Summary: Health Education Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs Counselor Education Podcast Host: Counselor Toolbox and Happiness Isn’t Brain Surgery Objectives ~ 1.Describe the prevalence and patterns of tobacco use ~ 2.Explain the role of a comprehensive tobacco control program. ~ 3.Utilize the findings of national reports and guidelines on tobacco treatment. ~ 4.Explain the factors that prevent tobacco use and dependence. ~ 5.Explain the health consequences of tobacco use and benefits of quitting, and the basic mechanisms of the more common tobacco induced disorders. ~ 6.Describe how tobacco dependence develops ~ 7.Summarize valid and reliable diagnostic criteria for tobacco dependence. ~ 8.Describe the chronic relapsing nature of tobacco dependence ~ 9.Provide information that is culturally sensitive and appropriate to learning style ~ 10.Identify evidence-based treatment strategies ~ 11.Be able to discuss alternative therapies Prevalence and Patterns ~ Describe the prevalence and patterns of tobacco use, and how rates vary across demographic, economic and cultural subgroups. ~ Tobacco cigarettes: Nearly 90 percent of adult smokers began smoking before age 18 and 11 percent of high school seniors reported smoking in the last month. ~ Smokeless tobacco: Use of smokeless tobacco among adolescents is less common than cigarette smoking. ~ Hookahs: Hookahs are no safer than other forms of tobacco smoking and may deliver even higher levels of toxic substances. ~ Flavored little cigars: Of middle and high school students who used tobacco products in 2014, more than 60 percent smoked flavored little cigars. Prevalence ~ Describe the prevalence and patterns of tobacco use, and how rates vary across demographic, economic and cultural subgroups. ~ E-cigarettes: ~ From 2011 to 2016, the percentage of 12th-grade students who had ever used an e-cigarette increased from 4.7 to 13 percent, down from a peak in 2015 of 16 percent.2 ~ For the first time in 2014, more teenagers used e-cigarettes or vaped nicotine than smoked cigarettes—a trend that continues. In 2017, 8 percent of high school students reported vaping nicotine at least once in the past 30 days. Prevalence ~ American Indians/Alaska Natives have a higher risk of experiencing tobacco-related disease and death due to high prevalence of cigarette smoking and other commercial tobacco use. ~ The risk of developing diabetes is 30–40% higher for smokers than nonsmokers.10 ~ More American Indian/Alaska Native women smoke during their last 3 months of pregnancy—26.0% compared to other ethnicities. ~ Cigarette smoking varies by Asian American subgroups as a result of a number of cultural, social, environmental, and individual factors. ~ Cigarette smoking during pregnancy is less common among Asian American/Pacific Islander women compared to other racial/ethnic groups.11 Comprehensive Tobacco Control ~ Explain the role of treatment for tobacco use and dependence within a comprehensive tobacco control program. ~ Primary Prevention: Prevent a problem ~ Secondary Prevention aims to reduce the impact of a disease or injury that has already occurred and prevent secondary problems. ~ Treatment to reduce cancer, lung problems, reduce absenteeism, reduce effects of second hand smoke, improve health of babies ~ Tertiary prevention aims to help people learn to live with the issue ~ Treatment to help people quit smoking after a diagnosis like emphysema National Reports ~ Utilize the findings of national reports, research studies and guidelines on tobacco treatment. ~ Office on Smoking and Health ~ The Health Consequences of Smoking—50 Years of Progress. Surgeon General ~ Cochrane Reviews ~ Tobacco, Nicotine and E-Cigarettes Consumer Education (NIDA) Prevention Strategies ~ Explain the societal and environmental factors that prevent tobacco use and dependence. ~ Attitudes ~ Reduction in advertising and visual triggers ~ Youth stress management and health promotion programs ~
