Tobacco Prevention & Intervention

Question 1

T or F– smoking is good for you.

Answer 1

F. Just wanted to establish that right off the bat.

Question 2

______ people in the US die each year prematurely from tabacco related causes. How many of these people have chronic mental illness?

Answer 2

480,000 (Thats 18% of US deaths!)

Almost half have mental illness.

Question 3

Health costs and productivity loss due to tabacco in the US>______ dollars per yer

Answer 3

280 billion.

She said we don’t really have to memorize all the numbers on the studies that she presented in class but I’ve included a couple notecards on the things that seemed somewhat important.

Question 4

Smoking peaked in 1965 at _____% of adults and then plateaued at ____% in the 2000s

Answer 4

40%

20%

Question 5

What is the Five A’s approach to help patients with smoking cessation?

Answer 5

• Ask- systematically identify all tabacco users at every visit
• Advise- all providers should strongly advise smokers to quit.
• Assess- Assess a patient’s willingness to quit as well as their degree of tabacco dependence
• Assist: Counseling- refer to groups, use pamphlets, or spend a little time to talk with them yourself
• Assist: pharmacotherapy- extensive research supports the effectiveness of this method but only 17% of patients receive it.

Question 6

Tabacco affects who most?

Answer 6

those with the least information about health risks and the least access to cessation services.

Question 7

Tabacco is the most important risk factor for what four cancers?

Answer 7

• lung
• oral cavity, larynx, pharynx
• esophagus
• bladder

It also causes lots of other cancers these are the top ones though

Question 8

What are the health consequences of second hand smoke?

Answer 8

mortality (this was the bolded one)

also a bunch of other stuff that makes sense: lung cancer, COPD etc..)

Question 9

What is the biggest factor that increases the risk of teens starting to smoke?

Answer 9

exposure to second-hand smoke or a smoker in the household

Question 10

what is the group with the lowest decline in smoking prevalence in the last 5 years?

Answer 10

Adolescents

Question 11

cessation of smoking within the first 3-4 months of a pregnancy has what benefit?

Answer 11

reduces risk of having a low birth-weight infant to that of a never-smoker

Question 12

What are the main differences between a patch and nasal spray as nicotine replacement therapy?

Answer 12

nasal spray- quickest onset

patch- takes a while to act but lasts the longest

Question 13

How does nicotine replacement work?

Answer 13

alleviates the symptoms of withdrawl

Question 14

What are the issues with E-cigarettes (vaping)?

Answer 14

• anyone can buy (no age limit)
• 65% of people start vaping to quit smoking however, we are unsure whether this has a beneficial effect yet compared to NRT (nicotine replacement therapy)

Question 15

How does bupropion work?

Answer 15

its a smoking cessation drug that inhibits the reuptake of dopamine and norepinephrine. This reduces craving and symtoms of withdrawals

Question 16

How does varenicline work?

Answer 16

another smoking cessation drug. It works as a partial agonist at the nicotine receptor which releases dopamine (dereasing cravings and withdrawl) as well as an antangonist that blocks the binding of exogenous nicotine (causing people to get a decreased reward from smoking a cigarette).