Ch 12 Ending Tobacco Use – Flashcards

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question
how the prevalence of cigarette smoking among adults has changed over the last 40 years?
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the prevalence of cigarette smoking among adults has declined significantly over the last 40 years.
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Tobacco is the single most_in the US
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most preventable cause of death
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tobacco is known to cause more than _diseases
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20
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smoking kills more Americans than _
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-alcohol, car accidents, suicides, AIDS, homicide, and illegal drugs combined
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approx _Americans age _and older report using tobacco products at least once in the past month
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-70 million -age 12 and older
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what are examples of tobacco products?
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-cigarettes -cigars -smokeless tobacco -pipe tobacco
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in 2010, percentage of each gender that smoked?
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-21.5% men -17.3% women
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adults of what age range had the highest percentage of current cigarette smoking and the percentage continues to _ with increasing age
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-25 to 44 -decrease with increasing age
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_% of all cancer deaths have_as a primary causal factor
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-30% -smoking
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describe the relation between education and cigarettes?
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-adults with a bachelor's degree or higher education are two times less likely to smoke than are those with less than a high school education
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describe the relation between ethnicity and cigarette smoking and what ethnicity has the highest rates of smoking?
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-Cigarette smoking also varies with ethnicity, with the highest rates of smoking found among and American Indian and Alaska Natives
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table of percentage of population that smokes (age 18 and older) among select groups in US
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contains overall US, race (asian, black non-hispanic, hispanic, native american, white non-hipsanic) age (from 18 to 65+), gender, education, and income level
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what economic groups smokes more?
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-the group of below poverty level smokes more than those of at or above poverty level
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what tobacco product is the most used? what follows it?
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-cigarettes, followed by cigars and smokeless tobacco
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production and distribution of tobacco products involve many _(2) issues
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-political and economic issues
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how tobacco is a profit to government?
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-tobacco-growing-states derive substantial income from tobacco production, and federal, state, and local governments benefit enormously form cigarette taxes
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the tobacco industry spends an estimated $36 million per day on _.why?
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-advertising and promotional material -with the number of smokers declining by about 1 million each year, the industry must actively recruit new smokers
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advertising also plays an important role in encouraging_(what age people)
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-young people to begin a lifelong addiction to smoking before they are old enough to fully understand its long-term health risk
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90% of adults who smoke started by the age of _, and half of them became regular smokers by their _birthday
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-21 -18
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what products tobacco companies make to target children and teens?
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-target children and teens with tobacco products that have candy, fruit, or alcohol flavorings that mask the harshness of tobacco, thus making these items more appealing and palatable to young people
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advertisements in women's magazines imply that smoking is _. how the cigarette sales to women have changed since mid-1970s?
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-the key to financial success, thinness (weight control), and independence, and social acceptance -from the mid-1970s through the early 2000s, cigarette sales to women increased dramatically.
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along with the cigarette sales, what diseases targeted to women increased?
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by 1978, cigarette-induced lung cancer had surpassed breast cancer as the leading cancer killer among women and has remained the leading cancer killer in every year since
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how cigarette advertisements target men?
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men are depicted in locker rooms, charging over rugged terrain in off-road vehicles, or riding stallions into the sunset in blatant appeals to a need to feel and appear masculine
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what minority has been targeted by tobacco advertising in magazines?
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a higher concentration of tobacco advertising in magazines aimed at African Americans, such as Jet and Ebony,than in similar magazines aimed at broader audiences, such as Time and People.
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Billboards and posters aiming the cigarette message at _(minority) have spotted the landscape in _(minority) communities for many years, especially _income areas
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-Hispanics -Hispanic communities -low-income
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what are recent innovation by tobacco companies to advertise?
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-have included sponsorship of community-based events such as festivals and annual fairs
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tobacco use has a financial cost to _
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society
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estimates show that tobacco use causes over _in annual _-related economic losses. what are other financial costs to society?
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-$193 billion -health-related -the economic burden of tobacco use totals more than $96 billion in medical expenditures and $97 billion in indirect costs (absenteeism, added cost of fire insurance, training costs to replace employees who die prematurely, disability payments, etc)
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the economic costs of smoking are estimated to be _per smoker per year
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$3,100 per smoker per year
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these costs far exceed the _on the sale of _
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-tax revenues -sale of tobacco products
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why do people start smoking? (main factor, what other factors (2), what tobacco companies know, what age group mainly target and how)
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-peer pressure plays a large role, as do advertising and the portrayal of smoking in various media -tobacco companies know that once a person starts smoking, chances are good that he or she will get hooked, so they make a concerted effort to attract children and teens by using colorful images and flavored products that mask the harshness of tobacco
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_of high school students had experimented with smoking
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1/2
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why high school students may try cigarettes? (factors)
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-they might try a cigarette out of curiosity, because their parents smoke, or as a result of peer pressure
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why do some people walk away from cigarettes while others get hooked? (4 possible reasons)
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-Nicotine is very addictive drug -people can become hooked on the behavior itself -weight control can be a motivating factor -US residents are bombarded with cigarette advertising messages every day
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beginning smokers usually feel the effects of _in their first puff. these symptoms are called _
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-nicotine -nicotine poisoning
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nicotine poisoning (what is it and include symptoms (7))
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-symptoms often experienced by beginning smokers, including dizziness, diarrhea, lightheadedness, rapid and erratic pulse, clammy skin, nausea, and vomiting
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what happens with nicotine poisoning symptoms with time? how this compares to symptoms of other drugs?
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-these symptoms cease as tolerance develops, which happens almost immediately in new users, perhaps after the second or third cigarette -in contrast, tolerance to most other drugs, such as alcohol, develops over a period of months or years.
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regular smokers generally do not experience a _from smoking. they continue to smoke simply because_
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-"buzz" -quitting is so difficult
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what is a factor that can be significantly influential in smoking initiation and nicotine dependence? explain how. (include neurotransitter name)
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-genetic factors -teenagers carrying variants in 2 genes were 3 times more likely to become regular smokers in adolescence and twice as likely to be persistent smokers in adulthood, compared to noncarriers -These two specific genes may influence smoking behavior by affecting the action of the brain chemical dopamine
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people who smoke are not just _dependent on nicotine, they are also _dependent
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-physically -psychologically (behavioral dependence)
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how a psychological/ behavioral dependence arise? (involve nicotine into discussion)
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-nicotine "tricks" the brain into creating pleasurable memory associations between sensory stimuli or environmental cues that may trigger the urge for a cigarette -even those who smoke only occasionally might find it hard to quit because of associations between smoking and a behavior such as having a drink or a morning cup of coffee
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many smokers have a difficult time imaging _
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not smoking
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describe examples of psychological dependence and how difficult is for smokers to image not smoking
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-they often describe their cigarette as their friend -For some smokers, simply holding a cigarette provides comfort and can have a calming effect -some former smokers remain vulnerable to sensory and environmental cues, such as the smell of tobacco or driving a car, for years after they quit
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factors affecting what women smoke are in page
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*page 358*
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tobacco-related disease kills an estimated _women, making it _
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-174,000 -it the largest preventable cause of death among women in the US
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women who _are at higher risk of developing breast cancer
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-begin smoking at an early age (within 5 years of their first menstrual period)
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how smoking-related cancer deaths are changing with respect to gender?
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data form CDC, indicate that smoking-related cancer deaths are decreasing among men but are increasing among women
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postmenopausal women who smoke have _than do women who never smoked, putting these women at increased risk for _
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-lower bone density -osteoporosis
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why nicotine helps in weight control?
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-nicotine is an appetite suppressant and slightly increases the smoker's basal metabolic rate -people who start smoking often lose weight -after smoking, a smoker's metabolism increases right away and then returns to a normal level -heavy smokers may have higher metabolic rates and lower appetite
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what happens when smokers quits? (regarding weight)
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-when a smoker quits, the metabolic rate slows down and appetite returns -people tend to eat more (sweets in particular) when they stop smoking, with an average weight gain between 5 to 8 pounds
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fear of _is one of the biggest reasons smokers are reluctant to quit
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gaining weight
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ways to avoid weight gaining after quitting smoking include_
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-avoiding crash diets -keeping low-calorie treats handy -drinking plenty of water
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_are the targets of heavy tobacco marketing and advertising campaigns.
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-college students
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The tobacco industry has set up aggressive marketing promotions at_(locations) specifically targeted at _age group
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-bars, music festivals, and other events -18- to 24-year-old age group
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what makes college students especially vulnerable?
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-being placed in a new, often stressful social and academic environment makes college students especially vulnerable to outside influences
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_influence can prompt students to start or continue smoking, and many colleges and universities still _
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-peer influence -sell tobacco products in campus stores
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how cigarette smoking among US college students has changed?
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-cigarette smoking among US college students has decreased in recent years
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among young adults 18 to 22 years old, what college students are less likely to smoke cigarettes? (enrollment status, gender)
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-full-time college students were less likely to be current cigarette smokers than their peers who were not enrolled full time in college -the same patter was found among both males and females in this age range. -among males age 18 to 22 who were full-time college students in 2010, cigarette use declined -smokeless tobacco did not differ significantly between males age 18 to 22 who were full-time college students and males of the same age group who were not enrolled full time in college -college men and women have nearly identical rates of cigarette smoking, but men use more cigars and smokeless tobacco
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why do college students smoke? (4)
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-main reason: wants to relax or to reduce stress (smokers are more likely to have a higher levels of perceived stress than do nonsmokers) -fit in or due to social pressure -they cannot stop or are addicted -weight control is an important motivation, and fear of weight gain is a common reason for smoking relapse
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students diagnosed with what mental disorder are more likely to use tobacco?
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-students diagnosed or treated for depression are 7.5 times more likely to use tobacco compared to students who were never diagnosed or treated for depression
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many college-age smokers identify themselves as_
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social smokers
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social smoker
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-those who smoke when they are with people, rather than alone
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half of college smokers _. those smokers when smoke?(include gender and age)
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-deny being smokers -those students are often younger males who are low-level smokers -many of these students smoke in social situations where they also drink alcohol
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what are risks of social smoking?
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-even on occasional smoking is not without risks of damaging health effects -social smoking in college can lead to a complete dependence on nicotine and thus to all the same health risk as smoking regularly
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list reasons why college students smoke in order (7)
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-reduce stress -social pressure -cannot stop (addicted) -social smoker -experiment -concentrate -control appetite
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smoking less than a pack of cigarettes a week has been show to damage _and to increase_
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-damage blood vessels and to increase the risk of heart disease and cancer
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occasional or social smokers also experience an increased occurrence of _(sicknesses)
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-colds -sore throats -shortness of breath -fatigue
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In women taking birth control pills, even a few cigarettes a week can increase the likelihood of _(diseases (5))
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-heart disease -blood clots -stroke -liver cancer -gallbladder disease
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pregnant women who smoke only occasionally still run a risk of _
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-giving birth to unhealthy babies
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most student smokers want to _. explain how successful they are
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-quit (stop smoking) --in spite of their effort o desire to quit, almost all daily smokers continue to smoke throughout college
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What colleges and universities must do to reduce incidence of smoking among students?
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-college and universities need to engage in antismoking efforts, control tobacco advertising, provide smoke-free residence halls, and offer greater access to smoking-cessation programs -even banning smoking on campuses *for more about banning is in page 360*
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what ETS stands for? places to get it?
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-environmental tobacco smoke -students have been exposed to ETS in restaurant or bar (most), home or in the same aroom as smoker, and in a car
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there is a well-established link between _
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-smoking and drinking -reason students who binge drink were more likely to get exposed to Environmental tobacco smoke (ETS)
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what is the most common form of tobacco use?
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-smoking
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smoking delivers a strong dose of _directly to _, along with _(#) other chemicals substances, including_(3). among these chemicals are at least _(#)known or suspected _
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-nicotine -lungs -7,000 -arsenic, formaldehyde, and ammonia -69 -carcinogens
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some of the chemicals contained in tobacco smoke can also be found in _(4)
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-chemical weapons -household cleaners -car exhaust -embalming fluid
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inhaling toxic gases exposes _(part of body that is no lungs) to irritating chemicals that weaken the tissues and contribute to _(diseases). the _from tobacco smoke is also harmful to tissues
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-sensitive mucous membranes -cancers of the mouth, larynx, and throat -heat form tobacco smoke
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what is the most addictive chemical stimulant in tobacco products? It is the major _substance in all tobacco products
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-nicotine -major psychoactive substance in all tobacco products
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nicotine
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primary stimulant chemical in tobacco products that is highly addictive
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in natural form, how is nicotine?
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nicotine is colorless liquid that turn brown upon exposure to air
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how nicotine is intentionally absorbed by the body? (2)
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-when nicotine leaves are burned in a cigarette, pipe, or cigar nicotine is released and inhaled into the lungs -sucking or chewing tobacco releases nicotine into the saliva, and the nicotine is then absorbed through the mucous membranes in the mouth
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nicotine is a powerful _system stimulant that produces a variety of psychological effects. In the _(part of brain), it produces an _state
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-central nervous system -cerebral cortex -produces an aroused, alert mental state
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how nicotine affects the adrenal glands?
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-nicotine stimulates the adrenal glands, which increases the production of adrenaline
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What else is being affected by nicotine? (think about cardiovascular system)
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-it also increases heart and respiratory rates, constricts blood vessels, and, in turn, increases blood pressure because the heart must work harder to pump blood through the narrowed vessels
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cigarette smoke is _produced by_
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a complex mixture of chemicals and gases produced by the burning of tobacco and its additives
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tar (what it is and where in the body forms)
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-thick, brownish sludge condensed from particulate matter in smoked tobacco -particular matter condenses in the lungs
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tar contains various_, such as_,and chemical_, such as_
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-carcinogen agents, such as benzopyrene -chemical irritants, such as phenol
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phenol has the potential to _that contribute to _
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-combine with other chemicals that contribute to developing lung cancer
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in healthy lungs, what is found on the surface lining of upper respiratory passages? function?
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-in healthy lungs, millions of tiny hairlike projections (cilia) on the surfaces lining the upper respiratory passages sweep away foreign matter, which is expelled from the lungs by coughing
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how cilia is affected by smoking? what this allows? (think about tar)
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-the cilia's cleansing function is impaired in smokers' lungs by nicotine, which paralyzes the cilia for up to 1 hour following a single cigarette -this allows tars and other solids in tobacco smoke to accumulate and irritate sensitive lung tissue
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smoke particles irritate lung pathways, causing extra_production, and nicotine _. what this two things result in?
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-mucus -nicotine paralyzes the cilia that normally function to keep the lungs clear of excess mucus -the result is difficulty breathing, "smoker's cough," and chronic bronchitis
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what damage can tar cause in lungs? (2)
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-at the same time, tar collects within the alveoli (air sacs), ultimately causing their walls to break, leading to emphysema -tar and other carcinogens in tobacco smoke also cause cellular mutations that lead to cancer
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cigarette smoke also contains poisonous gases, what is the most dangerous one?
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-the most dangerous of which is carbon monoxide
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carbon monoxide (what it is, what does to body, normally emitted in_)
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-gas found in cigarette smoke that reduces the ability of blood to carry oxygen by binding with the receptor sites for oxygen, causing oxygen deprivation in many body tissues -deadly gas emitted in car exhaust
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carbon monoxide is at least partly responsible for the increased risk of _(2 diseases)in smokers
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-heart attacks and stokes
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is social smoking really that bad for me?
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-an occasional puff once in a while when you are out with friends cannot hurt right? Wrong! There is no "safe" amount of tobacco use--any smoking or exposure to smoke increases your risks for negative health effects such as heart disease and lung cancer -and even if you smoke only once or twice a week and consider yourself a social smoker, chances are you are on the road to dependence and a more frequent smoking habit
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tobacco comes in several forms, list them (5, include how use it)
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The ones used for burning and inhaling tobacco: -cigarettes -cigars -pipes and hookahs -bidis Smokeless tobacco is sniffed or placed in the mouth
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types of cigarettes
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-filtered cigarettes -clove cigarettes -menthol cigarettes
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what is the most common form of tobacco available?
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-Filtered cigarettes
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how filtered cigarettes are made and why?
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-almost all manufactured cigarettes have filters designed to reduce levels of gases such as hydrogen cyanide and carbon monoxide, but these products may actually deliver more hazardous gases to the user than nonfiltered brands
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what some smokers that use cigarettes do to smoke more cigarettes? why this is worst?
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-some smokers use low-tar and low-nicotine products as an excuse to smoke more cigarettes -this practice is self-defeating because they wind up exposing themselves to more harmful substances than they would with a smaller number of regular-strength cigarettes
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what are made the clove cigarettes?
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-contain about 40% ground cloves (a spice) and about 60% tobacco -contain eugenol
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how harmful are clove cigarettes? what contain that is bad?
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-clove cigarettes contain higher levels of tar, nicotine, and carbon monoxide than do regular cigarettes -the numbing effect of eugenol, an ingredient in cloves, allows smokers to inhale more deeply
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how harmful are menthol cigarettes? what contain?
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-the throat-numbing effect of the menthol allows for deeper inhalation -menthol cigarettes also have higher carbon monoxide concentrations than regular cigarettes
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how cigar sales have changed since 1997 in US?
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-since 1997, cigars sales in the US have increased dramatically
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many people believe that cigars are safer than cigarettes, how this is wrong?
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-cigars smoke contains 23 poisons and 43 carcinogens -most cigars contain as much nicotine as several cigarettes, and when cigar smokers inhale, nicotine is absorbed as rapidly as it is with cigarettes -for those who do not inhale, nicotine is still absorbed through the mucous membranes in the mouth
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how pipes have been used throughout the world?
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-pipes have had a long history of use throughout eh world, including ritualistic and ceremonial use in many cultures
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how harmful are pipe smoking?
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-pipe smoking carries risks similar to cigar smoking
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of concern in recent years is the increasing prevalence, particularly among _, of the use of _, or _
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-college students -hookahs -water pipes
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Hookah smoking (where originated, what involves)
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-Originated in the middle east -involves burning flavored tobacco in a water pipe and inhaling the smoke through a long hose
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Why Hookahs are marketed as safe alternatives to cigarettes? however, what is the reality?
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-hookahs are marketed as a safe alternative to cigarettes because they reduce the risks from hazardous chemicals by filtering the smoke through water before it is inhaled -while water pipes may cool the smoke, they do not eliminate or filter out harmful substances
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In addition to the health risks associated with all tobacco products, risk associated with hookah use include_
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possibility of infectious disease transmission by sharing a pipe
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bidis (what are them, flavors, resemble what)
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-small, hand-rolled flavored cigarettes that come in a variety of flavors, such as vanilla, chocolate, and cherry -resemble a marijuana joint or a clove cigarette
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where bidis are generally made?
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-in India or Southeast Asia
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bidis have become increasingly popular with _because they are viewed as _. however, they are_
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-college students -safer and cheaper than cigarettes -far more toxic than cigarettes
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how harmful are bidis?
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--they are far more toxic than cigarettes -smoke form a bidi contains 3 times more carbon monoxide and nicotine and five times more tar than cigarettes -the leaf wrappers are nonporous, which means that smokers must suck harder to inhale and must inhale more to keep the bidi lit (28 puffs to smoke a bidi, compared to only 9 puffs for a regular cigarette) -This results in increased exposure to higher amounts of tar, nicotine, and carbon monoxide, and bidis lack any sort of filter to reduce these levels
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Bidi smoking increases the risk fr _(diseases)
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-oral cancer -stomach cancer -esophageal cancer -is also associated with emphysema and chronic bronchitis
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what are the 2 types of smokeless tobacco?
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-chewing tobacco -snuff
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chewing tobacco
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-stringy form of tobacco that is placed in the mouth and then sucked or chewed
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3 forms of chewing tobacco (types)
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-loose leaf -plug -in a pouch
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chewing tobacco contains _
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-tobacco leaves treated with molasses and other flavorings
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how the user uses the chewing tobacco?
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-the user dips the tobacco by placing a small amount between the lower lip and teeth to stimulate the flow of saliva and release the nicotine
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dipping
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-placing a small amount of chewing tobacco between the lower lip and teeth for rapid nicotine absorption
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dipping rapidly releases nicotine into_
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bloodstream
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use of chewing tobacco by_has increased
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-teenage boys, especially in rural areas
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is chewing tobacco as harmful as smoking? (how harmful to health, what contains, example of someone that used it)
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-no matter in what form you use it, tobacco is hazardous to your health -chewing tobacco and snuff actually contain more nicotine than cigarettes and just as many toxic and carcinogenic chemicals ex: a young cancer survivor began using smokeless tobacco at age 13; by age 17, he was diagnosed with squamous cell carcinoma. He was undergone surgery to remove neck muscles, lymph nodes, and his tongue, and he now educates others about the dangers of chewing tobacco
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snuff (what you do with it, how absorbed)
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-powdered form of tobacco that is sniffed or absorbed through the mucous membranes in the nose or placed inside the cheek and sucked
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snuff is a _from of tobacco that can be _(how used)
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-finely ground -inhaled, chewed or placed against the gums
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snuff comes in what presentation?
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-snuff comes in dry or moist powered form or sachets (tea bag-like pouches)
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snus became the latest form of smokeless tobacco to hit the market in US. how used and why popular?
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-popular for more than 100 years in Sweden, these small sachets of tobacco are placed in side the cheek and sucked -some people prefer snus to chewing tobacco because it does not require the user to spit frequently
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how smokeless tobacco compares with cigarettes?
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-smokeless tobacco is just as addictive as cigarettes and actually contains more nicotine (1 dip in mouth for 30 minutes delivers as much nicotine as smoking 4 cigarettes; a two-can-a-week snuff user gets as much nicotine as a 10-pack-a-week smoker)
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what problems are common among users of smokeless tobacco? explain
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-dental problems -contact with tobacco juice causes receding gums, tooth decay, bad breath, and discolored teeth -damage to both the teeth and jawbone can contribute to loss of teeth
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each day, cigarettes contribute to more than 1,200 deaths from_
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-cancers, cardiovascular disease, and respiratory disorders
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systems affected by short-term health effects of tobacco (smoking) (7)
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-brain -nose and mouth -lungs -heart and blood vessels -endocrine system -stomach -muscles
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systems affected by long-term health effects of tobacco (smoking) (6)
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-nervous system -skin -mouth -respiratory system -cardiovascular system -reproductive system
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explain short-term health effects of smoking: brain (2)
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-lightheadedness -aroused mental state
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explain short-term health effects of smoking: nose and mouth (3)
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-irritates throat and airways -dulls senses of smell and taste -increases mucus and phlegm
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explain short-term health effects of smoking: lungs (1)
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-increases respiratory rate
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explain short-term health effects of smoking: heart and blood vessels (2)
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-constricts blood vessels -increases pulse and blood pressure
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explain short-term health effects of smoking: endocrine system (2)
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-increases blood sugar levels -increases production of adrenaline
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explain short-term health effects of smoking: stomach (1)
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-suppresses appetite
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explain short-term health effects of smoking: muscles (1)
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-induces fatigue
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explain long-term health effects of smoking: nervous system (1)
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-addiction and nicotine craving
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explain long-term health effects of smoking: skin (2)
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-stained fingers -excess wrinkling
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explain long-term health effects of smoking: mouth (3)
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-increased risk of gum disease -increased risk of cancers of the oral cavity, throat, and larynx -Stained teeth
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explain long-term health effects of smoking: respiratory system (2)
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-increased susceptibility to cold, flu, pneumonia, and asthma -greatly increased risk of lung cancer, emphysema, and other lung diseases
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explain long-term health effects of smoking: cardiovascular system (2)
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-increased risk of stroke -increased risk of heart disease, artherosclerosis
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explain long-term health effects of smoking: reproductive system (2)
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-increased risk of impotence, infertility -in pregnant women, increased risk of miscarriage, stillbirth, and low birth weight babies
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health hazards of tobacco products (smoking) (in general) (4)
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-cancer -cardiovascular disease -respiratory disorders -sexual dysfunction and fertility problems
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what is the leading cause of cancer deaths in the US?
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lung cancer
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The American Cancer Society estimates that tobacco smoking causes _% of all cases of lung cancer; fewer than _% of cases occur among nonsmokers
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-85 to 90% -10%
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lung cancer can take _years to develop
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10 to 30 years
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when lung cancer is diagnosed?
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-most lung cancer is not diagnosed until it is fairly widespread in the body
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if you are a smoker, your risk of developing lung cancer depends on several factors:
answer
1. the amount you smoke per day. the more you smoke, the more likely to develop lung cancer 2. the age at which you started smoking. If you started in your teens, you have a greater chance of developing lung cancer than do people who start later 3. whether you inhale deeply when you smoke.
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as little as 1 cigar per day can double the risk of several cancers, including_
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-cancer of the oral cavity (lip, tongue, mouth, and throat) -esophagus -larynx -lungs
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smokers are also more susceptible to the cancer-causing effects of exposure to _than are nonsmokers
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-irritants, such as asbestos and radon
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what is a major risk of chewing tobacco?
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-leukoplakia
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leukoplakia
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-condition characterized by leathery white patches inside the mouth, which is produced by contact with irritants in tobacco juice
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3 to 17% diagnosed leukoplakia cases develop into _
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oral cancer
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_(2) users are 30 times more likely to develop oral cancers than are nonusers
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heavy alcohol and smokeless tobacco users
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warning signs of luekoplakia
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-lumps in the jaw or neck -color changes or lumps inside the lips -white, smooth, or scaly patches in the mouth or on the neck, lips, or tongue -a red spot or sore on the lips or gums or inside the mouth that does not heal in 2 weeks -repeated bleeding in the mouth -difficulty or abnormality in speaking or swallowing
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the lag time between first use and contracting cancer is shorter for _(who and why?)
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-smokeless tobacco users than for smokers because absorption through the gums is the most efficient route of nicotine administration
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many smokeless tobacco users eventually "graduate" to cigarettes and _(bad results)
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-increase their risk for developing additional problems
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tobacco (smoking) is linked to what cancers?
answer
-smokers develop pancreatic cancer -smokers are at increased risk to develop cancers of lip, tongue, salivary glands, and esophagus -long-term use of smokeless tobacco increases the risk of cancers of larynx, esophagus, nasal cavity, pancreas, kidney, and bladder -tobacco consumption increases lung cancer
question
how tobacco use and smoking rates have changed along with lung cancer deaths?
answer
-a dramatic rise in lung cancer death rates echoed the rise in popularity of cigarettes and other tobacco products. After tobacco use and smoking rates began to decline in 1980s, the lung cancer death rates began to decline as well
question
over a third of all tobacco-related deaths occur form _
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heart diseases
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smoking poses as great a risk for developing _(what cardiovascular diseases)
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-heart disease -high blood pressure -high cholesterol
question
how cigars contribute to cardiovascular diseases?
answer
-daily cigar smoking, especially for people who inhale, also increases the risk of heart disease (cigar smokers double their risk of heart attack and stroke compared to nonsmokers)
question
smoking contributes to heart disease by _(what do to body and why this happens?)
answer
-aging the arteries -this occurs because smoking and exposure to environmental tobacco smoke (ETS) encourage and accelerate the build up of fatty deposits (plaque) in the heart and major blood vessels (artheroscleoris)
question
what is the relation between smoking and cholesterol?
answer
-smoking decreases blood levels of high-density lipoproteins (HDLs), the good cholesterol that helps protect against heart attacks
question
smoking also contributes to _
answer
platelet adhesiveness
question
platelet adhesiveness
answer
-stickiness of red blood cells associated with blood clots
question
how smoking can affect the heart?
answer
-the oxygen deprivation associated with smoking decreases oxygen supplies to the heart and can weaken tissues -smoking also contributes to irregular heart rhythms, which can trigger a heart attack
question
both carbon monoxide and nicotine can precipitate _attacks, which are_
answer
-angina attacks -chest pain due to the heart muscle not getting the blood supply it needs
question
smokers are 2 to 4 times as likely to suffer _as nonsmokers
answer
strokes
question
when a stroke occurs?
answer
-a stroke occurs when a small blood vessel in the brain bursts or is blocked by a blood clot, denying oxygen and nourishment to vital portions of the brain
question
depending on the part of the brain affected, a stroke can result in_
answer
-paralysis -loss of mental functioning -death
question
how smoking contributes to strokes? (2)
answer
-by raising blood pressure, which increases the stress on vessel walls -platelet adhesiveness contributes to blood clot formation
question
if a person quits smoking, the risk of drying from a heart attack falls by_after only_year without smoking and declines steadily thereafter. After about _years without smoking, an ex-smoker's risk of coronary heart disease is similar to that of people who have never smoked
answer
-half -1 year -15 years
question
smoking quickly impairs the _system
answer
respiratory system
question
smokers can feel the impact of smoking to the respiratory system in a relatively short period of time. give examples
answer
-they are prone to breathlessness, chronic cough, and excess phlegm production production than are nonsmokers of the same age
question
smokers tend to miss work _more often than nonsmokers, primarily because of _
answer
-1/3 -respiratory conditions
question
over time, cumulative lung damage can lead to _, including _
answer
-chronic obstructive pulmonary disease (COPD) -including chronic bronchitis and emphysema
question
smokers are up to 18 times more likely to die of _than are nonsmokers
answer
lung disease
question
50% of regular smokers eventually die of _diseases
answer
smoking-related diseases
question
explain what consists of chronic bronchitis and how smokers get it. this results in what other disease?
answer
-chronic bronchitis develop in smokers because their inflamed lungs produce more mucus, which they constantly try to expel along with foreign particles -this results in the persistent cough known as "smoker's hack"
question
smokers are more prone to respiratory aliments (diseases) such as _
answer
-influenza -pneumonia -colds
question
emphysema
answer
-a respiratory disease in which the alveoli (tiny air sacs in lungs) become distended or ruptured and are no longer functional
question
with emphysema and the destruction of alveoli, what ability lungs lose? what activity becomes difficult?
answer
-impairment the lungs' ability to obtain oxygen and remove carbon dioxide -as a result, breathing becomes difficult
question
while healthy people expend only about _% of their energy in breathing, people with advanced emphysema expend nearly _%
answer
-5% -80%
question
because of emphysema, what might happen to the heart? how death occurs?
answer
-because the heart has to work harder to do even the simplest tasks, it may become enlarged and death from heart damage may result
question
what is the severity of emphysema?
answer
-there is no known cure for emphysema, and the damage is irreversible
question
approx. _% of all cases of emphysema are related to cigarette smoking
answer
80%
question
what sexual dysfunction is due to use of tobacco and smoking? explain why and having this problem could be indicating the oncoming of what disease
answer
-impotence in men -male smokers are twice as likely as nonsmokers to suffer some form of impotence -toxins in cigarette smoke damage blood vessels, reducing blood flow to the penis and leading to an inadequate erection -impotence may indicate oncoming cardiovascular disease
question
what are two reproductive system problems for women that smoke or use tobacco? (2) (sexual dysfunction)
answer
-smoking can lead to infertility and problems with pregnancy -women who smoke increase their risk for infertility, ectopic pregnancy, miscarriage, and stillbirth
question
smoking also increases the risk of _(regarding baby in pregnancy)
answer
-sudden infant death and the chances of a baby being born with a cleft lip or cleft palate
question
smoking during pregnancy accounts for 30% of_births and increases the risk of _, which in turn increases the likelihood of _of an infant
answer
smoking during pregnancy accounts for 30% of premature births and increases the risk of low birth weight (less than 5.5 pounds), which in turn increases the likelihood of illness or death of an infant
question
oral health effects of smoking
answer
-gum disease -smokers lose significantly more teeth
question
smoking increases the risk of _ (eye problem)
answer
-macular degeneration, one of the most common causes of blindness in older adults
question
how smoking affects the appearance?
answer
-smoking causes premature skin wrinkling -staining of the teeth -yellowing of fingernails -bad breath
question
how nicotine affects medication effectiveness?
answer
-nicotine speeds up the process by which the body uses and eliminates drugs, making medication less effective
question
smoking significantly increases the risk of_(mental disease)
answer
-Alzheimer's disease
question
although fewer Americans smoke than in the past, _continues to be a problem. This is referred as_(signals are ETS)
answer
-air pollution from smoking in public places -Environmental tobacco smoke (ETS)
question
Environmental tobacco smoke (ETS)
answer
smoke from tobacco products, including secondhand and mainstream smoke
question
what are 2 categories or types of Environmental tobacco smoke (ETS)?
answer
-mainstream smoke -sidestream smoke
question
mainstream smoke
answer
-smoke that is drawn through tobacco while inhaling
question
sidestream smoke (other name and definition)
answer
-commonly called secondhand smoke -cigarette, pipe, or cigar smoke breathed by nonsmokers -smoke from burning end of a cigarette or smoke exhaled by a smoker
question
people who breathe smoke from someone else's smoking product are said to be _
answer
-involuntary or passive smokers
question
how detectable levels of nicotine exposure in nonsmoking Americans has changed? why?
answer
-between 1980 and 2008, detectable levels of nicotine exposure in nonsmoking Americans has decreased from 87.9% to 40.1% -the decrease in exposure to secondhand smoke is due to the growing number of laws that ban smoking in workplaces and other public areas
question
examples of laws that intent to decrease exposure to secondhand smoke (include number of states, laws, and percentage of Americans protected by these laws)
answer
-19 states, Puerto Rico, and the District of Columbia had laws in effect requiring workplaces, restaurants, and bars to be 100% smoke free -these laws, along with local laws, protect 41% of the US population -Another 19 states ban smoking in some of these locations
question
groups such as_(2) continue to push for policies and laws in support of smoke-free public places
answer
-Action on Smoking and Health and Americans for Nonsmokers Rights
question
who is more heavily exposed to Environmental tobacco smoke (ETS)?
answer
-children are more heavily exposed to ETS than adults (more than 53%)
question
what ethnic or racial group has higher levels of exposure to Environmental tobacco smoke (ETS)?
answer
-African Americans have been found to have higher levels of exposure to ETS than whites and Latinos
question
what income level has higher exposure to Environmental tobacco smoke (ETS)?
answer
-ETS exposure is higher among low-income persons
question
what are the health risks of secondhand smoke? (who is mainly vulnerable)
answer
-every year, ETS is responsible for thousands of deaths from lung cancer and heart disease in nonsmoking adults, as well as hundreds of infant deaths from SIDS among babies who live with smokers -because their bodies and brains are still developing, infants and children are particularly vulnerable to the toxins in secondhand smoke: it can cause respiratory problems, including lower respiratory infections and increased frequency and severity of asthma attacks, and other health concerns, such as greater risk of ear infection
question
although involuntary smokers breath less tobacco than active smokers do, they _
answer
still face risks from exposure
question
secondhand smoke actually contains_, and it is the primary cause of _pollution
answer
-contains more carcinogenic substances than that which a smoker inhales -it is the primary cause of indoor air pollution
question
According to American Lung Association, secondhand smoke has_(chemicals quantities compared to mainstream smoke) (3)
answer
-about 2 times more tar and nicotine, 5 times more carbon monoxide, and 50 times more ammonia than mainstream smoke
question
every year, Environmental tobacco smoke (ETS) is responsible for what deaths and corresponding diseases?
answer
-ETS is estimated to be responsible for approx 3,400 lung cancer deaths in nonsmoking adults, 46,000 coronary and heart disease deaths in nonsmoking adults who live with smokers, and higher risk of death in newborns from sudden infant death syndrome
question
the _(organization) has designated secondhand smoke as a known_. why?
answer
-Environmental Protection Agency (EPA) -carcinogen -there are more than 50 cancer-causing agents found in secondhand smoke
question
what secondhand smoke does to body to increase risk for heart disease? what other cardiovascular disease casues?
answer
-secondhand smoke interferes with normal functioning of the heart, blood, and vascular systems, significantly increasing the risk for heart disease -also increases risk of nonsmokers exposed to secondhand smoke to get coronary heart disease than nonsmokers not exposed to smoke
question
list the diseases that children have greater risk of having due to exposure to Environmental tobacco smoke (ETS)
answer
-increase risk of lower respiratory tract infection -children exposed to secondhand smoke have a greater chance of developing other respiratory problems such as coughing, wheezing, asthma, and chest colds, along with decrease in lung function
question
the most significant effects of secondhand smoke are seen in children under the age of _
answer
5
question
children exposed to secondhand smoke daily in the home miss 33% more _days and have 10% more _(2) than do those not exposed
answer
-miss school days -more colds and acute respiratory infections
question
secondhand smoke affects not only children's physical health, but also their_
answer
-cognitive abilities and academic success ex: learning disabilities, conduct disorders, and other behavioral disorders
question
children exposed to high levels of secondhand smoke, which gender was more likely to be at risk of developing learning disabilities?
answer
-boys were more likely to be at risk of developing learning disabilities than girls
question
list other problems with Environmental tobacco smoke (ETS)
answer
-it can cause allergic reactions such as itchy eyes, difficulty breathing, headaches, nausea, and dizziness -increase risk of breast cancer in women; cancer of nasal sinus cavity and of the pharynx in adults; leukemia, lymphoma, and brain tumors in children
question
the level of carbon monoxide in cigarette smoke in enclosed spaces is _times higher than that allowed in the clean-air standard recommeded by EPA
answer
4,000
question
it has been more than 40 years since the US government began warning that _
answer
tobacco was hazardous to health
question
despite all the education on the health hazards of tobacco use,_ (2)associated with smoking still exceeds $193 billion each year
answer
-health care spending and lost productivity
question
Master Settlement Agreement (what year, between what two parties, what the agreement requires, includes)
answer
-In 1998, the tobacco industry reached the Master Settlement Agreement with 46 states -The agreement requires tobacco companies to pay more than $206 billion over 25 years -the agreement includes a variety of measures to support antismoking education and advertising and to fund research to determine effective smoking-cessation strategies -the agreement also curbs certain advertising and promotions directed at youth
question
how most of the money designated for tobacco control and prevention at the state level has been used?
answer
-unfortunately, most of the money designated for tobacco control and prevention at the state level has not been used for this purpose -many states have drastically cut spending on antismoking programs
question
In the few states that have spent the settlement money on smoking-cessation programs, what have been the results?
answer
-In the few states that have spent the settlement money on smoking-cessation programs, there has been some success in decreasing cigarette use
question
The Family Smoking Prevention and Tobacco Control Act of 2009 allows_
answer
-US Food and Drug Administration (FDA) to forbid advertising geared toward children, to lower the amount of nicotine in tobacco products, to ban sweetened cigarettes that appeal to young people, and to prohibit labels such as "light" and "low tar"
question
what is one of the most significant impacts of The Family Smoking Prevention and Tobacco Control Act law?
answer
-one of the most impacts of the law is that it requires more prominent health warnings on advertising of tobacco products ex: smokeless tobacco ads must contain a warning that fills 20% of the advertising space
question
As June 2012 and stated by The Family Smoking Prevention and Tobacco Control Act, how cigarette packages and advertising will be modified?
answer
-cigarette packages and advertising are requires to have larger, stronger warnings that must cover the top half of both the front and back of each package and include "color graphics depicting the negative health consequences of smoking"
question
smokers who want to quit, what must do? (2)
answer
-must break both the physical addiction to nicotine and the psychological habit of lighting up at certain times or in certain situations
question
approx _% of US adults smokers want to quit smoking, and up to _% make a serious attempt to quit each year. However, only_% suceed
answer
-70% -44% 4 to 7%
question
quitting is often a _process involving _
answer
-lengthy process -several unsuccessful attempts before success is finally achieved
question
benefits of quitting (body)
answer
-many body tissues damaged by smoking can repair themselves -as soon as smokers stop, the body begins the repair process -within 8 hours, carbon monoxide and oxygen levels return to normal, and "smoker's breath" disappears -often within a month of quitting, the mucus that clogs airways is broken up and eliminated -circulation and the senses of taste and smell improve within weeks
question
many ex-smokers say that they _(3 benefits of quitting)
answer
-have more energy -sleep better -feel more alert
question
after 1 year of quitting, the risk for _decreases. what other risks decrease?
answer
-risk for lung cancer and stroke -risk of developing cancer of mouth, throat, esophagus, larynx, pancreas, bladder, or cervix is considerably reduced, as is the risk of peripheral artery disease, COPD, coronary heart disease, and ulcers
question
women that quit smoking are less likely to _
answer
bear babies of low birth weight
question
within 2 years of quitting, the risk for _drops to near normal
answer
heat attack
question
after 10 smoke-free years, ex-smokers can expect a _
answer
-normal life span -lung cancer risk comparable to those of nonsmokers
question
timeline of how body recuperates after a smoker quits is
answer
in page 369 figure 12.6
question
what is another benefit besides health benefits regarding quitting smoking?
answer
-money saved -a single pack of cigarettes ranges from about $5.00 to as much as $9 to $11 -quitting smoking, while is costly because of smoking-quitting aids, is less costly than smoking that includes smoke packages and health care costs *costs of quitting vs smoking is in page 371*
question
after 15 years of quitting smoking, _risk is the same as nonsmokers
answer
heart disease risk
question
most people who are successful at quitting, how quit?
answer
quit "cold turkey," that is they simply decide not to smoke again
question
how can you quit? (ways to do it)
answer
-gradual reduction in smoking levels, which can reduce risks over time -some rely on short-term programs, such as those offered by the American Cancer Society, which are based on behavior modification and a system of self-rewards -others turn to treatment centers, community outreach programs, or a telephone helpline -some people work privately with their physicians to reach their goal
question
what are factors to consider in deciding on a method to quit? (3)
answer
-financial considerations -personality -level of addiction
question
_addiction may be one of the toughest addictions to overcome
answer
nicotine addiction
question
nicotine withdrawal
answer
-symptoms including nausea, headaches, irritability, and intense tobacco cravings suffered by nicotine-addicted individuals who stop using tobacco
question
symptoms of nicotine withdrawal (signs)
answer
-irritability -restlessness -nausea -vomiting -intense cravings for tobacco
question
for coping strategies for common smoking withdrawal problems
answer
*see page 370 table 12.3* withdrawal challenge: -anger, frustration, and irritability -anxiety -mild depression -weight gain
question
strong evidence that consistent _(what it is and 2 types)can help a smoker quit
answer
-pharmacological treatments like nicotine replacement therapy or smoking-cessation medications
question
what nicotine replacement products are about?
answer
-nontobacco products that replace depleted levels of nicotine in the bloodstream
question
what are 2 most common types of nicotine replacement products? (get over the counter and need no prescription)
answer
-nicotine chewing gum -nicotine patch
question
FDA has approved what nicotine replacement products_. they require prescription
answer
-nicotine lozenges -nicotine nasal spray -nicotine inhaler
question
what is a nicotine replacement product that comes with its own health concerns?
answer
-e-cigarette *for more info go teo page 372*
question
explain how nicotine gum works
answer
-the use chews up to 20 pieces of gum a day for 1 to 3 months -nicotine gum delivers about the same amount of nicotine as a cigarette, but because it is absorbed through the mucous membrane of the mouth, it does not produce the same rush
question
benefits of using nicotine gum
answer
-users experience no withdrawal symptoms and fewer cravings for nicotine as the dosage is reduced until they are completely weaned
question
Nicotine-containing lozenges are available in _strenghts, and a _-week program of use is recommended to allow users to taper off the drug
answer
-2 strengths -12-week program
question
nicotine patch is used in conjunction with a _
answer
-comprehensive smoking-cessation program
question
how the nicotine patch works?
answer
-A small, thin patch placed on the smoker's upper body delivers a continuous flow of nicotine through the skin, helping to relieve cravings -The FDA recommends using the patch for 3 to 5 months. During this time, the dose of nicotine is gradually reduced until the smoker is fully weaned from the drug
question
how nasal spray works?
answer
-it is much more powerful and delivers nicotine to the bloodstream faster than gum, lozenges, or the patch
question
warnings regarding nasal spray
answer
-patients are warned to be careful not to overdose; as little as 40 mg of nicotine take at once could be lethal -FDA has advised that the spray should be used for no more than 3 months and never for more than 6 months so that smokers do not find themselves as dependent on nicotine in spray form as they were on cigarettes -FDA also advises that no one who experiences nasal or sinus problems, or allergies, or asthma should use it
question
describe how nicotine inhaler works
answer
-consists of a mouthpiece and cartridge -by puffing on the mouthpiece, the smoker inhales air saturated with nicotine, which is absorbed through the lining of the mouth, not the lungs, entering the body much more slowly than does the nicotine in cigarettes -using the inhaler mimics the hand-to-mouth actions used in smoking and causes the back of the throat to feel as it would when inhaling tobacco smoke
question
list smoking-cessation medications including brand names (3). all of these are or will be soon approved by _
answer
-bupropion (Zyban) -Chantix (varenicline) -NicVAX (vaccine) -FDA
question
what bupropion does? (include normal use, what receptors it works in the brain)
answer
-an antidepressant, for use as a smoking-cessation aid -the drug, sold under the brand name Zyban, is thought to work on dopamine and norepinephrine receptors in the brain to decrease craving and withdrawal symptoms
question
Chantix (varenicline) (2 ways it works)
answer
-approved by FDA -works 2 ways: 1. it reduces nicotine cravings and the urge to smoke 2. it blocks the effects of nicotine at nicotine receptor sites in the brain
question
FDA issued an advisory that the use of Chantix and Zyban had been associated with _(behavior change)
answer
-changes in behavior such as hostility, agitation, depressed mood, and suicidal thoughts or actions
question
radical new way to help smokers quit is _(medication)
answer
NicVAX, an antismoking vaccine currenlty under investigation by FDA
question
how NicVAX works?
answer
-The vaccine, administered in a series of shots, helps the body build antibodies to nicotine, essentially making nicotine less addictive
question
what is one advantage of NicVAX vaccine?
answer
-one of the advantages of the vaccine over the other cessation methods is that it will reduce relapses by making the cigarette much less enjoyable if the quitter smokes one again
question
summary of recommended smoking cessation therapies are in page
answer
373 table 12.4 and include: -buproprion (Zyban) -Varenicline (Chantix) -Nicotine Gum -Nicotine Lozenges -Nicotine patch -Nicotine nasal spray -nicotine inhaler
question
alternative or nontraditional methods promoted as helpful in quitting are in
answer
*page 374* include -acupuncture -hypnosis -smoking aversion
question
for some smokers, the road to quitting include _therapy
answer
antismoking therapy
question
what are 2 common techniques for antismoking therapy?
answer
-operant conditioning -self-control therapy
question
explain how operant conditioning works
answer
-pairing the act of smoking with an external stimulus is a typical example of an operant strategy ex: one technique requires smokers to carry a timer that sounds a buzzer at various intervals. when the buzzer sounds, the patient is required to smoke a cigarette. once the smoker is conditioned to associate the sound of the buzzer with smoking, the buzzer is eliminated, and, one hopes, so is the smoking
question
explain how self-control therapy works (how view smoking)
answer
-self-control strategies view smoking as a learned habit associated with specific situations -therapy aims to identify these situations and teach smokers the skills necessary to resist smoking
question
Tips for quitting smoking (as stated by American Cancer Society's)
answer
-ask smokers who live with you to keep cigarettes out of sight and not offer you any -Use four Ds: deep breaths, drink water, do something else, and delay (tell yourself you will smoke in 10 minutes when the urge hits) -Keep "mouth toys" handy: hard candy, chewing gum, toothpicks, or carrot or celery sticks can help -Ask your doctor about nicotine gum, patches, nasal sprays, inhalers, or lozenges -Make an appointment with your dental hygienist to have your teeth cleaned -Examine those association that trigger your urge to smoke -Spend your time in places that do not allow smoking -Take up a new sport, exercise program, hobby, or organizational commitment. This will help shake up your routine and distract you from smoking
question
what is the explanation of Dr. Oz regarding why is so hard to quit smoking?
answer
-every time you take a puff of a cigarette, it is like taking a hit of heroin. you get ten of them per cigarette, so it is incredibly addictive. -whenever you take something in your hand and move it around, you reinforce a behavior. Cigarettes are the best example of that. In fact, it reminds you to smoke when you tap on something, when you see something long and narrow that you want to put in your mouth it reminds you that you need to smoke.
question
if you try to stop smoking cold turkey, your success rate is _% if you get help, success rate is _%
answer
5% 45% to 50%
question
why ads that say stop smoking are not effective? what to do instead to make someone stop smoking?
answer
-whenever we hear the word smoke, it turns the same part of your brain on that is turned on when you want to smoke -paradoxically, we are reminding people to smoke. -instead, you should show them the reality. ex: show them how a healthy vs smoker lung look like
question
people will quit for reasons of _
answer
love ex: someone cares about his family.
question
4 tips to stop smoking (quitting)
answer
1.figure out what kind of smoker you are (chemical addiction vs emotional addiction) 2. Make a plan to quit 3. Utilize anti-smoking medication 4. have plan for failure
question
describe chemical addiction in smokers
answer
chemical addiction will manifest themselves by reminding you that you are not getting your nicotine hit, which is like heroin -how know? how fast you get your cigarette in morning? do you live meetings to get cigarette? Those are chemical addiction
question
Smoking Social addictions are turned by_ (emotional addiction)
answer
by your friends having a cigarette, a stressful environment making you remember that you have not smoked in a while
question
to make a plan to quit smoke, what are steps?
answer
1. what are triggers? 2. control addiction (no stop, for example 1 an hour and that is it) 3. start walking or be in a weight loss program to do not get weight after quitting smoking (replace bad habit with good habit) 4. appointment with doctor
question
a normal person will fail _times in an effort to stop smoking before succeeding
answer
-6
question
what it means to take care of assertive issues?
answer
-people around you that smoke, you need to get away from them or have them to quit with you
question
what are the 3 most popularly used drugs among college students?
answer
-alcohol -tobacco -caffeine
question
This is the 31st tobacco-related Surgeon General's report issued since 1964. It describes the epidemic of tobacco use among youth ages _(age range) and young adults _(age range), including the epidemiology, causes, and health effects of this tobacco use and interventions proven to prevent it.
answer
-12 through 17 -ages 18 through 25
question
Today, more than _middle school students and _ high school students smoke cigarettes
answer
-600,000 -3 million
question
Every day, more than _people in this country die due to smoking. For each of those deaths, at least _ youth or young adults become regular smokers each day. Almost 90% of those replacement smokers smoke their first cigarette by age _
answer
-1,200 -two -18.
question
how rates of smokeless tobacco have change?
answer
Rates of smokeless tobacco use are no longer declining, and they appear to be increasing among some groups.
question
what tobacco product is popular with youth?
answer
-Cigars, especially cigarette-sized cigars, are popular with youth. -Use of multiple tobacco products—including cigarettes, cigars, and smokeless tobacco—is common among young people.
question
almost no one starts smoking after age_. Nearly 9 out of 10 smokers started smoking by age _, and 99% started by age _. Progression from occasional to daily smoking almost always occurs by age _.
answer
-25 -18 -26 -26
question
the_ (regarding youth) ,the more likely they will be addicted to nicotine
answer
The younger youth are when they start using tobacco, the more likely they'll be addicted.
question
how lung development is affected by smoking while young?
answer
Smoking reduces lung function and retards lung growth. Teens who smoke are not only short of breath today, they may end up as adults with lungs that will never grow to full capacity. Such damage is permanent and increases the risk of chronic obstructive pulmonary disease.
question
how young are to nicotine? how this affects them for future?
answer
Youth are sensitive to nicotine and can feel dependent earlier than adults. Because of nicotine addiction, about three out of four teen smokers end up smoking into adulthood, even if they intend to quit after a few years.
question
Among youth who persist in smoking, a _ will die prematurely from smoking.
answer
1/3
question
youth are vulnerable to _(influences)
answer
Youth are vulnerable to social and environmental influences to use tobacco; messages and images that make tobacco use appealing to them are everywhere.
question
explain influences youth receive that make them smoke
answer
-young people want to fit in with their peers. Images in tobacco marketing make tobacco use appealing -Youth and young adults see smoking in their social circles, movies they watch, video games they play, websites they visit, and many communities where they live. Smoking is often portrayed as a social norm, and young people exposed to these images are more likely to smoke. -Youth identify with peers they see as social leaders and may imitate their behavior; those whose friends or siblings smoke are more likely to smoke. -Youth who are exposed to images of smoking in movies are more likely to smoke.
question
Tobacco companies spend more than a million dollars an hour in this country alone to _. what this means for the young?
answer
-market their products. -This report concludes that tobacco product advertising and promotions still entice far too many young people to start using tobacco.
question
The tobacco industry has stated that its marketing only promotes brand choices among adult smokers. Regardless of intent, this marketing encourages _ to smoke. Nearly 9 out of 10 smokers start smoking by age_, and more than 80% of underage smokers choose brands from among the top three most heavily _
answer
-underage youth - 18 -advertised.
question
The more young people are exposed to _, the more likely they are to smoke.
answer
cigarette advertising and promotional activities
question
Many tobacco products on the market appeal to youth. how?
answer
Some cigarette-sized cigars contain candy and fruit flavoring, such as strawberry and grape.
question
how snuffs are appealing to youth?
answer
Many of the newest smokeless tobacco products do not require users to spit, and others dissolve like mints; these products include snus—a spitless, dry snuff packaged in a small teabag-like sachet—and dissolvable strips and lozenges. Young people find these products appealing in part because they can be used without detection at school or other places where smoking is banned. However, these products cause and sustain nicotine addiction, and most youth who use them also smoke cigarettes.
question
what marketing campaign is especially appealing to young girls?
answer
Through the use of advertising and promotional activities, packaging, and product design, the tobacco industry encourages the myth that smoking makes you thin. This message is especially appealing to young girls. It is not true—teen smokers are not thinner than nonsmokers.
question
what is essential in program to cut youth tobacco use?
answer
Prevention is critical. Successful multi-component programs prevent young people from starting to use tobacco in the first place
question
Strategies that comprise successful comprehensive tobacco control programs include:
answer
Strategies that comprise successful comprehensive tobacco control programs include mass media campaigns, higher tobacco prices, smoke-free laws and policies, evidence-based school programs, and sustained community-wide efforts.
question
More than one-third (1/3) of all tobacco-related deaths occur from heart disease.
answer
True
question
which age group is the most targeted by tobacco advertisers?
answer
Young adults age 18 to 24
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