds to nicotinic acetylcholine receptors mood modulating chemicals other stimulating actions → cascade of events leads to a strong reward
27
Why mechanistically is nicotine so powerful on the brain?
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
How is nicotine altered in a cigarette?
pH alters nicotine delivery chemicals are added to tobacco to alter nicotine’s “kick”
29
Positive vs. negative reinforcement effects of nicotine
positive reinforcement - eupphoria induced by nicotine calming effect of nicotine negative reinforcement - off-setting withdrawal effects of nicotine abstinence
30
the ideal tobacco cessation program considers what three things?
the ideal tobacco cessation program considers the specific patient and both biological and psychological factors
31
In regards to pharmacotherapy, what is Nicotine Replacement Therapy an example of?
Nicotine agonist
32
Four steps to maximizing steps of smoking cessation
multicomponents motivation and stages custom tailoring relapse prevention
33
5 best settings for smoking cessation
home/work hospitals/clinics community centers places of worship deployment settings
34
5 key steps for quitting
get ready get support and encouragement learn new skills and behaviors get medication and use correctly be prepared for relapse and difficult situations
35
Four A's of quitting smoking
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
Philosophy of smoking advice from doctors prior to 1988
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
Philosophy of smoking advice from doctors after 1988
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
What happened after the 1988 surgeon general warning regarding tobacco companies?
Since 1998 Master Settlement Agreement, MSA, tobacco industry under some regulations
39
What was the truth campaign?
unlike food and drug companies, tobacco companies aren’t required to include list of ingredients on packaging
40
Control of cigarettes prior to 2009
age and advertising restrictions packaging and labeling guidelines WHO tobacco control initiatives
41
What happened in 2009?
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
FSPTCA guidelines
Tobacco companies must disclose: ingredients marketing research delivery method Requires larger, more prominent warning labels on tobacco products
43
When did the DOD begin smoking policies? What did it entail?
DoD Policy: “Smoke-free DoD Workplace” 2001 provides limited prohibition of tobacco-usage by DoD employees