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Smoking in the Korean American Community. Korean Quitline Webinar Wednesday, November 3, 2010. The Effects of Smoking. Smoking is the number one preventable cause of death = 400,000 die each year in the US Kills more people each year than: Alcohol AIDS Car Accidents Illegal Drugs Murders
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Smoking in theKorean American Community Korean Quitline Webinar Wednesday, November 3, 2010
The Effects of Smoking • Smoking is the number one preventable cause of death = 400,000 die each year in the US • Kills more people each year than: • Alcohol • AIDS • Car Accidents • Illegal Drugs • Murders • Suicides • House Fires • All of the combined… * Campaign for Tobacco-Free Kids. Toll of Tobacco in the United States of America. 2010
Secondhand Smoke • More than 40,000 people die each year in the United States from secondhand smoke-related diseases and conditions • Over 4,000 chemicals in a cigarette • 40+ chemicals are known carcinogens (cancer-causing) • Secondhand smoke is more dangerous than firsthand because it is not filtered * U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. 2006.
National Smoking Prevalence * Center for Disease Control. Cigarette Smoking Among Adults – United States. 2007.
Washington Smoking Prevalence * Washington State Department of Health. Asian Americans and Tobacco in Washington. 2006.
Korean Smoking Prevalenceby Study Reference Page: 1, 2, 3, 4, 5, 6
Korean Smoking Prevalenceby Age Reference Page: 2, 3
Current Smoking Statusby Study Reference Page: 1, 2
Smoking Cessation InterestAge vs. Generation Reference Page: 4 Study: California 2005
Smoking Cessation InterestGeneration vs. Acculturation Reference Page: 4 Study: California 2005
Smoking Cessation InterestAcculturation vs. Time in US Reference Page: 4 Study: California 2005
Smoking Cessation InterestHawaii (2004) Reference Page: 3
Korean Americans without Health Insurance Coverage • Korean Americans have high rates of uninsured individuals • Number of uninsured did not change with annual income or education level • Uninsured are less likely to get preventive information from a medical professional, including on smoking and cessation Reference Page: 2, 3
Additional Study Findings • Maryland • Alcohol Use: Those who used to smoke were more likely to have drunk alcohol regularly than non-smokers • Hypertension: Those with hypertension were more likely to have stopped smoking than those who did not have hypertension Reference Page: 2
Additional Study Findings • Hawaii • Health Effects: 87% of survey respondents felt that: • secondhand smoke causes serious health problems • smoking causes cancer • a person’s right to breathe clean air is more important than the right to smoke • Children’s Health: Former and current smokers were less likely to acknowledge the health effects of smoking except for secondhand smoke’s affect on children’s health Reference Page: 3
Additional Study Findings • California • Multiple Smokers: Korean smokers were less likely to intend to quit if more than one member of the household smoked • Household Smoking Bans: Korean smokers living in households with partial or complete smoking bans were more likely to intend to quit Reference Page: 4
Asian Language Quitline • Several studies found language was a major barrier in quitting, and those who didn’t speak English well were less likely to plan on quitting • Lack of insurance prevents many from receiving smoking and cessation information from doctors • Korean language Quitline provides free cessation support from Korean speaking counselors, as well as free nicotine replacement for Washington residents
Asian Language Quitline • Currently only 1.3% of calls to the English language Quitline in Washington State are from Asian or Pacific Islander smokers • Asian and Pacific Islanders make up almost 8% of the total population of Washington • Studies found more Asian smokers call the language-specific Quitlines in California than the English-only Quitline • Washington State Department of Health. • Zhu S H, et al. Use of a Smokers’ Quitline by Asian Language Speakers: Results from 15 Years of Operation in California. Am J Public Health 2010; 100(5): 846-52.
Study References • Center for Disease Control. Behavioral Risk Factor Survey of Korean Americans – Alameda County, California. 1994. • Juon H S, et al. Acculturation and Cigarette Smoking Among Korean American Men. Yonsei Med J 2003; 44(5): 875-82. • Lee H R, et al. Health Behaviors of Koreans in Hawaii: Hawaii Korean Health Promotion Survey Report. 2005. • Myung S K, et al. Relationship between Household Smoking Restrictions and Intention to Quit Smoking among Korean American Male Smokers in California. J Korean Med Sci 2010; 25: 245-50. • California Health Information Survey. 2007. • South Korea Ministry for Health, Welfare and Family Affairs. 2009.