Smoking Flashcards

1
Q

Generally what is the trend between social deprivation and smoking rates?

A

generally, the poorest social classes smoke the most and the most affluent smoke the least

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2
Q

What are the positives and negatives associated with E-cigarettes?

A

positives

  • could aid in smoking cessation, harm reduction?
  • estimated to be 95% safer?- absent carcinogens

negatives

  • gateway drug to normalise smoking?
  • unclear side-effects with long term use
  • variability in nicotine content, other chemicals, manufacturing quality
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3
Q

is the waterpipe safer than smoking cigarettes?

A

no. God no.

Water pipes have

  • 36 times the tar
  • 1.7 times the nicotine
  • 8.4 times the CO than cigarettes as well as
  • carcinogenic heavy metals, polycyclic aromatic hydrocarbons, and aldehydes
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4
Q

what are the health effects of quitting smoking within 2 days?

A
  • 20 minutes after - blood pressure and heart rate return to normal
  • 3 hours - oxygen levels in blood returns to normal
  • 24 hours - carbon monoxide eliminated, lungs start to clear mucus,
  • 48 hours - sense of taste and smell improve
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5
Q

how long does it take after smoking cessation to return your risk of heart attack to that equal to never-smokers?

A

it takes 10 years

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6
Q

On average how many years of life have you lost by smoking less than 5 years?

  • 5-9 years?
  • 10- 19 years?
  • 20 + years?
A
  • smoking less than 5 years= -0.82 years lost
  • 5-9 years = -1.32 years lost
  • 10-19 years = -1.96 years lost
  • 20+ years= -3.94 years lost

*smokers double their risk of cardiovascular disease *

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7
Q

how many smokers will be killed by smoking?

A

half of all smokers will be killed by smoking

those who stop smoking before 35 years of age avoid almost all of the excess risk

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8
Q

how many months of life are lost on average for each year of continued smoking after 35?

A

on average 3 months of life lost per year of continued smoking

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9
Q

Why to people start to smoke?

A

modelling =children are highly influenced by their parents who smoke - they are far more likely to smoke than children with non-smoking parents

social pressure/social learning/reinforcement - if friends smoke, a child can develop positive attitudes towards the habit

weight control - identified as a motive for smoking initiation and maintenance among young girls

risk taking/problem behaviours - smoking is often associated with other problem behaviours in adholescence such as truancy, petty theft, underage drinking etc.

health cognitions- unrealistic optimism regarding the potential of experiencing the negative health outcomes

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10
Q

What is the probability of dependence of tabacco after ‘just trying once’ ?

A

32% will experience dependence after trying just once

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11
Q

what percentage of smokers start before 18?

A

78% of smokers start before they are legal adults

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12
Q

Why was the tabacco industry so sucessful at marketing in the first place?

A

They tapped into the the deep social needs of the adolescents

  • want to fit in
  • want to exert independence from parental control
  • want to demonstrate physical agility/sexual allure
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13
Q

Why do people continue to smoke?

A

physical dependence on nicotine

  • nicotine stimulates the release of natural opiates, beta endorphins, and causes an increased metabolic rate
  • physical depdenence arises whn an individual develops tolerance to the effects of nicotine and smokes more to achieve the same effect or avoid withdrawl
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14
Q

what are the effects of nicotine withdrawal?

A
  • lightheadedness- for less than 48 hours
  • sleep disturbance - for less than one week
  • poor concentration - for less than 2 weeks
  • cravings for nicotine - for less than 2 weeks
  • irritability or aggression - for less than 4 weeks
  • depression - for less than 4 weeks
  • restlessness- for less than 4 weeks
  • increased appetite - for less than 10 weeks
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15
Q

what are the top reasons people quit cigarretes?

A

27.7% quit b/c of illness

24% quit b/c of knowledge of the effects

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16
Q
A
17
Q

What is the heaviness of smoking index (HSI) and how can we use it?

A

questionnaire for smoking

  1. how soon after you wake up do you smoke your first cigarette? (>60 min = 0, 30-60 minutes = 1, 6-30 minutes = 2, <5 minutes = 3)
  2. how many cigarettes do you smoke per day? (10 or less = 0, 11-20=1, 21-30= 2, 31+ = 3)

points summed across these measures with 6 being the highest addiction

18
Q

how do you calculate pack years?

A

multiply the number of packs (20 cigarettes/pack) smoker per day by the number of years smoked

19
Q

What are the 5A’s for smoking cessation?

A
  1. Ask = ask if they smoke
  2. Advise= brief advise on health effects - non-judgmental
  3. Assess= readiness to quit, nictoine dependence
  4. Assist = strategies for quit attempts and withdrawal management offer to all smokers
  5. Arrange follow up = patients hould be contacted for at least 1 month after to provide further support
20
Q

What is motivational interviewing?

A

deliverately non-confrontational- the key questions within the interview are

  • what are some of the goot things about your present behaviour?
  • what are some of the not-so-good things about your present behaviour?

*make sure to express empathy with reflective listening , avoid arguments, roll with resistance rather than confronting or opposing it, support self-efficacy and optimism for change *

21
Q

What are the 5 R’s of enhancing motivation to quit smoking?

A
  • Relevance= “in what ways do you think quitting smoking might help you?”
  • risks= “ what are some of the risks of continuing to smoke that concern you?”
  • rewards = “what would be the benefit of quitting?”
  • roadblocaks= “what has made it tought to quit in the past? how can you overcome them?”
  • repetition
22
Q

Smoking is driven by two processes- what are they?

A

conditioned response to a variety of cues within an environment i.e.) picking up the telephone, having a cup of coffee, and so on

physiological need for nicotine and prevention of withdrawal symptoms