Tobacco Flashcards
what was the first civilization to use tobacco?
mayans in central america, 300AD
when was tobacco introduced to europe?
1500s brought back from america
what were the progressive types of popular ways to consume tobacco?
1600s- pipe smoking 1700s- snuff early 1800s- chewing mid 1800s- cigars late 1800s- cigarettes
what did james bonsack invent that created immense popularity in smoking in 1880s?
cigarette machine
what were the 4 ‘cushions on the sofa of pleasure’?
tobacco, coffee, wine, opium
who was lucy gaston?
created an anti cigarette league in the US in 1899
the peak of smoking in the population was what year range?
1950s and 1960s
what information was released about cigarettes in 1964?
that cigarettes were related to cancer
what is the current rate of smokers in the population in canada?
18% (22% males, 16% females)
how much is an average price of a carton of cigarettes? (10 packs, 20 cigarettes per pack)
about 80 dollars
which drug is most detrimental to the health care system costs?
tobacco related illness
how many of the canadians that died of substance related problems were tobacco users?
37 000
t/f: a person’s life is shortened 30 minutes every cigarette smoked
false, its every 14 minutes
how many years earlier do smokers die?
12 years earlier than non smokers
what is mainstream smoke?
smoke exhaled by the smoker
what is sidestream smoke?
smoke that emanates from lit tobacco
what is second hand smoke a combination of?
mainstream+ sidestream smoke
living/working around second hand smoke increases risk of heart disease or cancer to what percent?
30% higher risk of heart disease or cancer
what is the 3rd leading preventable cause of death?
second hand smoke, otherwise called environmental smoke (smoking and alcohol deaths are 1st and 2nd )
does exposure to second hand smoke increase babies risk of SIDS?
yes
what SDOH influence likelihood to smoke?
genetic, age, low SES, less education, ^ alcohol and caffeine consumption
why do 39% of female smokers smoke?
weight control
what are some of the psychological factors that attribute to smokers?
low agreeableness, extroverted, more anxiety, less self control, etc
what is the link between adverse childhood experiences and smoking?
seen as a form of relief from unpleasant experiences
do people with or without mental disorders smoke more?
non mental disorder : 23%
mental disorder : 41%
which part of smoking has antidepressant effects?
nicotine
who is nicotine named after?
jean nicot, the french ambassador (in early 1800’s)
how can nicotine be absorped into the body?
inhalation is most effective
can also penetrate through skin
what is the main metabolite of nicotine?
cotinine
can cotinine be found in urine?
yes, used as a marker for tobacco use
what percentage of inhaled nicotine is excreted unchanged?
30-40%
depends on urinary pH
is nicotine an acid or a base?
a base
how would you reduce the excretion of nioctine from urine?
make the urine more basic, more reabsorption happens so less nicotine intake is needed
what is the most frequent mental disorder comorbid with smoking?
depression
how does stress change the urine and thus smoking habits under stress?
stress acidifies urine, which leads to more nicotine excreted from the body, therefore more smoking
what receptors does nicotine activate?
nicotinic cholinergic receptors