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Address the issue of youth tobacco and ENDS use in Maine through a Train-the-Trainer program. Learn about the harmful effects of e-cigarettes and the impact of tobacco marketing on youth. Get insights from the Maine Integrated Youth Health Survey results and explore the Sidekicks initiative designed to empower youth advocates. Join to make a difference!
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Why address youth tobacco and ENDS use in Maine?
Tobacco companies target kids through candy-themed tobacco products. • The tobacco industry, dependent on new smokers,is spending an estimated $41.8 million annually on marketing in Maine; our State spending on Tobacco Prevention in FY ‘17 was $7.8 million in FY ‘17 and will drop to $5.3 million in FY ‘18. • The ratio of industry marketing to state tobacco prevention spending in Maine is 7.9 to 1 • Published research studies have found that kids are twice as sensitive to tobacco advertising as adults and are more likely to be influenced to smoke by cigarette marketing than by peer pressure. One-third of underage experimentation with smoking is attributable to tobacco company advertising.
How an E-cigarette Works E-cigarettes create an aerosol by using a battery to heat up liquid that usually contains nicotine, flavorings, and other additives. Users inhale this aerosol into their lungs. E-cigarettes can also be used to deliver cannabinoids such as marijuana, and other drugs. MOUTHPIECE Allows user to inhale the aerosol. BATTERY: Powers the device. ATOMIZER: Heats the e-liquid into an aerosol. CARTRIDGE: Stores the e-liquid. https://e-cigarettes.surgeongeneral.gov/getthefacts.html
Besides nicotine, e-cigarettes can contain harmful and potentially harmful ingredients, including: • ultrafine particles that can be inhaled deep into the lungs • flavorantssuch as diacetyl, a chemical linked to serious lung disease • volatile organic compounds • heavy metals, such as nickel, tin, and lead • Surgeon General
Maine Integrated Youth Health Survey 2017 RESULTS
DURING THE PAST 30 DAYS, 1.9% OF MIDDLE SCHOOLERS REPORTEDSMOKING AT LEAST ONE CIGARETTE PER DAY IN 2017, A DECREASE FROM 2.7% IN 2015.
IN 2015 44.1% OF MIDDLE SCHOOLERS REPORTED SEEING TOBACCO INDUSTRY ADVERTISEMENTS “A LOT” IN SUPERMARKETS AND GROCERY/CONVENIENCE STORES;
IN 2015, 78.2% OF MIDDLE SCHOOLERS BELIEVE THEY’DBE ABLE TO QUIT SMOKING IF THEY WANTED TO
IN 2015, 4.9% OF MIDDLE SCHOOLERS INDICATED THEY HAD USED AN ELECTRONIC VAPOR PRODUCT AT LEAST 1 DAY DURING PRIOR 30 DAYS;
IN 2015, DURING THE PAST 30 DAYS, 10.7% OF HIGH SCHOOLERS REPORTED SMOKING AT LEAST ONE CIGARETTE PER DAY;
THE % OF HIGH SCHOOLERS WHO STATED THAT THEY WERE YOUNGER THAN AGE 13 WHEN THEY SMOKED A CIGARETTE FOR THE FIRST TIME REMAINED UNCHANGED FROM 2015. IN 2015 THIS RATE AMONGST THE YOUNGEST RESPONDANTS (14 AND YOUNGER) WAS 46.4%.
In 2015, 34.8% OF GAY/LESBIAN HIGH SCHOOLERS STATED THAT THEY WERE YOUNGER THAN AGE 13 WHEN THEY SMOKED A CIGARETTE FOR THE FIRST TIME;
IN 2015, 43.6% OF HIGH SCHOOLERS REPORTED SEEING TOBACCO INDUSTRY ADVERTISEMENTS “A LOT” IN SUPERMARKETS AND GROCERY/CONVENIENCE STORES; IN 201555.3% OF AMERICAN INDIAN OR ALASKAN NATIVE YOUTH REPORT SEEING ADS; IN 2015 40.4% OF BLACK OR AFRICAN AMERICAN YOUTH REPORTED THEY’D SEEN ADS
IN 2015,46.5% OF HIGH SCHOOLERS REPORTED THAT DURING THE PAST 12 MONTHS THAT THEY HAD STOPPED SMOKING (AT LEAST ONE TIME) FOR ONE DAY OR LONGER (TRYING TO QUIT FOR GOOD); IN 2015 46.9% OF FEMALES REPORTED …..TRYING TO QUIT FOR GOOD….. IN 2015 45.8% OF MALES REPORTED ….TRYING TO QUIT FOR GOOD….
IN 2015, 77.6% OF HIGH SCHOOLERS BELIEVE THEY’D BE ABLE TO QUIT SMOKING IF THEY WANTED TO; IN 2015, 82.2% OF 16-YEAR OLDS BELIEVED THEY’D BE ABLE TO QUIT; IN 2015 74.1% OF 17-YEAR OLDS BELIEVED THEY’D BE ABLE TO QUIT.
IN 2015, 80.7% OF FEMALE GAY/LESBIAN HIGH SCHOOLERS BELIEVED THEY’D BE ABLE TO QUIT SMOKING IF THEY WANTED TO. IN 2015 86.4% OF FEMALE GAY/LESBIAN HIGH SCHOOLERS BELIEVE D THEY’D BE ABLE TO QUIT SMOKING IF THEY WANTED TO. IN 2015 74.4% OF MALE GAY HIGH SCHOOLERS BELIEVED THEY’D BE ABLE TO QUIT… IN 2015, 78.1% OF HETEROSEXUAL HIGH SCHOOLERS BELIEVE THEY’D BE ABLE TO QUIT SMOKE IF THEY WANTED TO.
The skills that youth will gain and develop while being trained as a Sidekick are easily transferrable to guide youth in supporting their peers dealing with a variety of challenges beyond tobacco use. • The Sidekicks model and activities are very similar to the Motivational Interviewing model which is designed to engage people in conversation toward behavior change.
Concern about the high youth tobacco-use rates in Lincoln County prompted a group of students, community leaders, and health educators to address the problem. • Together the group developed the Sidekicks program designed to create a supportive community of teens to prevent and reduce tobacco use among youth.
Once trained, Sidekicks youth will have the skills to hold respectful conversations with their peers about tobacco use, as well as other risky behaviors. • The Sidekicks program gives youth the skills and confidence to support their peers, as well as a network of adult advisors as a resource for questions and additional support.
SIDEKICKS : INITIAL 3 COMPONENTS (2014) • A curriculum to use in training youth and adultson holding respectful conversations abouttobacco use; • A training for adults to become trainers for the youth (train the trainer); and • A promotional effort to remind youth about the risks of tobacco use.
MEASURING IMPACT: CHALLENGES & OPPORTUNITIES • Determining target population • Existing data sources • MIYHS reports, Maine Tobacco Helpline/QuitLink referral tracking, EMRs, social media • Additional data sources • Surveys of youth and adults on current knowledge, attitudes and beliefs around tobacco and tobacco use among youth • Number of trainings held/number of participants • Pre & Post evaluations • Limitations • Demographics sample size (mostly white; male/female) • Availability of MIYHS data (timing)
MEASURING IMPACT: SUCCESS! • Developed a new curriculum including all training materials for the Sidekicks program; • Created a new training and materials for youth, a deviation from the original plan of just adapting existing materials from Arizona’s “Helpers” program; • Established new relationships with school staff to act as champions for the Sidekicks program; • Improved point of purchase sales displays so that they were not targeting youth; • Engaged more than 69 youth in the Sidekicks and the Star Store initiatives; and • Increased healthcare practice awareness of assessing youth for tobacco use and referrals for youth and adults for treatment to the Maine Tobacco HelpLine.
SIDEKICKS WEBSITE WEBSITE: www.wearesidekicks.org/resources PASSWORD: Tobacco 2017