Slide 1IU Health Center Services @Tenth & Jordan & IMUTobacco Research & Regulation TimelineDid you know?Why don’t we smoke? Reasons We Are Non-SmokersWhy Do We Smoke?Slide 7Slide 8Slide 9Slide 10American Medical AssociationSlide 12The 3 – Fold AddictionSlide 14Slide 15What can WE do? #FINISHITQuestionsReferences for more informationTobacco AwarenessCathy Wyatt MS, CTTSIU Health and Wellness [email protected] Health Center Services @Tenth & Jordan & IMU•Massage: $40 for a 45 minute session $10 for a 15 min chair @ 856-4468•Nutrition: 1 session free/semester with registered dietician•Tobacco Cessation: Free cessation products and support•Gynecological exams: free (but the tests cost $)•Skin Cancer Basic Screening in the spring (or $20) •Cholesterol Screening (Total, HDL, LDL) ($25)•Counseling And Psychological Services: 2 free/semester (CAPS)•Sexual Assault Counseling: free, unlimited sessions•Medical or Wellness Appointments: 855-7688•Schedule CAPS Appointment: 855-5711• Sexual Crises Hotline: 855-8900>>> POLL <<<Tobacco Research & Regulation Timeline May 27, 1950 •JAMA published first major study definitively linking smoking to lung cancer 1964, Luther Terry, M.D.•Surgeon General's Advisory Committee on Smoking and Health report released 1965• Congress required all cigarette packages distributed in US to carry a health warning 1969•Cigarette advertising on television and radio was banned effective September 1970 1998•Tobacco Master Settlement Agreement (MSA), which imposed public health restrictions on the advertising, promotion and marketing of cigarettes by tobacco companies Tobacco Incorporated 2009 •FDA began regulation of tobaccoDid you know?• Recent numbers show that annual smoking-attributable economic costs in the US are estimated to be between $289 to 332.5 billion. Smokers have an increased risk of:Heart disease and Stroke 2-4x Lung cancer in men 23x…in women 13x…Chronic bronchitis and emphysema 12-13x…1 out of 5 deaths is tobacco use related53,800 deaths every year due to secondhand smoke Centers for Disease Control & Prevention 2014Why don’t we smoke?Reasons We Are Non-Smokers•Health problems•Care for others (2nd and 3rd hand smoke)•MONEY $5-8/pack x7days~$150/month~$1800 year•Inconvenience•Reduced longevity •Stigma•Harms the environment with 4.5 trillion chemically enhanced butts in waterways and soil everyday worldwideWhy Do We Smoke?• Relieves stress• Focuses the mind—gives something to do•Relieves constipation•It’s cool, fun, rebellious, and it’s legal•It attracts community with other smokers•It provides oral gratification•It helps us take a deep, deep breath• Quitting is hard >>>>>>>>>>>>1. SPIN AND MARKETING $15.3 billion is spent on tobacco marketing & promotion2. MANIPULATION OF TOBACCO PLANT Fertilizers, herbicides & pesticides are used to increase crop ratesa) Make it as addictive as possibleb) Grow tobacco in large quantitiesHow did we go from smoking one cigar/cigarette after dinner to smoking 20+ cigarettes a day?Smoking CalculatorHow could this happen?What would you say to the men in this interview?“There is no causal link.” (1982) 3:40-4:12 )Project Scum?!Advertising money for smoking tobacco is going down. Why?Types of Smoking TobaccoLights or low-tar, mild, light, or ultra light cigarettesMenthol CigarettesPipes and cigars, Bidis and KreteksHookahsElectronic CigarettesSecondhand Smoke and Asthma American Medical AssociationSecondhand Smoke Research US Department of Health and Human ServicesThird Hand Smoke?Berkely Lab; June 2013So, What can we do?Trans theoretical Model: Stages of ChangeMental/Psychological SocialPhysicalThe 3 – Fold AddictionFreedom From Smoking, 2010 American Lung Associationmotivation for change + a clear goal + monitor behaviors that work toward that goal= willpowerThe Marshmellow. WAIT FOR IT...Motivation or Will Power?Get motivated: increase your desire to take action Use willpower: force yourself to take action-Non-judgmental program-Motivational Interviewing-Collect Data: CO Levels – Any volunteers?-Address the addiction -Identify Triggers-Identify Motivators -Support, Educate and Free NRTWhat can WE do?#FINISHIT•New TRUTH ad•Unpaid Tobacco Spokesperson•Unpaid Tobacco Spokesperson ResponseQuestionsCathy Wyatt, M.S.IU Health and Wellness [email protected] for more informationOnline QUIT applications. http://gadgets.ndtv.com/apps/features/five-apps-to-help-you-quit-smoking-on-world-anti-tobacco-day-223086Carr, A., 1999. Easy Way to Stop SmokingParodies the pro-tobacco stance—stay focused on the positives. http://www.amdpa.org/index.php?option=com_seyret&Itemid=175&task=videodirectlink&id=5Tobacco industry statements, advertisements and congressional testimony.http://www.youtube.com/watch?v=txYH8RCC-Qk&feature=relatedImpotence and smoking http://www.youtube.com/watch?v=Sm5UyrEqGhQ&feature=relatedWhat’s in a cigarette? http://www.youtube.com/watch?v=vNCIVetOmEYThank you for Smoking, the movie trailerhttp://www.youtube.com/watch?v=4HC3xwlfcFMEvery cigarette does damage. Clogged aorta of a 32-yr old smoker. (Strong stomach to watch). http://www.youtube.com/watch?v=mgYfRlr0qwE&NR=1search topics: Smoking, Tobacco Politics, Tobacco, Tobacco Consumption, Nicotinewww.thelancet.comC. Harrald, F. Watkins, 2010. The Cigarette Book. Skyhorse Publishing, NY NY.C. Gleason, 2007. Biography of Tobacco. Crabtree Publishing, NY NY. http://www.westernkyhistory.org/christian/night.html tobacco history articlehttp://www.youtube.com/watch?v=iplzsMazQz4 tobacco wars history videoWorld Health OrganizationWikipedia.orgCenters for Disease Control. Smokeless tobacco increases the probability of oral and pharyngeal