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Tobacco & youth. Prevalence. “Each day approximately 3,450 young people between 12 and 17 y/o smoke their first cigarette.” Appox. 850 of them will become daily smokers. (CDC, 2011) In 2009, 17.2% of high school students smoked 5.2% of middle school students smoked
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Prevalence • “Each day approximately 3,450 young people between 12 and 17 y/o smoke their first cigarette.” • Appox. 850 of them will become daily smokers. • (CDC, 2011) • In 2009, • 17.2% of high school students smoked • 5.2% of middle school students smoked • 6.7% of high school students used smokeless tobacco • 2.6% of middle school students used smokeless tobacco
In Oregon … • 16.2% of high school students smoke. • 13.6% of male high school students use smokeless tobacco. • 4,600 students (18 y/o and younger) will become daily smokers. • 167,000 kids exposed to second hand smoke in their homes. • (www.tobaccofreekids.org, 2011)
Tobacco Products • Cigarettes • Cigars • Hookah • Smokeless tobacco • Snuff, chew, plug, nasal snuff • New products • Dissolvable strips, orbs, sticks… http://www.tobaccofreekids.org/ad_gallery/
Nicotine • Acts as a stimulant • Increases heart rate, blood pressure, alertness, concentration, memory • May act as mild sedative • Decreases anxiety, irritability, mild depression • Most smokers want to quit but … • Nicotine is thought to be the most addictive substance.
An evolving process… • “If excessive smoking actually plays a role in the production of lung cancer, it seems to be a minor one.” • The National Cancer Institute, 1954 • “Tobacco use imposes enormous public health and financial costs on this nation – costs that are completely avoidable.” • Kathleen Sebelius, Secretary of Health & Human Services, 2010
Tobacco Use / Mortality • One of the leading preventable causes of death in U.S. • Causes more deaths every year than HIV, illegal drug use, alcohol use, motor vehicle accidents, suicides and murders combined! • Smokers die an average of 14 years earlier than non-smokers.
Mortality Source: www.cancercontrol.cancer.gov, 2008
Ingredients in cigarettes • Over 4000 chemicals are in cigarettes • Just to name a few: • Acetone, Ammonia, Arsenic • Butane, Cadmium, Carbon Monoxide • DDT, ethanol, Hydrogen Cyanide • Methane, Methanol, Nicotine • Toluene
Social Smoking • What is it? • Is it really that harmful? • No safe level of nicotine • Still habit forming http://www.tobaccofreekids.org/ad_gallery/
Hookah • What is it? • A water pipe used to smoke tobacco • Has been around for centuries • WHO: “one hour of Hookah smoking exposes the user to 100-200 times the volume of smoke inhaled from a single cigarette.” • Relatively new to the U.S. but is growing among adolescents.
Tobacco Advertising & Youth • It is illegal in all states to sell cigarettes to anyone under 18… so why is tobacco and youth an issue? • Children and adolescents are the majority of new smokers and companies know this. • First time use likely to occur at approximately 11-13. • Those who do not use tobacco by the age of 18 likely will never start. • (CDC, 2008)
Tobacco Advertising • Companies feel they need to “replace” smokers http://www.tobaccofreekids.org/ad_gallery/P90
Some good news… • Family Smoking Prevention and Tobacco Control Act of 2009 • Went into effect June 22, 2010 • Changes will continue for next few years • Restricts sale, distribution, and promotion of tobacco products to make them less accessible to youth. • (FDA, 2010)
Graphic labels coming soon. (Fda.gov, 2011)
Graphic labels will start appearing in Sept. 2012. • Will they help? (FDA.gov, 2011)
Tobacco Prevention Programs • The most successful campaigns are: • Comprehensive • Use techniques that employ emotions rather than authoritarian styles • Feature multiple message strategies • Provide adequate exposure to the message • Involve & empower youth (Schar, Gutierrez, Murphy-Hoefer, & Nelson, 2006)
Anti-tobacco campaigns Source: news.bbc.co.uk