170 likes | 483 Views
Chapter Nine Rejecting Tobacco Use. Tobacco Use in American Society. Since 1994, the population of smokers has declined (22.5% of adults smoke daily) Men (25.2%) smoke more than women (20%) College students smoke less than year 2000
E N D
Tobacco Use in American Society • Since 1994, the population of smokers has declined (22.5% of adults smoke daily) • Men (25.2%) smoke more than women (20%) • College students smoke less than year 2000 • Ethnicity, socioeconomics, education, and demographics are often factors that influence smoking
Other Demographic Factors Influencing Tobacco Use • Age groups • Region of the country • Size of the community • Employment status
Pipe and Cigar Smoking • Pipe/cigar smokers have the same rate of cancer frequency as cigarette smokers with: • Mouth • Larynx • Throat • Esophagus
Development of Dependence • Dependence: physical and/or psychological need to continue the use of the drug (nicotine) • Physical dependence due to: • Titration: particular level of a drug within the body; adjusting the level of nicotine by adjusting the rate of smoking
Theories ofNicotine Addiction • Genetic theory – 60% of addiction is based upon genetic influence • Bolus theory – ball of nicotine reaches brain, causing excitement • Adrenocorticotropic hormone theory (ACTH) – release of beta endorphins delivers euphoric effect • Self-Medication theory – nicotine via dopamine “lifts spirits”
Acute Effects of Nicotine on the CNS • Arousal of nicotine allows norepinephrine, dopamine, acetylcholine, serotonin release • CNS is depressed within the brain which stimulates areas within the heart, lungs, blood flow
Psychosocial Factors Related to Dependence • Modeling • Manipulation • Susceptibility to Advertising
Tobacco Active Components • Particulate = nicotine, water, tar (small particles) • Gaseous = carbon monoxide, ammonia, hydrogen cyanide, etc. Carcinogens: capable of stimulating the development of cancer
Illness & Premature DeathDue to Tobacco Use • Cardiovascular disease (nicotine and carbon monoxide related) • Cancer (30% of all cancer cases related to tobacco use) • lung, mouth, throat cancers • Chronic Obstructive Lung Disease (COLD) Mucus and cilia damage compromise the respiratory tract
Additional Health Concerns • Strokes • Osteoporosis • Muscle injury/back pain • Skin changes • Oral health • Brain and behavior • Neurological disorders
Smoking and Reproduction • Infertility • Pregnancy problems • Breastfeeding concerns • Neonatal Health Problems • Sperm degradation • Erectile dysfunction Use of oral contraception with smoking increases risk factors for CHD
Smokeless Tobacco • Not burned, placed in mouth • Chemicals absorbed through mucous membranes • Risks: leukoplakia, erythroplakia, periodontal disease, cancer of digestive tract and mouth
The Risks of Involuntary (Passive) Smoking • Mainstream smoke = smoke inhaled/exhaled by smoker (15% exposure to non-smoker) • Sidestream = smoke from the burning product (85% exposure to non-smoker) • Environmental = smoke from either method diluted by the air Partners of smokers are 3 x’s higher for CAD and 30% higher risk for lung cancer
New Product Development • Eclipse (cigarette that heats vs. burns tobacco) • Accord (cigarette that reduces sidestream smoke) • Advance, Omni, and Quest: cigarettes that have ‘trionic” filters which reduce carcinogen exposure • Non-tobacco sources of nicotine products e.g. suckers, gums, straws, sprays, drops, etc.
Smoking Cessation • Nicotine products (patch, gum, inhaler) • Medications (anti-depressants) • Inhalation sprays