Transcript Chapter 10

Chapter 10
Tobacco
© 2006 McGraw-Hill Higher Education. All rights reserved.
History
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Early Medical Use
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The spread of tobacco use
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Europe
New World
Tobacco production
Nicotiana tobacum
Nicotiana rustica
Tobacum
© 2006 McGraw-Hill Higher Education. All rights reserved.
Types of Use
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Snuff
Chewing tobacco
Cigars
Cigarettes
© 2006 McGraw-Hill Higher Education. All rights reserved.
Figure 10.1
Trends in cigarette sales since 1945
© 2006 McGraw-Hill Higher Education. All rights reserved.
Who is Smoking?
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Males are more likely than females
Current smokers are more likely to be
heavy drinkers and illicit drug users
Highest rate among 18- to 25-year olds
College graduates are the least likely to
smoke
© 2006 McGraw-Hill Higher Education. All rights reserved.
Tobacco Facts
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Tobacco use is the leading preventable
cause of disease and premature death in
the U.S.
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Males are more likely than females to
report the use of any tobacco product.
© 2006 McGraw-Hill Higher Education. All rights reserved.
Nicotine
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It is a colorless, highly volatile liquid
alkaloid
When smoked, nicotine enters the lungs
and is then absorbed into the bloodstream
When chewed or dipped, nicotine is
absorbed through the mucus lining of the
mouth
© 2006 McGraw-Hill Higher Education. All rights reserved.
Nicotine
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Amount of tobacco absorbed depends on:
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Exact composition of tobacco
How densely the tobacco is packed
Whether a filter is used and characteristics of
filter
The volume of smoke inhaled
The number of cigarettes smoked
© 2006 McGraw-Hill Higher Education. All rights reserved.
Figure 10.2
Mortality ratios (total death, mean age 55 to 64) as a function of the
age at which smoking started and the number of cigarettes smoked
per day.
© 2006 McGraw-Hill Higher Education. All rights reserved.
Chronic Illnesses
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Men and women who smoke have more
chronic illnesses, including:
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Emphysema & bronchitis
Cardiovascular disease
Cancer
Bronchopulmonary disease
Sudden Infant Death Syndrome (SIDS)
© 2006 McGraw-Hill Higher Education. All rights reserved.
Effects without Smoking
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Mainstream smoke - smoke drawn through the
mouthpiece of the cigarette
Sidestream smoke - smoke released into the air
directly from the lighted tip of a cigarette
Passive smoking - nonsmokers’ inhalation of
tobacco smoke
Environmental tobacco smoke - sidestream
smoke and exhaled mainstream smoke that is
inhaled by the passive smoker
© 2006 McGraw-Hill Higher Education. All rights reserved.
Trying to Quit
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“Cold turkey”
Behavioral modification
Smoking cessation aids
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Nicotine gum
Nicotine patches
Nicotine nasal spray
Nicotine inhalers
Buproprion
© 2006 McGraw-Hill Higher Education. All rights reserved.