Anti-smoking

Thursday, December 5, 2013

Smoke and minors

More teenage girls smoke than boys. Could it be because the tobacco industry plays on their desire to look fun, feel confident and stay thin?


Forget BlackBerrys or wedges: the most desirable accessory for huge numbers of adolescent girls today is a cigarette. The trend began in the 1990s, when girls started to overtake boys as smokers; the gap grew to10 percentage points in 2004 with 26% of 15-year-old girls smokingcompared with 16% of boys. The gap has narrowed since but in 2009 girls are still more likely to smoke than boys.
There has long been a synergy between the changing self-image of girls and the wiles of the tobacco industry. Smoking was described by one team of researchers as a way in which some adolescent girls express their resistance to the "good girl" feminine identity. In 2011, when Kate Moss creates controversy by puffing away on the Louis Vuitton catwalk and Lady Gaga breaks the law by lighting up on stage, cigarettes have clearly lost none of their transgressive appeal.
What's different today is the "dark marketing" techniques used by the tobacco industry since the demise of "above-the-line" advertising in 2002. These appeal to girls' fears and fantasies, through subliminal online and real-world sponsorship.
Tobacco manufacturers, for instance, have been accused of flooding YouTube with videos of sexy smoking teenage girls, while in a pioneering partnership with British American Tobacco, London's Ministry of Sound nightclub agreed in 1995 to promote Lucky Strike cigarettes. Most pernicious because they are the most covert, though, are the underground discos organised by Marlboro Mxtronic and Urban Wave, the marketing wing of Camel. Beneath the Camel logo, Urban Wave dance parties – stretching from Mexico to the Ukraine – hand out free cigarettes, and are themselves free: you must be invited and register, thereby helping the tobacco company build up a database. In the US a 2007 fashion-themed Camel 9 campaign was clearly targeted at young women, and so-called "brand stretching" has popularised tobacco brands on non-tobacco products, such as Marlboro Classic Clothes.
Adolescent girls seem particularly susceptible to the blandishments of the tobacco industry. Susie, 15, began smoking two years ago. "It was on the common and everyone started experimenting. You think, 'Ooh, I'm more cool, ooh I'm smoking I feel grownup and in with the crowd.'" Vanessa, 15, remembers that "it gave me a headrush, and it impressed my friends". Becca, 21, became a regular smoker at 15. "We were going out and lying about our age and thought smoking made us look older."
Janne Scheffels, a Norwegian researcher, argued recently that teenage girl smokers view it as a kind of "prop" in a performance of adulthood, a way of crossing the boundary between childhood and adolescence, and moving away from parents' authority. Becca, says: "It felt like getting one over my parents: the fact that they didn't like it and couldn't stop it made me feel better."
Teenage smokers, the theory used to go, suffer from a lack of self-esteem (the so-called deficit model). The reality is more complex. Asuccession of studies have found that smoking positions you in a group of "top girls" – high-status, popular, fun-loving, rebellious, confident, cool party-goers who project self-esteem (not, of course, the same as actually having it). Non-smokers are mostly seen as more sensible and less risk-taking.
Smoking, says Vanessa, is also bonding. You start conversations with strangers when you ask for a light – an attractive social lubricant for awkward teenagers. But the hub of teen smoking is break-time: it builds a girl's smoking identity. Sara, 14, says: "That was when it became regular, when I started going out at lunch and break, round the corner from school where everyone smokes. You become less close to people who don't go out."
Some smoke for emotional reasons: smokers are more likely to be anxious and depressed; having a cigarette is a way of dealing with stress. Twice as many teenage girls suffer from "teen angst" as boys,according to a report from the thinktank Demos last month.
According to Amanda Amos, professor of health promotion at the University of Edinburgh, there's also a social class dimension: more disadvantaged teenage girls smoke, and they're less likely to give up. Then why aren't boys equally affected? This is where it gets particularly dispiriting. "Top boys" have alternative ways of displaying prestige, such as sport: smoking to look cool conflicts with their desire to get fit. Girls want to be thin more than fit: smoking, they believe, helps keep their weight down. One in four said that smoking made them feel less hungry and that they smoked "instead of eating".
Lucky strike adAn ad that sells cigarettes as a slimming aid for young women. Photograph: Getty
Already in the 1920s the president of American Tobacco realised he could interest women in cigarettes by selling them as a fat-free way to satisfy hunger. The Lucky Strike adverts of 1925, "Reach for Lucky instead of a sweet", one of the first cigarette advert campaigns aimed at women, increased its market share by more than 200%. Between 1949 and 1999, according to internal documents from the tobacco industry released during litigation in the US, Philip Morris and British American Tobacco added appetite suppressants to cigarettes.
The industry has continued to exploit girls' and women's anxieties about weight. Since advertising was banned, says Amos, packaging is one of the few ways that tobacco companies can communicate with women. Young women looking at cigarette packs branded "slim" are more likely to believe that the contents can help make them slim. So no prizes for guessing the target market for the new "super-skinny" cigarettes – half the depth of a normal pack of 20 – like Vogue Superslims, or the Virginia S (new packaging: black with pink trim).
Until recently, few health education campaigns had taken on board the research into why young women smoke and so – unsurprisingly – had little impact. Some even inadvertently encouraged smoking: if you bang on about how bad cigarettes are you make them – to this group – sound good. And there's no point in trying to scare girls about developing cancer when they're old: they don't think they will be.
The ones I interviewed know the health risks but use all kinds of strategies to exempt themselves: their uncles smoke and are fine; they'll stop when they're pregnant (they disapprove of smoking pregnant women); they'll stop to avoid wrinkles; they'll stop when they're "20 or 30".
The successful campaigns have been radically different. The brilliant late-1990s Florida "truth" campaign, eschewing worthy public health appeals, played the tobacco industry at its own game. Through MTV ads, a tabloid distributed in record shops, merchandising, and a "truth" truck touring concerts and raves, it attacked the industry for manipulating teens to smoke, repositioning anti-smoking as a hip, rebellious youth movement. As a result, the number of young smokers declined by almost 10% over two years.
It doesn't do to get morally panicky about girls and smoking. For one thing, now that – in year 10 – "everyone smokes", non-smokers and other independent-minded girls are acquiring a cool of their own. Smoking to look cool, it's even been suggested, risks you being judged a "try-hard".
On the other hand, cancer is the greatest cause of death among women and, as Amos points out, we haven't seen the full health consequences of this bulge of girls' smoking yet. Last week Amos addressed the European parliament as part of Europe Against Cancer Week. Female MEPS were shocked when she passed round packets of super-skinnies clearly targeted at girls, and discussed how women need to be empowered not to smoke. Girls need alternatives that make them feel as powerful, independent and attractive as they think cigarettes do. Smoking really is a feminist issue.

Why Do Young Adults Start Smoking?

The risk of becoming a smoker among young adults who have never smoked is high: 14% will become smokers between the ages of 18 and 24, and three factors predict this behaviour. “Smoking initiation also occurs among young adults, and in particular among those who are impulsive, have poor grades, or who use alcohol regularly,” said Jennifer O'Loughlin, a Professor at the University of Montreal School of Public Health (ESPUM) and author of a Journal of Adolescent Health study published in August. O’Loughlin believes smoking prevention campaigns should also target young adults aged 18 to 24.'
A recent phenomenon
With smoking rates declining markedly in the past three decades, the researchers cited several studies suggesting that the tobacco industry is increasing its efforts to appeal to young adults.
In the United States, there is a 50% increase in the number of young adults who start smoking after high school.
This trend prompted O’Loughlin and her team at the ESPUM to identify predictors of young adults starting to smoke which may lead to avenues for prevention.

source:http://www.sciencedaily.com/releases/2013/09/130917085604.htm
They analyzed data from a cohort study called “NDIT” (Nicotine Dependence in Teens), which began in 1999 in the Greater Montreal Area, in which nearly 1,300 young people aged 12-13 took part.
In this cohort, fully 75% tried smoking. Of these young people, 44% began smoking before high school; 43% began smoking during high school, and 14% began after high school.
Not all, however, continued smoking, but among the “late” smokers, the researchers found that smoking onset is associated with three risk factors: high levels of impulsivity, poor school performance, and higher alcohol consumption.
Explaining the three risk factors
Some late smokers showed greater impulsivity compared to the other participants in the study. According to O’Loughlin, it is possible that impulsivity is more freely expressed when one becomes an adult, since parents are no longer there to exert control. “We can postulate that parents of impulsive children exercise tighter control when they are living with them at home to protect their children from adopting behaviours that can lead to smoking, and this protection may diminish over time,” she explains.
In addition, school difficulties increase the risk of becoming a smoker because they are related to dropping out of school and, seeking employment in workplaces where smoking rates are higher.
Finally, since young people are more likely to frequent places where they can consume alcohol, they are more prone to be influenced by smokers, or at least be more easily tempted. “Since alcohol reduces inhibitions and self-control, it is an important risk factor for beginning to smoke,” warns O’Loughlin.
Toward targeted prevention campaigns
Smoking prevention campaigns usually target teenagers because studies show that people usually begin to smoke at age of 12 or 13. The phenomenon is well known, and numerous prevention programs are geared toward teenagers.
“Our study indicates that it is also important to address prevention among young adults, especially because advertizing campaigns of tobacco companies specifically target this group," says O'Loughlin.
“This is particularly important because if we can prevent smoking onset among young adults, the likelihood that they will never become smokers is high," she says.

Smoking doesn’t actually relieve stress

Smoking’s dwindling band of apologists may claim that, despite the deadly risk, dragging on a cigarette is a great way to reduce stress. Not so, indicates a new study published in the British Journal of Psychiatry. Researchers from Oxford and Cambridge Universities and Kings College London report that quitting helps to cut stress and anxiety. “The belief that smoking is stress relieving is pervasive, but almost certainly wrong,” the authors write. “The reverse is true: smoking is probably anxiogenic [causes anxiety] and smokers deserve to know this and understand how their own experience may be misleading.” The scientists followed 491 smokers at cessation clinics around England. Initially, 106 of the participants (21.6%) were diagnosed with mental health issues — mainly mood and anxiety disorders. After six months, 68 (24%) of the participants managed to quit smoking completely, and these successful quitters showed a drop in anxiety. Just 10 of them (14.7%) had a current psychiatric disorder at follow-up. Why might this be? “There is no obvious causal mechanism other than those who relapse feeling concern arising from the continuing health risks of their smoking,” the researchers write. “Stopping smoking probably reduces anxiety and the effect is probably larger in those who have a psychiatric disorder and who smoke to cope with stress. A failed quit attempt may well increase anxiety to a modest degree, but perhaps to a clinically relevant degree in people with a psychiatric disorder and those who report smoking to cope. Clinicians should reassure patients that stopping smoking is beneficial for their mental health, but they may need to monitor for clinically relevant increases in anxiety among people who fail to attain abstinence.”

Valerie Tejeda is a writer who has contributed to a variety of different publications, including but not limited to: The Huffington Post, Yahoo! Shine, The Fix, Latina, Cosmopolitan.com, Xo Jane, and The Bump. She is currently based in California where she also works towards completing her debut Young Adult novel. 

E-cigarettes could save lives, European conference told


Switching to e-cigarettes could save millions of smokers' lives, a conference on the rapidly expanding use of the devices heard Tuesday, though some delegates warned more research on the health effects is needed.
The merits of e-cigarettes were thrashed out at a one-day gathering of scientists, experts, policymakers and industry figures at the Royal Society in London.
The use of electronic cigarettes - pen-sized battery-powered devices that simulate smoking by heating and vaporizing a liquid solution containing nicotine - has grown rapidly.
Sales have doubled annually for the last four years and there are an estimated seven million users across Europe.
Many delegates merrily "vaped" away throughout the conference sessions, including one man with a luxuriant moustache puffing away on an e-pipe.
"Cigarettes are killing 5.4 million people per year in the world," said Robert West, a health psychology professor and the director of tobacco studies at Cancer Research UK.
He said switching to e-cigarettes could save millions of lives, but the debate was about "whether that goal can be realized and how best to do it".
The professor said almost a third of attempts to quit smoking involved e-cigarettes.
Doctor Jacques Le Houezec, a consultant in public health and tobacco dependence from France, told delegates that while e-cigarettes contained some harmful substances, the levels of toxicants were nine to 450 times lower than in cigarette smoke.
He said the exponential growth of e-cigarettes was being led by smokers, not scientists.
Deborah Arnott, chief executive of the Action on Smoking and Heath (ASH) pressure group, said e-cigarettes could be a leap forward for public health but warned that not enough was known about their effects - and pointed out that the tobacco companies are snapping up the e-cigarette manufacturers.
"ASH thinks that e-cigarettes have significant potential. They are a lot less harmful than smoking. Clearly smokers find them attractive, primarily as a way of quitting and moving away from smoking, which they know will kill them," she told AFP.
"But at the moment I think the jury's out and these products need regulating because there's a real concern that their safety and effectiveness is not guaranteed without regulation.
"The tobacco companies are moving in. For them it's potentially a 'Kodak moment' because if everyone moved to e-cigarettes, they'd lose their market so they've got to be in there. A lot of the bigger e-cigarette companies have already been bought up."
She warned: "If there are carcinogens in there, you won't see an immediate effect but 10, 15, 20 years down the line, people will be dying from that.
"The development of e-cigarettes is definitely running ahead of the science."


Read more: http://www.nydailynews.com/life-style/health/e-cigarettes-save-lives-european-conference-told-article-1.1515349#ixzz2mfT9wWZd

Should Cigarettes Be Illegal?

Federal drug regulations operate under the authority of Article, Section 8, Clause 3 of the U.S. Constitution, better known as the Commerce Clause, which reads:
The Congress shall have power ... To regulate commerce with foreign nations, and among the several states, and with the Indian tribes ...
Laws regulating the possession of banned substances have also been found narrowly constitutional, on the basis that state-by-state legalization would constitute de facto nullification of federal laws regulating interstate commerce. This view was most recently upheld 6-3 in Gonzales v. Raich (2004). As Justice John Paul Stevens wrote for the majority:
Congress could have rationally concluded that the aggregate impact on the national market of all the transactions exempted from federal supervision is unquestionably substantial.
In short: There is no real difference, in practical terms, between regulating marijuana and marijuana products and regulating tobacco and tobacco products. Unless the Supreme Court were to radically change direction on this issue, which is unlikely, a federal ban on cigarettes would probably pass constitutional muster. To say that he federal government has the power to ban marijuana, but not cigarettes, is inconsistent; if it has the power to ban one, it has the power to ban both.
2. Cigarettes pose a grave public health hazard.
As Terry Martin, About.com's Quit Smoking Guide, explains:
  • Cigarettes pose a wide range of health risks, including blindness, stroke, heart attacks, osteoporosis, and more forms of cancer and lung disease than you can shake a stick at.
  • Cigarettes contain 599 additives, and function as "a delivery system for toxic chemicals and carcinogens."
  • Nicotine is highly addictive.
But that's not all. Larry West, About.com's Environmentalism Guide, points out that as a result of secondhand smoke, even nonsmokers are exposed to "at least 250 chemicals that are either toxic or carcinogenic." If the government cannot restrict or ban dangerous and addictive substances that pose both a personal and public health risk, then how on earth can enforcement of other antidrug laws--which have given us the highest prison population in human history--be justified?

Cons

1. The individual right to privacy should allow people to harm their own bodies with dangerous drugs, should they choose to do so.
While the government has the power to enact public smoking bans, there is no legitimate basis for laws restricting private smoking. We may as well pass laws prohibiting people from eating too much, or sleeping too little, or skipping medication, or taking on high-stress jobs.
Laws regulating personal conduct can be justified on three grounds:
  • The Harm Principle, which states that laws are justified if they prevent individuals from causing harm to others. For strict civil libertarians, this is the only legitimate basis of law. Examples of Harm Principle laws include the vast bulk of the criminal code--laws dealing with murder, robbery, assault, fraud, and so forth.
  • Morality Law, which prevent individuals from engaging in conduct that is offensive to the sensibilities of those in power, regardless of whether or not it harms others. Most Morality Law statutes have something to do with sex. Examples of Morality Laws include most obscenity laws, sodomy laws, and laws banning same-sex marriage.
  • Paternalism, which prevents individuals from engaging in conduct that is harmful to themselves. While Morality Law tends to be a conservative idea, the logic of Paternalism is generally more common among liberals. Examples of Paternalism laws include, well, laws regulating private drug use. The logic of Paternalism ("Stop or you'll go blind!") is also frequently used in conjunction with Morality Law to regulate sexual activities.
Every time a law is passed that is not based on the Harm Principle, our civil liberties are threatened--because the sole basis of government, as established in the Declaration of Independence, is to protect the rights of the individual citizen.
2. Tobacco is essential to the economy of many rural communities.
As documented in a 2000 USDA report, restrictions on tobacco-related products do have a substantial impact on local economies. The report did not examine the potential effects of a full-scale ban, but even existing regulation poses an economic threat:
Public health policies intended to reduce the incidence of smoking-related disease adversely affect thousands of tobacco farmers, manufacturers, and other businesses that produce, distribute, and sell tobacco products ... Many tobacco farmers lack good alternatives to tobacco, and they have tobacco-specific equipment, buildings, and experience.

Where It Stands

Regardless of the arguments pro and con, a federal ban on cigarettes is a practical impossibility. Consider:
  • Approximately 45 million Americans smoke.
    • When voter turnout in 2004 (the highest since 1968) was only 125 million, any smoking ban would have such an overwhelmingly massive effect on U.S. politics that the party or politician responsible for the ban would soon lose all political power.
    • The government simply does not have adequate law enforcement personnel to change the behavior of 45 million people by force.
  • The tobacco lobby is one of the most powerful political forces in America.
    • When California proposed a new 2006 tax referendum on tobacco extraction, tobacco companies were able to painlessly drop almost $70 million in advertisements to defeat it. To put this in perspective: Remember in 2004, when everybody talked about what a dynamo Howard Dean was because of his unparalleled fund-raising ability? Well, he raised $51 million.
But it is still worth asking ourselves: If it's wrong to ban cigarettes, then why isn't it just as wrong to ban other addictive drugs, such as marijuana?

source :http://civilliberty.about.com/od/drugpolicy/i/cigarettes_ban_2.htm

Smoking and Weight Loss

Heavy smokers and people who have smoked for a long time often gain a few pounds after they quit smoking. Unfortunately, smokers often use this fact to justify continuing to smoke. But this weight gain isn't inevitable.
Weight gain can be avoided by eating less and/or exercising more. And if you're making poor food choices now, simply eating healthier foods can do the trick.
Here are some of the reasons why quitting smoking causes people to gain weight:
  • Smoking increases your metabolism, the rate at which you burn calories. So quitting smoking will cause your metabolism to decrease a little to its normal rate.
  • People who quit smoking are inclined to eat more because they reach for snacks as a substitute for cigarettes.
  • People who quit smoking are inclined to eat more because food tastes better!
Quitting smoking is difficult enough without the fear of gaining weight. The primary reason that people gain weight when they quit smoking is that they tend to eat more, and you can control that. If you can keep from turning to food in place of cigarettes, and make a few adjustments to your eating and exercise habits, you won't have to gain any weight at all.
You know that smoking is bad for you. Now read what the American Lung Associationsays will happen when you quit smoking:
After 20 minutes:
  • Your blood pressure will decrease.
  • Your heart rate will decrease.
  • The temperature of your hands and feet will increase.
After 8 hours:
  • The level of carbon monoxide in your blood will drop to normal.
  • The level of oxygen in your blood will increase to normal.
After 24 hours:
  • Your chance of heart attack will decrease.
After 48 hours:
  • Your nerve endings will start to regrow.
  • Your ability to smell and taste will improve.
After 2 weeks to 3 months:
  • Your circulation will improve.
  • Your lung function will improve.
  • Aerobic activity (e.g., walking) will become easier.
After 1 to 9 months:
  • Symptoms including coughing, sinus congestion, fatigue, and shortness of breath will decrease.
After 1 year:
  • Excess risk of coronary heart disease will decrease to half that of a smoker.
After 5 to 15 years:
  • Risk of stroke will decrease to that of people who have never smoked.
After 10 years:
  • Risk of lung cancer will decrease to half that of continuing smokers.
  • Risk of cancer of the mouth, throat, esophagus, bladder, kidney, and pancreas will decrease.
  • Risk of ulcers will decrease.
After 15 years:
  • Risk of coronary heart disease will decrease to that of people who have never smoked.
  • Risk of death will decrease to near the level of people who have never smoked.
You don't have to gain weight if you quit smoking. And you'll be healthier, have more friends and more money, and smell better.

Why smokers feel good?

Smokers enjoy their habit because it stimulates the flow of "feel good" chemicals in the brain, according to a new study involving just a handful of test subjects.
The system of the brain affected is the same one that is stimulated by heroin and morphine.
The study is the first to show smoking affects the brain's natural system of chemicals called endogenous opioids, which also help quell painful sensations and heightening positive emotions, the researchers said in a statement today. The system includes the release of endorphins that produce the oft-sought "runner's high."
Participants did not smoke for 12 hours before the test. Then they smoked two cigarettes which had the nicotine removed from them, followed later by two cigarettes with nicotine.
Their brains were monitored the whole time, and they were also asked how they felt at each step.
"It appears that smokers have an altered opioid flow all the time, when compared with non-smokers, and that smoking a cigarette further alters that flow by 20 to 30 percent in regions of the brain important to emotions and craving," said David Scott, a graduate student in the University of Michigan Neuroscience Program. "This change in flow as seen on a brain scan correlated with changes in how the smokers themselves reported feeling before and after smoking."

The orange dots on these brain scans show the areas where the biggest changes in opioid activity took place after smokers began smoking a regular cigarette. On the left is the cingulate, where activity increased 20 percent. On the right is the amygdala, where activity decreased by more than 20 percent.
Credit: University of Michigan
The study involved just six smokers, however, all males in their 20s who said they normally puffed 14 cigarettes a day. Scott and his colleagues say that despite the small number of participants, they were surprised at the large effect on opioid levels. The research will be expanded to include more participants.
Further study, the scientists suggest, might reveal why the habit is so hard to kick.
"The interaction of tobacco, and especially nicotine, with brain chemistry is a fascinating area that we're just beginning to understand, especially when it comes to correlating neurochemistry with behavior," said study leader Jon-Kar Zubieta, a psychiatrist and neuroscientist at the university. "Just as with the 'hard' drugs of abuse, such as heroin and cocaine, the phenomena of pleasure, addiction, increased tolerance and craving from tobacco are firmly rooted in neurochemistry."
The research will be presented Tuesday in San Diego at the annual meeting of the Society for Neuroscience.