Tobacco cessation fall 2011 Instructor (1)_ For use in lecture (3)

Poor pregnancy outcomes(e.g low birth weight preterm

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Unformatted text preview: Poor pregnancy outcomes (e.g., low birth weight, preterm delivery) Infant mortality Other effects: cataract, osteoporosis, periodontitis, poor surgical outcomes U.S. Department of Health and Human Services. (2004). The Health Consequences of Smoking: A Report of the Surgeon General . USDHHS. (2006). The Health Consequences of Involuntary Exposure to Tobacco Smoke: Report of the Surgeon General. There is no safe level of second-hand smoke. Second-hand smoke causes premature death and disease in nonsmokers (children and adults) Children: Increased risk for sudden infant death syndrome (SIDS), acute respiratory infections, ear problems, and more severe asthma 2006 REPORT of the SURGEON GENERAL: INVOLUNTARY EXPOSURE to TOBACCO SMOKE Respiratory symptoms and slowed lung growth if parents smoke Adults: Immediate adverse effects on cardiovascular system Increased risk for coronary heart disease and lung cancer Millions of Americans are exposed to smoke in their homes/workplaces Indoor spaces: eliminating smoking fully protects nonsmokers Separating smoking areas, cleaning the air, and ventilation are ineffective QUITTING: HEALTH BENEFITS Lung cilia regain normal function Ability to clear lungs of mucus increases Coughing, fatigue, shortness of breath decrease Excess risk of CHD decreases to half that of a continuing smoker Risk of stroke is reduced to that of people who have never smoked Lung cancer death rate drops to half that of a continuing smoker Risk of cancer of mouth, throat, esophagus, bladder, kidney, pancreas decrease Risk of CHD is similar to that of people who have never smoked 2 weeks to 3 months 1 to 9 months 1 year 5 years 10 years after 15 years Time Since Quit Date Circulation improves, walking becomes easier Lung function increases up to 30% BENEFICIAL EFFECTS of QUITTING: PULMONARY EFFECTS Reprinted with permission. Fletcher & Peto. (1977). BMJ 1(6077):1645–1648. Disabilit y Death Smoked regularly and susceptible to effects of smoke Never smoked or not susceptible to smoke Stopped smoking at 45 (mild COPD) Stopped smoking at 65 (severe COPD) 25 FEV 1 (% of value at age 25) 25 50 75 100 50 75 Age (years) COPD = chronic obstructive pulmonary disease AT ANY AGE, there are benefits of quitting. AT ANY AGE, there are benefits of quitting. 5 10 15 30 40 50 60 Years of life gained Age at cessation (years) Prospective study of 34,439 male British doctors Mortality was monitored for 50 years (1951–2001) On average, cigarette smokers die approximately 10 years younger than do nonsmokers....
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Tobacco cessation fall 2011 Instructor (1)_ For use in lecture (3)

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