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PH 510_Notes Module 2

PH 510_Notes Module 2 - PH 510 Section 2 Module 2...

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PH 510 – Section 2 Module 2: Respiratory Health Hardy 1 10/28 Class 8 *Part A: Environmental Tobacco Smoke – Professor Siegel Goals: Discuss the importance of evaluating primary evidence when evaluating conclusions Give examples of how zeal for health promotion can result in stigmatization of personal behaviors. Be able to give examples. Explain why it is important to be skeptical and scrutinize conclusions about health. Discuss the importance of considering the various interests of the many potential stakeholders who might be affected by health promotion programs, laws and policies. Public Health Communication - Public health code of ethics: o Honesty and truthfulness Putting out false statements is wrong because it’s unethical *Part B: Issues in Tobacco Control: Is smoking addictive? Goals: Discuss the forces that promoted the use of tobacco in the US from 1800 to present and give examples of techniques and strategies used by the tobacco industry to promote smoking. Discuss the techniques used by anti-tobacco movement from 1960 to present and give specific examples of interventions. Be able to identify where these strategies lie in the context of the social-ecological model. Tobacco, Risk Communication and Interpreting Epi Smoking as a model for public health? You don’t need to smoke to live A huge relative risk (but without absolute risk can be deceiving) o *If you overstate risks for people, do you lose credibility and then you’re not able to communicate risks at all..? Why are some risks OK to control, and others not? o Some places don’t hire smokers. Now why is that okay? o What is it about smokers? This is when we get into the issue of second-hand smoke It’s dangerous for public health to overstate/exaggerate Distinction between drug addiction and drug habituation The interventions presented by PH need to be different when approaching something that is addictive. Heroin vs. tobacco – calling them both addictive is tough. Very different. 1964 – Surgeon General drew a distinction between addiction and habit 1988 switched to calling nicotine an addiction Anti-tobacco’s racist part
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PH 510 – Section 2 Module 2: Respiratory Health Hardy 2 WWII: “The truth about tobacco use: tobacco is an obstacle to racial policy” Hitler – healthy race component, soldiers - you can not smoke! Vs. British and American soldiers were given cigarettes as part of rations Snake labeled “angina” and “tobacco addiction” o Caricature depicting Jewish person World Health Organization – Study results - One of the ways we evaluate studies is the number of cases we considered Table 2 - A table pulled out from the European study Journal of Cancer - Split into all subjects (men & women) and women -
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