Tobacco Prevention/Intervention Flashcards
1
Q
Trends/characteristics of groups of tobacco users
A
- 34% w/9-11yrs of education vs. 8% of people w/college degree or higher
- 40% American Indians vs. 21% of Caucasians
- 29% of those below the poverty vs. 21% above the poverty line
- 80-90% of incarcerated persons vs. 21% of the general US population
2
Q
Effective health policy interventions
A
- Higher cigarette taxes
- S
moking bans
- Warning labels
- Increased access to nicotine replacement therapies
3
Q
Tobacco use impact on mortality, cost, and health disparities
A
- premature mortality 2x > non-smokers
- half of smokers killed by smoking
- most common cause of preventable premature death
- half of those that die from tobacco use in US have mental illness
- health/productivity cost = $190 billion/year
4
Q
Strategies to counsel patients to quit smoking
A
- It’s never too late to quit!
- Good benefits within a year, improved cough, SOB, taste, smell, lung function, 50% decrease in cardiac ris
k
* Ask, advise, assess, assist, arrange
5
Q
Strategies to aid behavior modification
A
- Goal = total abstinence after the quit day.
- Engage family + friends to help
- Anticipate challenges/triggers
- Identify what has/hasn’t worked in past
- Remove tobacco from environment: work/home!
- Encourage partners to quit as well.
6
Q
Nicotine replacement therapy options
A
- patch
- gum
- lozenge
- inhaler
- nasal spray
7
Q
Quitting counseling options
A
- 1-800-QUIT-NOW = free counseling + free access to nicotine replacement
- Primary care physician
8
Q
Drug therapy options to aid quitting smoking
A
-
Bupropion - inhibits reuptake of dopamine and norepi, reducing craving and symptoms of withdrawal
- Black Box FDA warning
-
Varenicline (Chantix) - partial agonist at nicotine receptor, also antagonist - so no reward for smoking.
- Statistically better than Bupropion in original trial 50% quit after 12 weeks.
- Lots of psych side effects including suicidality
- Black box warning by FDA
