CH 11 Tobacco Use – Flashcards

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How many Americans use tobacco?
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69.6 million Americans
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__% of Americans age 118 described themselves as current smokers.
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20
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Nicotine
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Powerful psychoactive drug Reaches brain via bloodstream in seconds Most physically addictive of the psychoactive drugs
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Loss of Control
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Inability to quit when you want. Getting tobacco becomes one's main concern; becoming irritable after 40 minutes without tobacco; schedule revolves around need for tobacco
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Tobacco
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Leaves of cultivated tobacco plants prepared for smoking, chewing, or use as snuff
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Established habits or cues can ______ smoking.
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Trigger
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Secondary Reinforcers
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Act with physiological addiction to keep user dependent
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CYP2A6
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Influences the way in which nicotine is metabolized Slower forms cause nicotine to stay in system longer
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DRD2
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Dopamine plays a key role in pleasurable effects of nicotine; some forms of this gene making smoking more pleasurable for some than others
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Are men or women more likely to smoke?
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Men
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What ethnicity is most likely to smoke?
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Blacks
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What education level is most likely to smoke?
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GED
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90% of all new smokers in the country are ______ and _______.
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Children Teenagers
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Average age to begin smoking and spit tobacco?
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13-smoking 10-spit tobacco
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Characteristics which increase potential for tobacco use.
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Parent/sibling uses Peer use Blue-collar family Low-income home Single parent Poor performance in school Drops out of school Positive attitude towards tobacco
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Tobacco adversely affects what?
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Nearly every part of the body
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Unfiltered cigarettes
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5 billion particles per cubic mm
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Tobacco contains _________ times more particles than polluted urban air
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50,000
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Tar
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Brown, sticky mass created when the chemical particles in tobacco smoke condense
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Carcinogen
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Any substance that can cause cancer
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Number of carcinogens in tobacco smoke
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69 Includes benxo(a)pyrene Urethane
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Cocarcinogen
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A substance that works with a carcinogen to cause cancer
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Poisonous substances in tobacco smoke
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Arsenic Hydrogen cyanide
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How much Carbon Monoxide is in cigarettes?
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400 times greater than is considered safe in industrial workplaces
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Carbon Monoxide
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Displaces oxygen in red blood cells
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How many additives are in tobacco smoke?
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Nearly 600 chemicals
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No such thing as a _____ cigarette.
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safe
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Issue with low-tar, low-nicotine, or filtered cigarettes
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Users often smoke more
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Menthol Cigarette
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70% of African-American smokers use this. Has an anesthetizing effect, meaning you inhale more deeply and hold smoke longer in the lungs
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Menthol
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Opens the lungs to make it easier for nicotine to get in bloodstream
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Why is it harder blacks to quit smoking?
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They absorb more nicotine and metabolize it slower
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Immediate effects of tobacco smoke
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Either excites or tranquilizes the nervous system Stimulate cerebral cortex Stimulates discharge or adrenaline
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Mild nicotine poisoning
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Usually on experienced by beginning smokers
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Physiological effects of tobacco smoke
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Inhibits formation of urine constricts blood vessels (esp. in skin) Accelerates heart rate Elevates blood pressure (requires heart to work harder) Depresses hunger Dull taste buds
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Coronary Heart Disease (CHD)
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Cardiovascular disease caused by hardening of the arteries that supply oxygen to the heart muscle
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Atherosclerosis
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Caused by the deposit of fatty substances (plaque) in the walls of arteries. Leads to CHD.
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Plaque
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Deposit on the inner wall of blood vessels Blood can coagulate around this and form a clot
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Angina pectoris
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Chest pain due to coronary disease; primary symptom of CHD; results when heart muscle doesn't get enough oxygen
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Myocadial infarcation
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Heart attack caused by complete blockage of main coronary artery
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Stroke
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Sudden interference with the circulation of blood in a part of the brain, resulting in the destruction of brain cells
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Aortic Aneurysm
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A bulge in the aorta caused by weakening in its walls
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Pulmonary heart disease
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A disorder of the right side of the hearts, caused by changes in the blood vessels of the lungs
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Long-Term Effects of Tobacco Use
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Cardiovascular Disease Lung and other cancers Chronic Obstructive Lung Disease Other respiratory damage
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Lung Cancer
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Cigarette smoking is primary cause; risk of developing this increases with cigarettes smoked per day
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Possible cancers resulting from Cigarette smoking
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Trachea Mouth Pharynx Esophagus Larynx Pancreas Bladder Kidney Breast Cervix Stomach Liver Colon Skin
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Chronic Obstructive Pulmonary Disease (COPD)
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Caused by stress placed on the lungs from smoking
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Emphysema
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Disease characterized by loss of lung tissue elasticity and destruction of the air sacs, impairing the lungs' ability to take in oxygen and expel carbon dioxide
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Chronic Bronchitis
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Recurrent, persistent inflammation of the bronchial tubes
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Other respiratory damages caused by smoking
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Destruction of cilia (protect bronchial tubes) caused by mucus production leads to smoker's cough, shortness of breath, worsening of allergies and asthma
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Additional health, cosmetic, and economic concerns of smoking
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ulcers impotence reproductive health problems dental disease diminished physical senses injuries cosmetic concerns economic costs
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Smoking decreases ________ and increases ________.
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Lifespan illness and rate of acute and chronic disease
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Other forms of Tobacco
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Spit Tobacco Cigar and Pipes Clover cigarettes and Bidis Hookah E-cigs
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Spit Tobacco
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Used by more than 8.1 million adults 9% of all high school students
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Cigar and Pipes
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Increased steadily since the early 1990s
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Clover cigarettes and Bidis
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2x the tar, nicotine, and carbon monoxide of regular cigarettes
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E-cigarettes
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Don't contain tobacco
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Environmental Tobacco Smoke (ETS)
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AKA secondhand smoke Class A carcinogen by EPA Even brief exposure can cause harm, no safe level
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Mainstream smoke
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Smoke exhaled by smokers
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Sidestream Smoke
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Smoke from the burning end of a cigarette, cigar, or pipe 2x the tar and nicotine 3x the benzo(a)pyrene and ammonia 85% of smoke in a room is second hand
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How dangerous is smoke from cigars?
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Even more dangerous Containt 30 times more Carbon monoxide
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Effects of ETS
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Cough, headache, nasal discomfort, eye irritation, breathlessness, sinus problems, allergies exacerbated, increased asthma attacks
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ETS causes ________ deaths due to lung cancer
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3,000
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ETS contributes to about _________ overall deaths each year
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35,000
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Infants and children exposed to ETS are more likely to develop
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bronchitis, pneumonia, & respiratory infections Complications from asthma Low-birth weight
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Why are the effects of ETS so much greater on children?
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Children inhale 3x more pollutants per unit of body weight than adults
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Chemicals from smoking show up in _____ _____, which effects infants.
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breast milk
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How does one avoid ETS
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speak up Display reminders don't allow smoking in your home open a window sit in nonsmoking section fight for smoke-free environment discuss quitting strategies
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Causes of smoking on pregnancy
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miscarriage, premature birth, low birth weight, long term impairments in growth and intellectual development Possibly higher risk of cancer
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___% of pregnant women smoke
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16
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Costs of tobacco use on society
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$167 billion per year
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1998 Master Settlement Agreement (MSA)
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Tobacco companies ahve to pay $206 billion over 25 years Limits or bans certain types of advertising, promotions, and lobbying
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FDA actions against tobacco
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Strict rules on marketing, especially to minors Ban terms (light, mild, or low) in advertising Health warnings Detailed disclosure of ingredients Content standards Ban all flavorings (except menthol) Regulate "reduced harm" products Minimum smoking age of 18 Prohibit free samples Protect states' ability to pass other tobacco control laws
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World Health Organization (WHO) action against smoking
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World No Tobacco Day (May 31) No smoking on international flights
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Options for quitting
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Smoking cessation programs Hotlines Products (Chantix, Zyban) nicotine replacement products
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