Preventative tabacco Flashcards
how many people die from direct and indirect tobacco use
8 million direct/ 1.2 million indirect
what is the biggest public health threat
Tabacco epidemic
Most common form of taboo use
Cigarette smoking
Name the four tobacco related disparities
Race, ethnicity, educational level, socioeconomic status, regions of the country
Race most likely to die from smoking
African Americans even though they start later than white folks
Which population make up the hospitality industry and what percentage smoke cigarettes
Mexican Americans, 8.2 percent smoke cigarettes, largest expose to second hand smoke
Ethnicity who has the heist prevalence of cigarette smoking?
American Indians/ Alaskans 18 percent people smoke
What is the poverty percentage and high school education of the United states
11.6 poverty rate, 90 percent high school education, lower income higher rate of cigarette smoking
which geographic area has the highest rate of tobacco use
Midwest 22.2 and south 22.27 percent
Effects of smoking
10 years life decrease, pulmonary disease, cancer, 2 mg of nicotine, toxin chemicals in lungs
What are the three nicotine addiction mechanisms
- rewarding experience
- increased tolerance and dependance on nicotine
- responding to situational and emotional triggers with smoking
how does nicotine work?
dopamine receptors, midbrain activated, burst firing of dopamine neurons from ventral tegmental
Two tobacco cessation approach
- behavioral intervention (dentist need to be advocates)
- pharmacologic strategies
Name three Pharmacology drugs for nicotine dependence
- Nicotine replacement therapy (30-80 percent of normal tabbaco use, user has control, 50-70 percent chance of quitting) (Nicotine gum 20 pieces of 4 mg per day avoid juice, can lead to toxicity),(etc nicotine patch peak level 4-8 hours, maintained 15-24 hours, mild skin irritation, insomnia.)(nicotine inhaler thriat irritation), (Nasal spray highly addicting congestion 94% of users),
- Varenicline
- Bupropion
Name the pharmacological agents
Chantix Varenicline - stimulate nicotine receptor, 12 weeks therapy
Wellbutrin Bupropion - antidepressant, safe, pill form can’t be used with alcoholics or eating disorders (effects can be agitation, depressed mood, sucidial tendencies)