CHAPTER 6 Flashcards

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1
Q

_____ % of the worlds population smokes (p.136)

a) 10
b) 20
c) 25
d) 30
e) 35

A

b; 20

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2
Q

_____ is the number 1 cause of preventable death and disease

a) smoking
b) drinking
c) marijuana
d) eating disorders

A

a; smoking

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3
Q

What did a canadian study find regarding the effect of individuals moving across the poverty line?

A

they were more likely to quit smoking

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4
Q

When do people usually start smoking?

A

teens

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5
Q

What age group is the highest rate of smoking found?

a) 14-20
b) 20-35
c) 40-50
d) 50+

A

b; 20-35

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6
Q

What gender smokes more?

a) males
b) females
c) equal

A

a;males

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7
Q

How does SES influence smoking behaviours?

a) smoking increases as SES increases
b) smoking decreases as SES decreases
c) smoking decreases as SES increases
d) smoking increases as SES decreases

A

d - smoking rates decrease as income and job prestige and education increases. Those in the lowest income bracket showed highest ratings of smoking (p.135, 137)

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8
Q

Men in the country ______ smoke 1/3 of the world cigarettes

A

china

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9
Q

Where are the highest rates of smoking in Canada found?

a) teenagers
b) business men
c) aborginal & inuit
d) immigrants

A

c; p.138

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10
Q

studies in which non-smoking 12- to 15-year olds are asked to nominate their favourite movie stars. One-third of the non-smokers nominated a star who smoked onscreen. When smoking status was assessed 3 years later, the earlier “star” nomination predicted smoking behaviour. The influence was strongest for ______.

A

girls

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11
Q

Incidents of smoking in movies in recent years have ____ compared with historically

a) increased
b) decreased
c) remained the same
d) smoking is not allowed in movies

A

a (p.139)

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12
Q

What is thought to be most predictive of future smoking behaviour? Was other factors have also been shown to be related?

A

situational factors (peer pressure) ; person characteristics (low self-esteem, social isolation, rebilous)

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13
Q

What neurotransmitter was found to be most predictive of later smoking behaviours?

a) cortisol
b) norephineprine
c) serotonin
d) domamine

A

d; p. 140

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14
Q

A common misconception is that smoking helps control _______

A

weight

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15
Q

What are the 4 factors outlined by the textbook that tend to initate adolescent smoking?

A

parental modelling, peer influence, adversiting, personal characteristics

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16
Q

WHat are the findings regarding immigrants smoking?

a) non-european immigrants are less likely than canadians to smoke
b) european immigrants are less likely than canadains to smoke
c) non-european immigrants are more likely than canadians to smoke
d) european immigrants are more likely than canadains to smoke

A

a; 138

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17
Q

Adolescents are more likely to smoke if they have

a) one parent who smokes
b) both parents who smoke
c) parents or older siblings who smoke
d) peers who smoke

A

C; 138

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18
Q

Both _____ & ______ are likely to be important causative factors of smoking

A

modelling & peer pressure

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19
Q

When asked why they smoked 11-15 yr olds reported ____ playing a role

A

image.( IT was associated with being attractive, glamorous and exciting, rebellious, tough and mature (p.139)

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20
Q

What are the 4 reasons outlined by Tomkins (p.140) as to why people become regular smokers?

A

positive affect smoker - achieve a + affect, increase stimulation, relaxation, etc
negative affect smoker - aims to reduce negative affect, anxiety, stress, etc
habitual smokers - probably started to increase PA or decrease NA but now they continue without awareness of why
addcitive smokers - have dev a psychological dependence, they feel something is wrong when they are not smoking (p.140)

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21
Q

What is a characteristic of addictive smokers?

A

smoke

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22
Q
What type of tabacco products were used most by youth age 15-19?
a)cigarillos 
B) cigars
c) smokeless tabacco 
d) waterpipe
A

a; p. 141

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23
Q

Those who smoke from ____ show a marked reduction in the amount they smoke when asked to keep a record of cigarettes smoked; this is not the case with those who smoke for _____

a) positive affect; negative affect
b) negative affect; positive affect
c) habit; pleasure
d) pleasure; habit

A

c; p.141

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24
Q

_____ smokers are more likely to smoke a cigaretee that has been dipped in vinegar

a) negative affect
b) habit
c) pleasure
d) addicted

A

d; p.141

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25
Q

What are the 3 possible genetic assoications with smoking (p. 141)

A
  • genes contribute to personality factors underlying smoking
  • contintribute to amount of pleasure found in smoking
  • reaction to nicotine influence the rate of possible dependence
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26
Q

How long does it take nicotine to reach the brain?

a) 5s
b) 10s
c) 15s
d) 20s

A

b; p. 141

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27
Q

How do the warning labels on cigarette packs attempt to influence people?

A

fear appeals

p.142

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28
Q

Cigarette warning labels must cover _____% of the package

a) 25%
b) 50%
c) 75%
d) 100%

A

c; p.142

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29
Q

In response to warning labels on cigarette packages, those who reported greater _______ were more likely to quit, attempt to quit, or reduce their consumption

a) negative emotion
b) positive emotion
c) avoidance

A

a; p. 142

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30
Q

Health Canada determined that the rate of premature death (before age 70) for lifelong smokers (both males and females) was___ to those people who had never smoked

a) equal
b) twice
c) three
d) half

A

b; p. 143

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31
Q

the risk of dying of cardiovascular disease is about _____ as high for smokers as for non-smokers

a) equal
b) twice
c) three
d) half

A

b; p. 143

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32
Q

Smokers who are ____ are at greater risk of contracting and dying from cardiovascular diseases

A

women

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33
Q

How does nicotine contribute to heart disease?

A

stimulant effect cause increase heart rate, blood pressure and constriction of blood vessles
p. `143

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34
Q

What is the leading cause of death in canada?

a) viruses
b) cancer
c) heart disease
d) stroke

A

b; p.143

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35
Q

What percent of cancer related deaths in Canada are the result of smoking?

a) 50
b) 75
c) 80
d) 25

A

c; p.143

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36
Q

Virtually all ________ are experienced by smokers.

a) chronic lower respiratory diseases
b) lung cancer
c) heart disease
d) stroke

A

a; p/144

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37
Q

What has second hand smoke been renamed as ? What is breating it in called ?

A

Environmental tobacco smoke ; passive smoking

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38
Q

What population are especially susceptible to second hand smoke?

A

Pregnant women, fetuses, and young children

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39
Q

What are the consequence of second hand smoke while pregnant?

A

Infant death syndrome and ear infections, reduced lung development, and increased severity of asthma and other respiratory illnesse

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40
Q

Successful quitting smoking is lowest in what age range and highest in what age range?

A

Lowest in 15-19 (70%)

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41
Q

What are some of the nicotine withdrawal symptoms?

A

reduction in concentration, atten- tion, and memory, combined with an increase in anxiety, irritability, and moodiness

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42
Q

After quitting when do odds of survival align with that of the general population?

a) 3-5 yrs
b) 5-10 yrs
c) 15-20 yrs
d) 25 yrs

A

c; p. 145

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43
Q

When do most smoking relapses occur?

a) the first 3 days
b) the first week
c) the first month
d) the first 3 months

A

d; p. 145

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44
Q

In a survery by health Canada what was the reason most associated with qutting?

a) increased cost
b) change of lifestyle
c) own present health
d) own future health

A

d; p. 145

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45
Q

What is the number one method of qutting smoking?

a) reducing daily smoking
b) nicotine replacement therapies
c) pharmacological therapies
d) cold-turkey

A

a; p. 146

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46
Q

What type of quit smoking therapies are most effective?

a) psychological interventions
b) nicotine-replacement therapy
c) both a & b
d) neither a nor b

A

c; p. 146

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47
Q

What is the combination of nicotine replacement and psychological interventions known as

A

Multidimensional

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48
Q

What percentage of smokers quitting used nicotine replacement therapies?

a) 20
b) 25
c) 30
d) 35

A

d; p. 146

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49
Q

What are the two approaches to smoking cessation?

A

Aversion therapies or self-management strategies

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50
Q

What are aversion therapies as they relate to smoking?

A

Pairing eliminated behaviour with unpleasant stimulus

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51
Q

Which aversive technique for smoking is least used?

A

Rapid smoking

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52
Q

What are self-management strategies for smoking used for?

A

Overcome environmental conditions associated with smoking; self-monitoring, stimulus control, behavioural contracting

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53
Q

What are self-monitoring stratgeies as they relate to smoking?

A

Record the amount of cigarettes, at what time, location mood

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54
Q

What are stimulus control stratgeies as they relate to smoking?

A

Removing the cues that make a person smoke

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55
Q

WHAT TYPE of self management strategy would involve? Having the person deposit a large sum of money that he or she will lose if the contract is broken?

a) self-monitoring
b) stimulus control
c) behavioural contracting

A

c: p. 147

56
Q
`
\_\_\_\_\_ % of Canadians have drank alcohol in the last 12 months 
a)	60
b)	70
c)	80
d)	90
A

d; p.147

57
Q

What gender is more likely to be non-drinkers?

A

Females

58
Q

_______ are more likely t to report drinking alcohol at least once a week; to exceed the low-risk guidelines; to “binge” drink

A

men

59
Q

In men what is considered binge drinking?

A

More than 5 drinks in a single sitting

60
Q

What are the low risk guidelines associated with drinking?

A

Men: no more than 15 drinks & 3 per day
Women: no more than 10 & 2 per day

61
Q

Who was most likely to exceed the low-risk drinking guideline?

A

18-24 year olds and single persons

p. 148

62
Q

What income class is likely to exceed the low-risk drinking guidelines?

A

highest ; p. 148

63
Q

What are the differences in alcohol consumption with level of education and urban vs rural?

A

No differences found

64
Q

What was found in students who consumed alcohol mixed with energy drinks?

A

leave a bar highly intoxicated, take advan- tage of someone sexually, or be taken advantage of, and either drive or ride in a vehicle when the driver was under the influence of alcohol

65
Q

What is the hypothesized mechanism of mixing alcohol with energy drinks?

A

The carbonation of the energy drink permits a quicker absorption of alcohol while the caffeine of the energy drink may mask the drowsiness associated with alcohol leading the consumer to be less aware of their physical impairment; not all research supports this though p. 148

66
Q

What type of drug is alcohol?

A

Depressant

67
Q

wHat effects to alcohol have on the nervous system?

A

Slows, depresses centers of the brain to inhibit actions and control behaviour

68
Q

Excessive use of alcohol is associated with,

_____ _____ and _____ ____

A

Higher mortality and shorter life span

69
Q

What are hangovers caused by?

A

Mild alcohol withdrawal

70
Q

Death may occur when alcohol is taken with

A

Other depressant drugs

71
Q

What is the leading cause of mental retardation in the world?

A

Fetal alcohol spectrum disorder (FASD)

72
Q

Specifically, the relationship between alcohol consumption and mortality is depicted in a _____curve; with the lowest mortality occurring when ____drinks are consumed daily

A

J-shaped; 1-2 p. 149

73
Q

What conditions were the use of daily alcohol observed to reduce risk in ?

A

coronary heart disease (CHD) and cerebrovascular effects

74
Q

Researchers believe that consuming alcohol increases levels of__________, which is responsible for a decreased risk of heart attack

A

high-density lipoprotein (HDL)

75
Q

What does the disease model of problem drinking state?

A

Alcoholism is a disease resulting from the physical properties of alcohol

76
Q

What are the two types of alcoholism as proposed by the model of problem drinking?

A

Gamma alcoholism; delta alcoholism

77
Q

What is the difference between gamma and delta alcoholism ?

A

gamma alcoholism: loss of control once drinking begins.

delta alcoholism: the inability to abstain from alcohol

78
Q

What does the alcohol dependency syndrome model state?

A

variety of reasons people do not exercise control over their drinking, and this leads to problem drinking

79
Q

What are the elements outlined by the textbook as essential in the development of alcohol dependence syndrome?

A

salience of drink-seeking behaviour (drinking takes priority)and an increased tolerance

80
Q

What has the alcohol dependency syndrome model been criticized for?

A

Over emphasis on physical properties of alchol and lack emphasis on cognitive and social learning aspects of drinking

81
Q

What do cognitive-physiological models of alcohol consumption propose?

A

People drink alcohol to reduce tension and negative self-evaluations

82
Q

What is a factor that makes the tension reduction hypothesis appear less valid?

A

Expectancy; when one believes that something will reduce tension it is likely that it will. (p. 151)

83
Q

Some believed that the tension reduction hypothesis did not incorporate alcohol’s effect on physiological responses enough, therefore, they formulated the _____

A

stress response dampening effect

84
Q

What does the stress response dampening effect state?

A

Those who have been drinking do not respond as strongly to psychological or physiological stressors

85
Q

Those who the stress response dampening effect was found in were more likely to _____

A

Become problem drinkers

86
Q

What does the self-awareness model state?

A

Drinking inhibits the use of normal, complex information-processing strategies, such as memory and information acquisition, making people less self-aware. I.E. people drink to avoid self-awareness

87
Q

Wat are the cognitive-phyisological models or drinking behaviours?

A

Tension reduction hypothesis ; self-awareness model; alcohol myopia

88
Q

What is alcohol myopia?

A

Cognitive-physiological theory stating that Drinkers lessened ability to process information outside a narrow range (myopia), this helps lower inhibition to impulsive responses

89
Q

What are the characteristics of alcohol myopia?

A

Excessive behaviours, inflation of self-evaluation, drunken relief (worry less and pay less attn.. to worries)

90
Q

What are the two reasons the social learning model proposes for drinking?

A

Positive reinforcement & modeling (observing others drinking)

91
Q

Alcohol-related contextual cues were able to _________the threshold for engaging in behaviours that would otherwise be inhibited

A

Reduce

92
Q

What are some of the attempts to prevent alcohol abuse?

A

Public policy (age restrictions) , health promotion / education

93
Q

Most people stop drinking without treatment, those in the field of problem drinking call this _____

A

Unassisted change

94
Q

What is a drug treatment for alcohol abuse?

A

disulfiram, commonly known as Antabuse

95
Q

What are the 3 types of alcohol relapse proposed?

A

negative affect, social pressure, and cue/craving

96
Q

When it comes to alcohol relapse Women are most likely to have_________, whereas men are most likely to relapse due to _____

A

negative affect relapses; social pressure (p.152)

97
Q

What model previously discussed in the course has been applied to both treatment and prevention?

A

Stages of change model (p.152)

98
Q

Those not considering alcohol use or anyone who is thinking about initating use, need ______. If, however, an individual is currently using or continuing to use alcohol, a _________ is appropriate.

A

Primary prevention; harm reduction strategy (p. 153)

99
Q

Who is most likely to drink and drive?

A

Heavy drinkers

100
Q

driving while intoxicated generally declines with _____

A

age

101
Q

Young drivers are more likely to drive after ______

A

Smoking the weeds

102
Q

What is a risk when doing illict drugs ?

A

Can never be sure what you are purchasing

103
Q

What gender is more likely to use illict drugs?

A

Males

104
Q

What population is more likely to use illict drugs?

A

Low-income, single and younger, less educated

105
Q

What is the most frequently used drug aside from weed?

A

Cocaine / crack

106
Q

Canadian youth are _____ to use cannabis as they are tobacco

a) more
b) as likely
c) less
d) not

A

b; p. 155 `

107
Q

negative respiratory effects may occur __________ when smoking weed than cigarettes

A

sooner ; p. 155

108
Q

What class of drug is MDMA?

A

Hallucinogen ; p 155

109
Q

What neurotransmitter is released when MDMA is taken?

A

Serotonin

110
Q

What is freebasing?

A

Injection of cocaine

111
Q

The most promising drug treatment approaches include _____ & _______ methods

A

Behavioural and cognitive

112
Q

The first ____ months after drug treatment are when the most relapses occur

A

6

113
Q

What does the information-motivation-behavioural skills model state?

A

There are steps that people go through before using safe-sex practices 1) recognize and accept that they are sexually active 2) create a “sexual and reproductive health agenda.” be motivated to engage in safe-sex practices to prevent pregnancy and infection 3) be capable of engaging in behaviours that fulfill this agenda (discussion concraceptive use with partners and if partner is not cooperative they must be ready to exit the situation

114
Q

______ been recognized by the World Health Organization as one of the top 10 global health problems

A

obesity

115
Q

It is predicted that obesity could have as great an impact on health as ______

A

Smoking

116
Q

Where are the highest levels of obesity in Canada?

A

Maritimes and NWT

117
Q

Obesity is :

A

Excess body fat impairing health

118
Q

A BMI of ___ is considered obesity

A

> 30.0

119
Q

Body-mass index (BMI)

A

Weight in KG divided by height in meters squared

120
Q

What are the physical health risks associated with obesity?

A

Hypertension, type 2 diabetes, cardiovascular disease etc

121
Q

research points to a _______ link between being overweight and depression.

a) unidirectional
b) bidirectional
c) multidirectional

A

b; p. 161

122
Q

What theory accounts for why we are able to maintain a constant weight?

A

Body works like a thermostat, when one gains weight, biological control mechanisms decrease caloric intake, and when one loses weight the same mechanisms increase hunger levels until weight reaches ideal or target level

123
Q

What hormone is believed to be responsible for the homeostatic weight control system?

A

Leptin

124
Q

_______ is the most common surgical technique used in obesity mamangement

A

gastric banding

125
Q

What are surgical interventions available for obesity?

A

Gastric bypass, gastric banding

126
Q

When are surgical interventions employed for obesity

A

BMI >40

127
Q

What elements are typically involved in behavioural treatments of obesity?

A
  • stimulus control procedures (only eat at a certain time
  • self-monitoring works to provide awareness
  • self-control. Control or slow the amount of food eaten
  • social support
  • behaviour / contingency contracts
128
Q

How effective are drugs for obesity ?

A

Not very, they are often associated with many side effects

129
Q

What is the best approach to losing weight?

A

Do so gradually and make permanent lifestyle changes

130
Q

According to restraint theory who will consume more?

A

Restrained eaters because they are thinking more about food

131
Q

What is restraint theory?

A

When preouccuption with bodyweight norms consumption of food will swing b/t over eating and restrained eating . over eating is more likely in those who restrain

132
Q

What two levels of education are needed in the prevention of obesity?

A

1- educate the public 2- childhood obesity

133
Q

What are 3 psychological for the effects of other on food intake?

A

Social facilitation approach – ppl eat more when they are in groups
Modeling / matching effect – ppl eat as much or as little as those in their presence
Impression management approach – when ppl think they are being watched they will suppress eating

134
Q

What is the interality-externality hypothesis ?

A

in people of normal weight, feelings of hunger and satiety come from within in the form of internal stimuli (e.g., hunger pangs or feelings of fullness). In contrast, obese people are more likely to respond to external stimuli (e.g., time of day, smell, or sight of food) in determining their level of hunger

135
Q

Regarding family affluence: _____ women are likely to be obsese, _______ are likely to be obsess

A

Affluent; low-to middle

136
Q

How does stress influence eating?

A

½ population eats more other half eats less, stress can cause dieters to lose control, people increase consumption of fats, and increase snacking

137
Q

________ reinforce behaviours that promote obesity

A

social norms