How to Implement Tobacco-Free Educational Programs

1. How to Implement Tobacco-Free Educational Programs Brittney Hodges, CHES Phrakhoun Saynyarack Karmayle Johnson Ivan Merendon Heather Miller Tekayla Webb

2. Overview • Introductions and welcome • Tar Wars pre-test • Statistics: Tobacco use in Oklahoma • Industry marketing to youth • Tar Wars program examples • Importance of tobacco-free policies, resolutions, and ordinances • Wrap up and questions

3. Tobacco Use in Oklahoma • 23% of OK youth smoke1 • 13% of OK youth use chewing tobacco, snuff, or dip1 • 1 in 4 OK adults smoke (26.1%)2 • 6% of OK adults use chewing tobacco, snuff, or dip3 • Declines are due to public health campaigns and policies • 90% of smokers begin before age 18 Sources: 1OK Youth Risk Behavior Survey 2011. http://www.ok.gov/health2/documents/TobaccoUse3_YRBS2011.pdf 2 Behavioral Risk Factor Surveillance System 2011. http://apps.nccd.cdc.gov/brfss/display.asp?cat=TU&yr=2011&qkey=8161&state=OK 3 Center for Disease Control and Prevention. http://www.cdc.gov/tobacco/data.../state_data/state.../states/oklahoma.pdf

4. They Put What in a Cigarette? • Nicotine • Formaldehyde • Carbon Monoxide • Tar • Arsenic • Chromium • Lead

5. Dopamine Nicotine

7. Types of Tobacco Image: http://thumbs.dreamstime.com/thumblarge_484/12679013867u4J72.jpg

8. Cigarettes A cigarette which can be adjusted from a non-menthol to a menthol flavored cigarette by squeezing and crushing a capsule in the cigarette's filter. Image from www.trinketsandtrash.org

9. a-linalool p-menth-1-en-8-ol Dodecane Decanal a-citronellol Citral 1-Decanol p-Mentha-1(7),8(10)-dien-0-ol Tridecane Undecanal a-Cubebene Limonenediol Diacetin Copaene β-elemen Tetradecanal Dodecanoic acid, 1-methylethyl ester Heptadecane Nonadecane Heptadecane, 2,3-dimethyl Tetradecane Caryophyllene Dodecanal β-Cubebene ç-Elemene a-Caryophyllene Y-Muurolene Valencene a-Candinene Pentadecane β-Candinene Hedycaryol Caryophyllene oxide Hexadecane 1,4-Methanobenzocyclodecene,1,2,3,4,4a,5,8,9,12,12a-decahydrooctadecane 3,7,11,15-Tetramethyl-2-hexadecene-1-ol Eicosane Hydrocarbons and other compounds released by Camel Twist flavor pellets

10. Money Matters: Tobacco Advertising • The tobacco industry spends $200 million per year in advertising in Oklahoma • $12.8 Billion per year in the USA • $35 million dollars per day nationwide Images from www.trinketsandtrash.org

11. Philip Morris (1981) http://legacy.library.ucsf.edu/tid/fts84a00

12. “Dressed to the 9s” Image: www.trinketsandtrash.org

13. Tar Wars Activities • Pre-test results • Cost, short-term effects, long-term effects • Straw activity • Analyze tobacco advertisements in groups • Groups present findings

14. Presentation Overview Pre-Activity Exercise Use the pre-activity worksheet to ask students to estimate the percentage of the population that uses tobacco products.

15. What percentage of 5th graders use tobacco products?

16. Pre-Activity Exercise

17. What percentage of 10th graders use tobacco products?

18. Pre-Activity Exercise

19. What percentage of adults use tobacco products?

20. Pre-Activity Exercise

21. Activity 1Short-Term Effects of Tobacco Use • Bad breath or “zoo” breath • Yellow teeth and fingers • Spit stains on clothes and shoes • Coughing/hacking/hurling phlegm • Less money to spend on other things

22. Long Term Effects of Tobacco Use • Cardiovascular disease • Cancer • Emphysema • Asthma • Osteoporosis • Chronic bronchitis • Death Image: http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm259624.htm

23. Activity 2Straw/Breathing Exercise • Hold your nose and stand and run in place while breathing through the straw. • Are you getting enough air into your lungs? • Smoking makes breathing difficult, especially during exercise.

24. Activity 3Costs of Tobacco Use Use $5.00 as the average price of one pack of cigarettes. How much does it cost to use tobacco for: • One week? • One month? • One year?

25. Activity 3Costs of Tobacco Use • One week = $35.00 • One month = $140.00 • One year = $1,680.00 • 50 years = $84,000 What else could you buy with this money?

26. Activity 4Reasons People Use Tobacco • Image • Lose weight/Be thin • Peer Pressure • Nicotine Addiction/Relaxation • Looking older/being grown-up orlike parents • Advertising Image: http://www.fda.gov/ucm/groups/fdagov-public/documents/image/ucm307448.jpg

27. What are Tobacco Ads Selling? Magazine Ad Exercise Images found at www.trinketsandtrash.org

28. Activity 5Tobacco and Advertising What are tobacco ads selling? • Cool Image • Good Looks/Glamour • Hanging Out/Dating • Friends/Popularity • Tastes Good

29. Activity 5Tobacco and Advertising Critical questions to ask: • What themes do ads use to make you believe using tobacco is not harmful? • Do tobacco ads tell the truth? • What do the ads tell you about the people who use this brand of tobacco? • What groups of people do the ads target?

30. Activity 5Tobacco and Advertising What tobacco ads DON’T show: • Ash trays • Lit cigarettes • Cigarette butts • Discolored teeth • Poor health

31. Tobacco Warning Labels

32. Presentation Summary • Review topics covered during classroom presentation (ie, short-term effects) • Ask students to state a few things they learned about each topic • Emphasize the deceptive marketing techniques used in tobacco advertising • Encourage students to create posters and help them brainstorm ideas

33. Contact Information • AAFP Tar Wars Staff • 800-TAR-WARS (800-827-9277) • http://www.tarwars.org/online/tarwars/home/about/contact/tarwarsstaff.html • State Coordinators • http://www.tarwars.org/online/tarwars/home/about/contact/state.html

34. Importance of tobacco-free resolutions and policies • 24/7 School Policies • Protect youth from secondhand smoke • Allow adults to be positive role models • Outdoor recreational facility tobacco-free policies or resolutions • Reduce secondhand smoke and litter • Reduce youth observation of tobacco use

35. Resources

36. Questions?