A Comprehensive Approch to Spit Tobacco Prevention and …一个全面的方法来吐烟的防治…

1、spit: tobaccos deadliest little secretniki sue muellerprogram directorwyoming through with cwhat is spit (smokeless) tobacco?snuff is finely ground or shredded tobacco. typically, the user places a pinch or dip between the cheek and gumchewing tobacco is available in loose leaf and plug with the use

2、r putting a wad of tobacco inside the cheeksmokeless is not harmless!what is in spit tobacco?contains 28 carcinogens the most harmful are the tobacco-specific nitrosamines (tsnas) that are formed during the growing, curing, fermenting, and aging of tobacco. cancer-causing substances include n-nitros

3、amine acids, volatile n-nitrosamines, benzo(a)pyrene, volatile aldehydes, formaldehyde, acetaldehyde, crotonaldehyde, hydrazine, arsenic, nickel, cadmium, benzopyrene, and polonium210. (nci-2003)health effectsspit tobacco users are 50 times more likely to get oral cancer than non-usersspit tobacco u

4、se may cause cancer of the esophagus, larynx, stomach and pancreas and can form within five years of regular useleukoplakia is a white, leathery patch which forms in the mouth and is considered a pre-cancerous lesion (s.t.o.p guide, 1997; hatsukami, d.& seversen, nicotine and tobacco research, 1

5、999)big tobacco enters smokeless marketpm usa is test marketing a smoke-free and spit-free tobacco pouch product, called taboka, designed especially for adult smokers interested in smokeless tobacco alternatives to smokingcamel snus, the first smokeless-tobacco product to be rolled out by a major u.

6、s. tobacco companyharm reduction strategy harm reduction is a term used by the tobacco industry referring to a “strategy that encourages tobacco users who cannot or will not quit smoking to switch to an alternative nicotine-delivery product that is potentially less harmful than their regular product

7、,” (robins r, ed. the seduction of harm reduction: proceedings from the september 2004 summit. sacramento, ca: department of health services; 2005)u.s. smokeless tobaccos “graduation strategy”ust document exhibited in the marsee vs. ust lawsuit in 1986all roads lead to copenhagen“graduation strategy

8、”“new users of smokeless tobacco . . . are most likely to begin with products that are milder tasting, more flavored and/or easier to control in the mouth.after a period of time, there is a natural progression of product switching to brands that are more full-bodied, less flavored, have more concent

9、rated tobacco taste than the entry brand.” “graduation party”ust sponsors college partiesindustry quotes“moist smokeless tobacco is the only growing segment of the tobacco industry” from the ust website“cherry skoal is for somebody who likes the taste of candy, if you know what i am saying.” quoted

10、in wall street journal article on usts marketing strategies by a former ust sales representative, bob deetsusts use of heroes to promote stpromoting use of st on airplanesrodeo and football were used to promote spit tobacco in advertisingwalt garrison was a pro football player in the early 70searly

11、association of alternative to smoking promotionsust capitalizing on “smoke free environments”st sent to soldiers chicago, october 16, 2006rates of spit tobacco use by high school males are nothing to smile about, reports oral health americas national spit tobacco education program (nstep). research

12、by the independent group finds that nationally about one out of seven high school males currently use spit (or smokeless) tobacco products, and in some states that number is one out of four. spit tobacco excise taxes, which can reduce use by children, are arguably low, also resulting in a national “

13、d” grade. male hs use: kansas “d”excise tax: kansas “f”kansas use ratesmale high school use rate: 17.4female high school use rate: 3.8tobacco industry advertising in kansas per year: 125.9 million dollarswhy tax mattersincreasing tax is the single best way to reduce tobacco usemost effective is to b

14、ase tax on price, not weightust has been effective in 8 states to get a weight based taxgoal of comprehensive tobacco control programs:is to reduce disease, disability and death related to tobacco use by:preventing initiation among youthpromote quittingidentifying and eliminating the disparities rel

15、ated to tobacco use and its effects among different population groupseliminating nonsmokers exposure to etscdc guidelinesnine main guidelinesrecommends states establish programs that are comprehensive, sustainable and accountableevidence wyoming through with chews comprehensive appro

16、achbuilding partnershipspromote cessationmedia advocacycounter advertisingprevent youth initiationeducate the publicpolicy changebuilding partnershipshealth care providersstate organizationsdecision makersemployers/workplacefaith based communitiesnative american populationspromote cessationknow your

17、 state protocoluse all possible opportunities to promote cessationincrease awarenessparticipate in through with chew weekcounter advertising media advocacyeducate why price mattershealth effects changing social normsget on the agenda at statewide conferencescounter advertising quicktime and atiff (l

18、zw) decompressorare needed to see this picture.no bull postersave the date!february 17-23, 2008quicktime and atiff (uncompressed) decompressorare needed to see this picture.policy change opportunitiesbrief intervention among health care providerstobacco free workplacestobacco free schoolstobacco free community eventsreducing tobacco advertisi