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.

Why smokers still SMOKE?

It’s not that they are all hopeless addicts. Many smokers are capable of quitting.
It’s not that they are ignorant. Studies show that smokers are at least as informed as nonsmokers about the risks of smoking — and possibly more informed.
You might suspect, then, that smokers tend to be risk takers by nature. And some evidence suggests that smokers do take more risks than nonsmokers: they are more often involved in traffic accidents, less likely to wear seat belts and more likely to engage in risky sexual behavior. Women who smoke even have mammograms less frequently than their nonsmoking counterparts.
But we don’t believe that smokers have a greater tolerance for risk. As we argue in a study published this month in the journal PLoS One, the personality trait that distinguishes smokers from nonsmokers is their relative inability to delay satisfaction and respect long-term considerations (like their health). In other words: it’s their poor self-control.
Key to our study is a card game known as the Iowa gambling task, commonly used to measure risk taking. You are presented with four decks of cards. Each card reveals a financial outcome: “You won $100,” or “You lost $250,” for example. Your task is to keep picking cards from whichever decks you would like, trying to make as much money as you can. The twist is that the decks have different payoff distributions: two of them offer higher risk (cards with larger gains and larger losses) but long-term overall losses; the other two decks offer lower risk (smaller gains and smaller loses) but long-term gains.
Most participants, after selecting several dozen cards from the various decks, learn to stick with the two “good” decks and end up faring well. Studies have shown, however, that people with brain lesions affecting decision making tend to favor the “bad,” riskier decks and fare poorly. The same is true of chronic cocaine and cannabis users. But when smokers and nonsmokers perform the Iowa gambling task there are no significant differences between the two groups, as the psychologist Carl Lejuez and his colleagues have demonstrated. This strongly suggests that smokers are not, in fact, especially tolerant of risk.
So what accounts for smokers’ risky-looking behavior? Our contention is that smokers exhibit poor self-control in the face of immediate temptation — which can look like a willingness to assume risk. (For instance, you might choose to have sex without a condom not because you are comfortable with the risk but because you are too weak-willed to bother with the inconvenience.)
To test our hypothesis we took 100 research participants (smokers and nonsmokers) and had them perform a modified version of the Iowa gambling task. We focused on a subtle difference between the two “bad” decks. One offers payoffs that commonly result in immediate satisfaction — it produces a gain of $100 in 9 out of 10 draws — but in 1 of 10 draws it produces a disaster: losing $1,250. The other bad deck is less immediately satisfying — the losses are smaller ($250) but more frequent, occurring about every second draw. Thus both decks are bad overall but the first is more satisfying in the short run.
In addition, in our modified version, every time a participant selected a card from one of the four decks, we showed the outcomes that would have resulted from selecting from the other three decks. This increased the salience of the immediately satisfying deck, since when choosing any other deck, 9 times out of 10 the player could see that this deck produced the best outcome.
We found that as the game progressed, smokers selected this deck about 1.5 times more than nonsmokers. They could not resist the short-term pleasure despite the long-term disaster.
(We also had our research subjects play another version of the game in which the good and bad decks differed in terms of risk but not in the immediacy of their satisfying outcomes. This change wiped out the differences between smokers and nonsmokers, confirming the Lejuez team’s finding that smokers are not more tolerant of risk.)
Our finding is admittedly nuanced: it is not risk taking per se that drives smokers’ risky behavior; it’s a weakness for activities that are profitable most of the time yet hazardous eventually.
This distinction may suggest strategies for fighting smoking. For example, hospitals and universities have started to ban smoking not only inside buildings but also at their perimeter; while originally proposed to address secondary smoking hazards, this may also have the benefit of imposing an additional short-term inconvenience on smoking. If we are right that smokers tend to have poorer self-control, such manipulations may be used to help sustain their willpower.


Eyal Ert is a senior lecturer of behavioral and management sciences at the Hebrew University of Jerusalem. Eldad Yechiam is an associate professor of behavioral sciences at the Technion-Israel Institute of Technology.

source: http://www.nytimes.com/2013/07/28/opinion/sunday/why-smokers-still-smoke.html?_r=0

More switching to cheaper kinds of smoke

Rise in imports of loose tobacco leaves and smokeless tobacco


THE global financial crisis in 2008 may have caused many people here to stub out more expensive cigarettes and opt for unconventional but cheaper alternatives. The latest figures from the Singapore Customs show that higher amounts of ang hoon (loose tobacco leaves) and productssuch as chewing tobacco were imported in the last three years. These are commonly sold in neighbourhoodprovision shops and convenience stores.
Last year, imports of ang hoon at 61,150kg were more than double the 2008 figure of 29,634kg. Imports of smokeless tobacco - including the chewing and sucking types - rosefrom 10,854kg in 2008 to 11,326kg last year. But imports of beedies dipped about 10 per cent to 42,178kg last year, from 47,565kg in 2008. These are slim cigarettes filled with tobacco flakes and wrapped in a leaf. The Customs authorities also foiled attempts to smuggle in beedies, confiscating 42kg last year, up from 6kg in 2008. Some 770kg of smokeless tobacco was also seized by Customs last year, about twice as much as the figure in 2008.
Addiction expert Munidasa Winslow, a psychiatrist in private practice, said the numbers may be a reflection of the economy. The financial crisis worldwide in 2008 may have caused many to fall on hard times, making them switch to cheaper alternatives. There is also a black-market demand for duty-unpaid contraband goods because they are much cheaper.
 In Singapore, cigarettes still make up the bulk of local tobacco sales, with 2.43 million kg sold last year, up from 2.12 million kg in 2008. Earlier in February, taxes for non-cigarette tobacco products were raised by between 5 per cent and 10 per cent while those for cigarettes remained the same. A Straits Times check of 15 heartland provision shops revealed that prices of unconventional alternatives have gone up by 10 to 30 cents this year. But people continue to buy them, with most shops reporting steady sales. “They are still cheaper when compared with cigarettes,” said Ms EileenHuang, 28, who works in a convenience store. A pack of cigarettes costs an average of $12, but chewing tobacco costs between $1 and $2.50 a pack. A bundle of 25 beedies sells for $3 or less while 20g of ang hoon goes for about$3.
Ang hoon is especially popular among the elderly Chinese, while beedies are mostly favoured by young foreign workers from India and Bangladesh, said provision store owner Jessie Lim. Several other shops have also observedyounger Singaporeans asking for these cheaper alternatives. Associate Professor Winslow said these products may be “more tempting for young people without purchasing power”. But the higher taxes did curb demand in some shops.Mr Abdul Hamead Jafar, operations manager of a store in Buffalo Road, said sales of ang hoon and beedies havedropped by 10 per cent.
The store raised prices of ang hoon by 30 cents and prices of beedies by 20 cents earlier this year. “Some used to smoke 20 sticks of beedies a day, but now they smoke five to six sticks fewer because of the higher prices,” he added.These products are unfiltered, which means more chemicals like tar enter the body, said Prof Winslow. But the “nicotine hit”, which determines the level of addiction, is about the same as that of cigarettes, he added.
Smoking-related diseases include cancer, heart disease, stroke and chronic obstructive pulmonary disease. All are ranked among the nation’s top 10 killers, according to Ministry of Health data. The latest National Health Survey revealed that there are more smokers in Singapore, especially among the youth.
Last year, 14.3 per cent of adults here were smoking daily, up from 12.6 per cent six years ago. Among those aged 18 to 29, the figure stood at 16.3 per cent last year, up from 12.3 per cent in 2004. In a bid to stem the trend, the HealthPromotion Board runs smoking-cessation programmes, such as those targeted at workplaces. The Institute of Mental Health also runs personalised smoking-cessation programmes. The consultation charge is $18, excluding medication.

source:http://www.healthxchange.com.sg/News/Pages/More-switching-to-cheaper-kinds-of-smoke.aspx

Effects of second hand smoke

By now, it's become very clear that smoking is bad for your health. The government,American Lung Association, and variety of other health organizations havelaunched campaign after campaign to illustrate the grim repercussions (from lung cancer to hear diseaseof lighting up and to encourage Americans to kick the habit.
What may be less obvious is the effect smoking has on those who are exposed to it secondhand. That exposure can be significant, especially for those who live or work with a smoker. In reality, most of the smoke from a burning cigarette doesn't get sucked down into a smoker's lungs -- it escapes into the air, where it can be inhaled by anyone unfortunate enough to be nearby.
In an effort to protect the health of nonsmokers, many states have passed laws outlawing smoking in public places such as restaurants, bars, airplanes, and offices. Yet there are still many people who can't escape secondhand smoke, especially the children of smokers, who regularly breathe in the toxic fumes from their parents' cigarettes and cigars. Even smokers who try to be careful about where they light up may not be doing a good enough job of protecting those around them.

What Is Secondhand Smoke?

When you breathe in smoke that comes from the end of a lit cigarette, cigar, or pipe (sidestream smoke) or that is exhaled by a smoker (mainstream smoke), you're inhaling almost the same amount of chemicals as the smoker breathes in. Tobacco smoke contains more than 4,000 different chemical compounds, more than 50 of which are known to cause cancer. These are just a few of the chemicals that float into your lungs when you are exposed to secondhand smoke:
  • Hydrogen cyanide -- a highly poisonous gas used in chemical weapons and pest control
  • Benzene -- a component of gasoline
  • Formaldehyde -- a chemical used to embalm corpses
  • Carbon monoxide -- a poisonous gas found in car exhaust
A 2006 surgeon general's report confirmed that secondhand smoking (also called involuntary or passive smoking) can kill, and it concluded that there is no amount of exposure to secondhand smoke that is safe. The more secondhand smoke you breathe in, the more your health risks increase.
Here are a few statistics on the effects of secondhand smoke exposure:
  • 126 million nonsmoking Americans are exposed to secondhand smoke at home and work.
  • Secondhand smoke exposure causes nearly 50,000 deaths in adult nonsmokers in the U.S. each year.
  • Nonsmokers increase their risk of developing lung cancer by 20% to 30% and heart disease by 25% to 30% when they are exposed to secondhand smoke.
  • About 3,000 deaths from lung disease in nonsmokers each year are caused by secondhand smoke exposure.
  • An estimated 46,000 nonsmokers who live with smokers die each year from heart disease.
  • Between 150,000 and 300,000 children under the age of 18 months get respiratory infections (such as pneumonia and bronchiti) from secondhand smoke; 7,500 to 15,000 of them must be hospitalized.
  • More than 40% of children who visit the emergency room for severe asthma attacks live with smokers.
Secondhand smoke can have a number of serious health effects on nonsmokers, particularly cancer and heart disease.

source:http://www.webmd.com/smoking-cessation/effects-of-secondhand-smoke

Raise legal smoking age to 21 to deter NSFs

Raise the legal age for smoking from 18 to 21 to deter young men from lighting up during national service - that is the proposal a non-profit organisation submitted to government agencies early last month.
Sata CommHealth chief executive K. Thomas Abraham noted that it was common for young people to pick up smoking during NS, sometimes due to peer pressure. He said: 'If we push the legal age up to 21, most people would have finished their NS by then.'
He also observed that more young women had started smoking, without providing figures.
According to the 2010 National Health Survey, the proportion of smokers among young Singaporeans aged 18 to 29 stood at 16.3 per cent in 2010 - a 33 per cent increase from 12.3 in 2004.

Source:http://www.straitstimes.com/breaking-news/singapore/story/raise-legal-smoking-age-21-deter-nsfs-organisation-20130601

"NO Smoking" rules in Singapore

In Singapore, the smoking ( prohibited in certain places), enforced by the National Environment Agency, renders it an offence to smoke in a prohibited place  listed under the Act.
For a comprehensive list of the prohibited places, do consult the First and Second Schedule of the Smoking (prohibited in certain places) Notification.
Generally smoking is banned in public transportations. It is also prohibited in most indoor areas, such as cinemas, shopping malls, and foodshops.
The list of prohibited areas was updated recently, adding the following to the new smoke free areas of Singapore:
  • Linkways from bus stops to residential blocks
  • Void decks
  • Corridors
  • Staircases
  • Stairwells
  • Multi-purpose halls
  • Covered walkways and linkways
  • All pedestrian bridges
  • 5 metres from the edge of bus stops
  • Hospital outdoor compounds
Smoking is permitted in certain designated areas of food and entertainment establishments, subject to the approval of the NEA. NEA provides a list of areas where smoking is generally allowed.
The onusis on the manager of the premises to enforce the rules. If you should see a person smoking in a prohibited area, you should contact the management to report the act. However, if the smoking takes place in a prohibited public area with no specific management agent, do contact the NEA, at 1800-CALL-NEA (1800-2255 632) to file a report.
Persons caught smoking in a prohibited place are liable on conviction to fines of $200. If convicted in court, the offender may be liable to a fine of up to $1,000.

Source:http://singaporelegaladvice.com/smoking-prohibition-in-singapore-2/