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Fitango Education
Health Topics
Strategies
1
Overview
Tobacco use can lead to nicotine dependence and
serious health problems. Cessation can
significantly reduce the risk of suffering from
smoking-related diseases. Tobacco dependence is
a chronic condition that often requires repeated
interventions, but effective treatments and helpful
resources exist. Smokers can and do quit smoking.
In fact, today there are more former smokers than
current smokers.
2
Nicotine Dependence
Nicotine is the psychoactive drug in tobacco
products that produces dependence. Most
smokers are dependent on nicotine.
Nicotine dependence is the most common form of
chemical dependence in the United
States. Research suggests that nicotine may be as
addictive as heroin, cocaine, or alcohol.
3
Nicotine Dependence
Quitting smoking is difficult and may require
multiple attempts. Users often relapse because of
stress, weight gain, and withdrawal symptoms.
Examples of nicotine withdrawal symptoms include
irritability, anxiety, difficulty concentrating, and
increased appetite.
4
Benefits of Cessation
Breaking free from nicotine dependence is not the
only reason to quit smoking. Cigarette smoke
contains a deadly mix of more than 7,000
chemicals; hundreds are toxic and about 70 can
cause cancer. Cigarette smoke can cause serious
health problems, numerous diseases, and death.
5
Benefits of Cessation
Fortunately, people who stop smoking greatly
reduce their risk for disease and premature death.
Although the health benefits are greater for people
who stop at earlier ages, cessation is beneficial at
all ages.
**Smoking cessation is associated with the
following health benefits:**
Smoking cessation lowers the risk for lung and
other types of cancer.
6
Benefits of Cessation
Smoking cessation reduces the risk for coronary
heart disease, stroke, and peripheral vascular
disease. Coronary heart disease risk is substantially
reduced within 1 to 2 years of cessation.
Smoking cessation reduces respiratory symptoms,
such as coughing, wheezing, and shortness of
breath. The rate of decline in lung function is
slower among persons who quit smoking.
7
Benefits of Cessation
Smoking cessation reduces the risk of developing
chronic obstructive pulmonary disease (COPD),
one of the leading causes of death in the United
States.
Smoking cessation by women during their
reproductive years reduces the risk for infertility.
Women who stop smoking during pregnancy also
reduce their risk of having a low birth weight baby.
8
Smokers' attempt to quit
Among current U.S. adult smokers, 68.8% report
that they want to quit completely, and millions
have attempted to quit smoking. Starting in 2002,
the number of former smokers has exceeded the
number of current smokers.
Percentage of adult smokers who stopped smoking
for more than 1 day in 2010 because they were
trying to quit:
9
Smokers' attempt to quit
52.4% of all adult smokers (23.7 million people)
62.4% of smokers aged 18–24 years
56.9% of smokers aged 25–44 years
45.5% of smokers aged 45–64 years
10
Smokers' attempt to quit
43.5% of smokers aged 65 years or older
Percentage of high school smokers who stopped
smoking for more than 1 day in 2009 because they
were trying to quit:
50.8% of all high school students who smoke
11
Methods to Quit Smoking
The majority of cigarette smokers quit without
using evidence-based cessation
treatments.1However, the following treatments
are proven effective for smokers who want help to
quit:
Brief clinical interventions (i.e., when a doctor
takes 10 minutes or less to deliver advice and
assistance about quitting)
12
Methods to Quit Smoking
Counseling (e.g., individual, group, or telephone
counseling)
Behavioral cessation therapies (e.g., training in
problem solving)
Treatments with more person-to-person contact
and intensity (e.g., more time with counselors)
13
Methods to Quit Smoking
Cessation medications found to be effective for
treating tobacco dependence include the
following:
Nicotine replacement products1Over-the-counter
(e.g., nicotine patch, gum, lozenge)
Prescription (e.g., nicotine inhaler, nasal spray)
14
Methods to Quit Smoking
Prescription non-nicotine medications, such as
bupropion SR (Zyban®) and varenicline tartrate
(Chantix®).
The combination of medication and counseling is
more effective for smoking cessation than either
medication or counseling alone.
15
Helpful Resources
Publications
The following CDC publications are helpful
cessation resources for public health practitioners,
businesses, and organizations. Visit CDC's online
publications catalog to order free copies of these
and other cessation-related materials:
16
Helpful Resources
A Practical Guide to Working with Health-Care
Systems on Tobacco-Use Treatment
Youth Tobacco Cessation—A Guide for Making
Informed Decisions
Telephone Quitlines: A Resource for Development,
Implementation, and Evaluation
Quitline Services
17
Helpful Resources
1-800-QUIT-NOW is a free telephone support
service that can help individuals who want to stop
smoking or using tobacco. Callers have access to
several types of cessation information and
services, including:
Free support and advice from experienced
counselors
A personalized quit plan
18
Helpful Resources
Self-help materials
Social support and coping strategies
The latest information about cessation
medications
Over-the-counter nicotine replacement
medications for eligible participants (in more than
half of U.S. states)
19
Helpful Resources
Cessation Services
CDC's How to Quit Web pages provide a variety of
cessation tips, tools, and resources.
Smokefree.gov is a Web site dedicated to helping
smokers quit.
Strategies

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Strategies

  • 2. 1 Overview Tobacco use can lead to nicotine dependence and serious health problems. Cessation can significantly reduce the risk of suffering from smoking-related diseases. Tobacco dependence is a chronic condition that often requires repeated interventions, but effective treatments and helpful resources exist. Smokers can and do quit smoking. In fact, today there are more former smokers than current smokers.
  • 3. 2 Nicotine Dependence Nicotine is the psychoactive drug in tobacco products that produces dependence. Most smokers are dependent on nicotine. Nicotine dependence is the most common form of chemical dependence in the United States. Research suggests that nicotine may be as addictive as heroin, cocaine, or alcohol.
  • 4. 3 Nicotine Dependence Quitting smoking is difficult and may require multiple attempts. Users often relapse because of stress, weight gain, and withdrawal symptoms. Examples of nicotine withdrawal symptoms include irritability, anxiety, difficulty concentrating, and increased appetite.
  • 5. 4 Benefits of Cessation Breaking free from nicotine dependence is not the only reason to quit smoking. Cigarette smoke contains a deadly mix of more than 7,000 chemicals; hundreds are toxic and about 70 can cause cancer. Cigarette smoke can cause serious health problems, numerous diseases, and death.
  • 6. 5 Benefits of Cessation Fortunately, people who stop smoking greatly reduce their risk for disease and premature death. Although the health benefits are greater for people who stop at earlier ages, cessation is beneficial at all ages. **Smoking cessation is associated with the following health benefits:** Smoking cessation lowers the risk for lung and other types of cancer.
  • 7. 6 Benefits of Cessation Smoking cessation reduces the risk for coronary heart disease, stroke, and peripheral vascular disease. Coronary heart disease risk is substantially reduced within 1 to 2 years of cessation. Smoking cessation reduces respiratory symptoms, such as coughing, wheezing, and shortness of breath. The rate of decline in lung function is slower among persons who quit smoking.
  • 8. 7 Benefits of Cessation Smoking cessation reduces the risk of developing chronic obstructive pulmonary disease (COPD), one of the leading causes of death in the United States. Smoking cessation by women during their reproductive years reduces the risk for infertility. Women who stop smoking during pregnancy also reduce their risk of having a low birth weight baby.
  • 9. 8 Smokers' attempt to quit Among current U.S. adult smokers, 68.8% report that they want to quit completely, and millions have attempted to quit smoking. Starting in 2002, the number of former smokers has exceeded the number of current smokers. Percentage of adult smokers who stopped smoking for more than 1 day in 2010 because they were trying to quit:
  • 10. 9 Smokers' attempt to quit 52.4% of all adult smokers (23.7 million people) 62.4% of smokers aged 18–24 years 56.9% of smokers aged 25–44 years 45.5% of smokers aged 45–64 years
  • 11. 10 Smokers' attempt to quit 43.5% of smokers aged 65 years or older Percentage of high school smokers who stopped smoking for more than 1 day in 2009 because they were trying to quit: 50.8% of all high school students who smoke
  • 12. 11 Methods to Quit Smoking The majority of cigarette smokers quit without using evidence-based cessation treatments.1However, the following treatments are proven effective for smokers who want help to quit: Brief clinical interventions (i.e., when a doctor takes 10 minutes or less to deliver advice and assistance about quitting)
  • 13. 12 Methods to Quit Smoking Counseling (e.g., individual, group, or telephone counseling) Behavioral cessation therapies (e.g., training in problem solving) Treatments with more person-to-person contact and intensity (e.g., more time with counselors)
  • 14. 13 Methods to Quit Smoking Cessation medications found to be effective for treating tobacco dependence include the following: Nicotine replacement products1Over-the-counter (e.g., nicotine patch, gum, lozenge) Prescription (e.g., nicotine inhaler, nasal spray)
  • 15. 14 Methods to Quit Smoking Prescription non-nicotine medications, such as bupropion SR (Zyban®) and varenicline tartrate (Chantix®). The combination of medication and counseling is more effective for smoking cessation than either medication or counseling alone.
  • 16. 15 Helpful Resources Publications The following CDC publications are helpful cessation resources for public health practitioners, businesses, and organizations. Visit CDC's online publications catalog to order free copies of these and other cessation-related materials:
  • 17. 16 Helpful Resources A Practical Guide to Working with Health-Care Systems on Tobacco-Use Treatment Youth Tobacco Cessation—A Guide for Making Informed Decisions Telephone Quitlines: A Resource for Development, Implementation, and Evaluation Quitline Services
  • 18. 17 Helpful Resources 1-800-QUIT-NOW is a free telephone support service that can help individuals who want to stop smoking or using tobacco. Callers have access to several types of cessation information and services, including: Free support and advice from experienced counselors A personalized quit plan
  • 19. 18 Helpful Resources Self-help materials Social support and coping strategies The latest information about cessation medications Over-the-counter nicotine replacement medications for eligible participants (in more than half of U.S. states)
  • 20. 19 Helpful Resources Cessation Services CDC's How to Quit Web pages provide a variety of cessation tips, tools, and resources. Smokefree.gov is a Web site dedicated to helping smokers quit.