Flashcards in Use and misuse of tobacco among Aboriginal peoples Deck (24):
What is the current prevalence of smoking in Canada?
What is the current percentage of smoking in First Nations people in Canada?
What percentage of Canadian youth 15-19yo smoke?
What percentage of Canadian First Nations youth 15-17yo smoke?
What percentage of Manitoba First Nations youth 15-19yo smoke?
What percentage of Inuit 18-45yo smoke?
What are the risks of tobacco use?
1. Myocardial disease
2. Vascular disease
3. Chronic lung disease (e.g. emphysema)
4. Lung cancer
5. Other cancers
6. Type 2 DM
What are the risks to the fetus with smoking during pregnancy?
1. Perinatal deaths
2. Placental problems
3. Preterm deliveries
4. Fetal growth retardation
5. Congenital abnormalities i.e. gastroschisis
8. Learning disabilities
9. Withdrawal symptoms
10. ADHD in childhood
11. Subsequent nicotine dependence
What are the risks of postnatal exposure to second-hand smoke?
2. Lung growth decrease
3. Otitis media
What percentage of Canadian homes with children <12yo have regular smoking?
What are the specific concerns associated with nicotine addiction and its influence on nicotine use?
1. Highly addictive substance
2. Addiction is worse in adolescents
3. Genetic factors (nicotinic acetylcholine receptor, dopamine transporter gene, cytochroe P450 2A6)
4. No data suggesting racial differences related to nicotine metabolism
What are the specific concerns associated with youth access to tobacco and its influence on nicotine use?
56% of underage smokers obtain tobacco from friends and family
33.3% retailers continue to sell cigarettes to underage Canadians
When does smoking initiation begin in Canada?
As young as 11-13yo
As young as 7-8yo in Aboriginal youth
What socioeconomic factors are associate with high rates of smoking?
2. High unemployment
3. Low income
What are the specific concerns associated with cost of tobacco and its influence on nicotine use?
1. 10% increase in price is associated with a 14% decrease in the prevalence of youth smoking
2. Availability of tax-free tobacco on reserves undermines the cost of smoking
What cultural factors are associated with nicotine use?
1. Tobacco is used for medicinal purposes and is considered sacred in many First Nations people
2. First Nations Elder and the Assembly of First Nations state that recreational tobacco use is disrespectful of the spiritual, medicinal, and traditional use of tobacco
3. Traditional Inuit culture was smoke-free
What programs have have been established by provincial and territorial governments to target the broad social environment (most do not apply to reserves)?
1. The establishment of smoke-free public and workplaces to protect nonsmokers from second-hand smoke.
2. Efforts to standardize legal age limits for tobacco use and penalties for selling to minors.
3. Keeping tobacco products out of sight – the so-called ‘shower curtain law’.
4. Banning tobacco advertising and displays.
5. Taxing tobacco at a high level to produce cigarette prices sufficiently high to deter regular smoking among adolescents.
6. The use of health warnings on cigarette packages.`
What are some Helath Canada and national Aboriginal organizations national programs to increase awareness of the problems of tobacco misuse?
1. First Nations and Inuit Health Branch works in partnership with national Aboriginal organizations to raise awareness of tobacco misuse
2. Tobacco control programs strategies include:
a) capacity building
b) developing and delivering comprehensive, culturally sensitive, and effective tobacco control programs
c) promoting the health of First Nations and Inuit people by decreasing the prevalence of tobacco smoking and smokeless tobacco use
d) engaging leadership of First Nations and Inuit in learning to voice opinions and support tobacco control strategies
What are the five steps to quitting?
1. Get ready.
2. Get support.
3. Learn new skills and behaviours.
4. Get medication and use it correctly.
5. Be prepared for relapse or difficult situations.
What resources for smoking cessation are listed on the First Nations and Inuit Health Branch website?
1. Toll free smoking lines
2. List of nicotine replacement and medications to assist in smoking cessation
3. List of community based cessation programs and counselling services
4. Details self help suggestions e.g. "5 steps to quitting"
What are some aims of anti-smoking messages?
1. promote smoke-free spaces (public, private and work places), and are aimed mainly at adults under the age of 35 years (current prevalence for those aged 20 to 34 years is 27%, which is higher than the smoking rate of the general population);
2. target pregnant and postpartum women;
3. target third-party suppliers of tobacco products to youth (eg, parents, siblings, older teens and other adults) with the goal of curtailing the supply of tobacco to youth; and
4. continue bans on smoking advertisements and tobacco company sponsorship.
What are the recommendations regarding bans on smoking in the workplace?
Although it is true that some communities are passing bylaws that provide less protection than provincial smokefree legislation, other communities are passing bylaws that not only support provincial legislation but in some cases surpass it.
What are other measures designed to address the individual misuse of tobacco?
1. Teaching and practicing ‘resistance’ skills.
2. The use of antismoking medication, either nicotine substitution (eg, the ‘patch’) or non-nicotine drugs such as bupropion (Zyban, Biovail Pharmaceuticals, Canada).
3. The enforcement of age limits on tobacco sales and measures to remove cigarettes from public view.
4. Emphasis on the role of the physician and health care professional in smoking control. This includes counselling patients to help prevent and stop smoking. This emphasis should be part of routine preventive care at each office or community health visit. The five ‘As’ should be used routinely:
a) ASK about tobacco use
b) ADVISE urge to quit
c) ASSESS willingness to attempt quitting
d) ASSIST – counselling and pharmacological therapy
e) ARRANGE follow-up
5. Taking advantage of educational opportunities; for example, use the experience of a smoking-related illness of a family member to educate family and community members about the dangers of tobacco, emphasizing control measures, cessation strategies and the use of nicotine substitution therapy such as the ‘patch’.
6. Advocacy: Actively promote school-based prevention programs and be actively involved in policy interventions related to smoking.