E-cigarettes, hookah, little cigars, oh my! How to address emerging tobacco products

1. E-cigarettes, hookah, little cigars, oh my! How to address emerging tobacco products Shelley Mann-Lev & Janie Corinne 24/7 Technical Assistance Team Creating truly tobacco-free schools

2. New Pictures of Youth and Tobacco

3. Poly-Tobacco Use is the Norm for our Youth • 30% of NM high school youth used at least one form of tobacco • Two-thirds of tobacco use was poly-tobacco use (2+ products) • 60% used hookah, alone or in combination with other tobacco products • Single product use is less prevalent – 12.6% of youth tobacco users smoke only cigarettes, 5.5% use only spit tobacco, and 1.8% use only cigars • of youth tobacco users are using hookah, either alone or in combination with other tobacco products • Single product use is less prevalent – 12.6% of youth tobacco users smoke only 2011 Youth Risk & Resiliency Survey

4. Trends in Tobacco Product Use – NM High School Youth, 2005-2013 • Significant downward trends observed for cigarette and cigar use • Spit, chew, and snuff tobacco use remains statistically stable • Hookah use remains high • Use of emerging products, such as e-cigarettes, is currently unknown 2005-2013 Youth Risk and Resiliency Survey (YRRS) *2013 YRRS data is preliminary ? E-Cigarettes

5. E-Cigarette Use by Youth Doubled 2011-2012 • E-cigarette use doubled (3.3% to 6.8%) among MS and HS students during 2011-2012. • Current e-cig use increased from 1.1% to 2.1%. a • High school students reporting ever having used an e-cig increased during 2011-2012 from 4.7% to 10.0%. • Current use increased from 1.5% to 2.8%. • Among current e-cig users, 76.3% reported current conventional cigarette smoking a awww.cdc.gov/mmwr/preview/mmwrhtml/mm6235a6.htm?s_cid=mm6235a6_e

6. New Mexico Data • Cross-sectional study of 18-26 yr old smokers in ABQ area found that use of e-cigs increased from 28% to 44% during 2012-2013, while use of other tobacco products decreased. d • E-cigarette data collection for NM youth and adults planned for 2015. d Unpublished TUPAC Program evaluation results

7. Emerging Tobacco Products • Electronic cigarettes • Hookah – water pipes • Cigars, including little cigars that look like cigarettes • Smokeless tobacco, like chew/dip, dissolvables and snus (pouches) • Flavored tobacco products

8. What are you hearing and seeing? • Discuss with a partner, 2 minutes each

9. E-hookah or e-cigarette?

10. Basic Anatomy of an Electronic Cigarette

11. Hookahs

12. Cigars and Little Cigars

13. Smokeless Tobacco

14. Flavored Tobacco Products

15. Exercise – Explaining Risks to StudentsPair up with another personEach of you select and read a fact sheet or short articleExplain the main points to your partner, as if you were talking to a student

16. No Tobacco Use at School Plan for Students • Get into groups of 3 • Assign roles: • Health educator - counselor- nurse/health professional - teacher • Student • Observer • Read through the plan • The health educator will guide the student through the plan, filling it in and making agreements about how the student will remain tobacco-free at school • Observer will then comment, make suggestions

17. Free Technical Assistance and Resources for NM Schools Janie Corinne, MPH Coordinator 24/7 Technical Assistance Team Creating truly tobacco-free schools 575 770-6275 www.247NewMexico.com