tobacco

Question 1

what cancers are increased with smoking?

Answer 1

lung, pancreas, leukemia, bladder, kidney, cervical

Question 2

smoking consequences on the eyes

Answer 2

cataracts, macular degeneration

Question 3

effects of secondhand smoke on children

Answer 3

decrease wt gain (infants), increased reap sx/bronchitis/otitis/pneumonia, increased SIDS/asthma, double risk lung CA

Question 4

which educational group has the highest prevalence of smoking?

Answer 4

“some” high school

Question 5

what is the #1 reason that teens start smoking?

Answer 5

boredom

also defiance, being like a role model, being accepted to a peer group, act grown up

Question 6

what are the effects of smoking on mental health?

Answer 6

smokers are more likely to be depressed, esp women

Question 7

what % of smokers want to quit?

Answer 7

70%

Question 8

what % of smokers try at least once per year?

Answer 8

35%

Question 9

on avg, how many times do smokers try to quit?

Answer 9

5-7

Question 10

what is the effect of cessation medications on success?

Answer 10

double the success rate

Question 11

4 “A’s” of smoking cessation counseling

Answer 11

Ask- if they smoke
Advise- on dangers
Assist- with quitting
Arrange f/u

Question 12

what are the w/d sx of nicotine?

Answer 12

dysphoria, insomnia, irritability, appetite change and wt gain, anger, frustration, difficulty concentrating

Question 13

what is the purpose of nicotine replacement?

Answer 13

will help decreased w/d sx

Question 14

how many ppl in the world smoke?

Answer 14

about 1 in 3

Question 15

what is current mortality 2/2 smoking? 2030?

Answer 15

now- 6 mill/yr

2030- 10 mill/yr

Question 16

how much do americans spend on tobacco?

Answer 16

about $1500/yr

Question 17

how much do Americans spend on treating tobacco related illnesses?

Answer 17

$100 billion/yr

Question 18

how much do Americans lose in productivity related to tobacco?

Answer 18

$100 billion/yr

Question 19

how much do tobacco co spend on advertising?

Answer 19

$9 billion/yr

Question 20

5 reasons why smoking has become a major health concern in the 20th century

Answer 20

mass production of cigarettes
invention of paper and wood matches 
shift to persuasive advertising
fear of TB (increased smoking vs. chew)
increases in life expectancy

Question 21

% of smokers that start before age 14

Answer 21

50%

Question 22

% of smokers that start before age 21

Answer 22

90%

Question 23

years of life potential lost by smoking

Answer 23

7 years

Question 24

cancer deaths attributed to smoking

Answer 24

1 in 3

Question 25

all deaths attributed to smoking

Answer 25

1 in 5

Question 26

chance of a smoker during from lung CA

Answer 26

1 in 10

Question 27

main reason that adults smoke

Answer 27

addiction to nicotine

Question 28

% by which physician’s advise to quit smoking will increase cessation among pts

Answer 28

30%

Question 29

characteristics related to low success of cessation

Answer 29

coexisting psych conditions 
alcohol or substance abuse 
strong nicotine dependence
lack of social support for quitting 
low level in confidence of ability to quit

Question 30

what are the nicotine replacement options?

Answer 30

patch- steady over 2-4 hrs
gum- peaks in 20 min
nasal spray- peaks in 5-10 min
vapor inhaler- peaks in 20 min

Question 31

avg wt gain from quitting

Answer 31

5-10 lbs (2.3-4.5 kg)