Smoking Cessation

Question 1

Definition of epidemiology

Answer 1

Study of how diseases affect the health and illness of populations.

Question 2

What % of the Scottish population smoke?

Answer 2

20

Question 3

In what age group is smoker prevalence the highest?

Answer 3

25-34

Question 4

What can secondary smoke lead to?

Answer 4

Respiratory infections
Bronchitis
Bronchiolitis
Pneumonia
Cot death
Middle ear infection

Question 5

What is in a cigarette?

Answer 5

Highly engineered products
Tobacco
Filter
Filler
Additives
Paper
Smoke

Question 6

How many chemicals and carcinogens does cigarette smoke contain?

Answer 6

> 4,000 chemicals
- >40 known carcinogens

Question 7

Give examples of chemicals found in cigarettes.

Answer 7

Nicotine
Tar
Carbon monoxide
Acetone
Arsenic
Cadmium
Hydrogen cyanide

Question 8

How many people die each year due to the effects of smoking?

Answer 8

In Scotland 13,000
- In the UK 120,000

Question 9

How many years of life is lost to smoking approximately?

Answer 9

7.5 years

Question 10

What cancers have a relative risk associated with smoking?

Answer 10

Upper respiratory
Lung
Oesophagus
Bladder
Kidney
Pancreas

Question 11

What other systems does smoking affect?

Answer 11

Endocrine
Dermatological
Ophthalmology
Locomotor
Cardiovascular
Gastroenterology

Question 12

What other illnesses are associated with smoking?

Answer 12

Type II diabetes mellitus
Psoriasis
Macular degeneration
Osteoporosis
Peptic ulceration
Crohn’s disease

Question 13

What conditions does smoking decrease your chance of developing?

Answer 13

Ulcerative colitis
Carcinoma of the uterus
Parkinsonism
Sarcoidosis
Hypersensitivity pneumonitis

Question 14

What areas of deprivation are most likely to smoke?

Answer 14

Permanently sick or disabled
unemployed and seeking work
Looking after home/family

Question 15

How do e-cigarettes work?

Answer 15

Use battery power to vaporise a solution of nicotine in propylene glycol/ polyethylene glycol

Question 16

How does the nicotine hit of an e-cigarette compare to a traditional cigarette?

Answer 16

25-50% of a tradition cigarette

Question 17

Why might e-cigarettes be considered safer than cigarettes?

Answer 17

Lacks 250 poisons/ 69 carcinogens

Question 18

Which females are more likely to smoke when pregnant?

Answer 18

Younger
Single
Lower educational achievement
Unskilled
Male partner more likely to smoke

Question 19

What are the risks of smoking while pregnant?

Answer 19

Increases risk of miscarriage, stillbirth and neonatal death by 1/3

Question 20

What is second hand smoking often responsible for in children?

Answer 20

Respiratory infections
Bronchitis
Bronchiolitis
Pneumonia
Cot death
Middle ear infection

Question 21

What are the health benefits of smoking cessation?

Answer 21

Increases life expectancy by 7.5 years

Risk of MI is reduced by 50% after 1 year

Risk of MI after 15 years is the same as a lifelong non smoker

Risk of lung cancer is only slightly increased after 10-15 years

Question 22

What strategies have been put in place for the protection of children?

Answer 22

Cannot sell tobacco products to anyone under 18

Cannot smoke in private vehicle with kids in it

Cannot purchase by proxy

Removal of vending
machines

Standardised packaging

Question 23

What are examples of the exemptions to the smoking in public place band?

Answer 23

Hotels and guest host bedrooms

Designated rooms in care homes, hospices and prisons

Private homes

Places not ‘substantially enclosed’

Actors

Specialist tobacco shops

Question 24

European law regarding packaging

Answer 24

MAY 2016 - EU TOBACCO PRODUCTS DIRECTIVE

Picture warnings - 65%

Ban on flavours

Min pack size - 20

Limits on tar, nicotine and carbon monoxide

Terms such as “mild” and “ultra-smooth” banned