The National Cancer Instituted Smoking, Tobacco, and Cancer Program: Smokeless Tobacco UsersSmokeless Tobacco Users
This is the fastest growing segment of tobacco users. Over 12 million persons used some form of smokeless tobacco (chewing tobacco and snufl) in 1985, and approximately 6 million used smokeless tobacco weekly or more often. Use is increasing, particularly among young males. Not only does this habit lead to oral and pharyngeal cancer and gum disease, but also the potential addiction to nicotine may lead smokeless tobacco users to cigarette smoking. The goals of STCP research are to identify the patterns and major factors that influence the use of smokeless tobacco and to implement and evaluate intervention strategies to minimize its use. Several intervention research projects that are aimed at smokeless tobacco users will begin in fiscal year 1987. Five intervention trials are already under way through the STCP and 2 others will begin soon. In all, these trials will affect at least 37,000 people through assessment of smokeless tobacco use and delivery of prevention and cessation programs. Interventions will be delivered through schools, youth and community organizations, and dental health care offices. my canadian
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As many as 15% of all youths (aged 12-17) now smoke. Every day thousands of youths start smoking. The initiation of smoking is primarily an adolescent phenomenon; most young people begin experimenting with cigarettes at about 12 years of age. Hence, prevention efforts which are designed to motivate young people not to start smoking or to stop experimenting should have the highest priority. Such efforts are also the most effective approach for those adolescents who already smoke and for whom the cessation of tobacco use is easier before addictive habits are established. Read the rest of this entry »

The National Cancer Instituted Smoking, Tobacco, and Cancer Program: Hispanic AmericansHispanic Americans
The incidence of tobacco-related cancer death is currently lower among Hispanics than in the general US population. However, this advantage may be short-lived. Recent data indicate that Hispanic youths are smoking as much as, if not more than, their Anglo peers. Similar patterns are emerging among adults. For example, in the past 10 years in Colorado, lung cancer rates for Hispanics jumped 132% in contrast to a 12% increase for non-Hispanics. The STCP has 4 research projects targeted to Hispanics. These interventions include mass media campaigns, school-based prevention strategies, group “cohesiveness” sessions, community organization and training, and systems of social support for coping with stress. About 2.5 million Hispanics are being impacted through these efforts. other
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Mass Media Strategies
The mass media reaches thousands of people at one time and can have substantial influence on our lives. Just as the media are used to affect our purchasing behaviors, they can also be utilized to foster healthy lifestyles. In recent years, there has been an increase in mass media campaigns which are directed at smoking behaviors, but little is known about the effectiveness of these programs, particularly in the long term. Some messages are aired as short public service announcements; others have been incorporated into longer exposures or feature segments on the hazards of smoking and methods of quitting. In general, however, the media programs have varied in format, time, frequency, focus, and content. Research on using media intervention is necessary to test the most effective approaches and how best to reach different target audiences. More than 5 million people are being exposed to smoking control messages through 4 mass media research projects in the STCP. buy asthma inhalers
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The National Cancer Instituted Smoking, Tobacco, and Cancer Program: Physician- and Dentist-Delivered InterventionsPhysician- and Dentist-Delivered Interventions
The majority of smokers say that they would be influenced to quit or curtail the habit if they were asked to do so by their doctors or dentists. Health care providers, particularly physicians and dentists, are looked to for guidance in all health matters. It is only natural and reasonable that they counsel their patients about the serious health risks related to tobacco use. The approximately 550,000 physicians and 135,000 dentists in the US are in a unique position to influence patients to quit smoking. An estimated 70% of all adults in the US see a physician at least once a year. Hence, a substantial number of the nations smokers could conceivably be reached with a smoking cessation message from their doctors. In fact, if only 10% of physicians incorporated a simple smoking intervention technique into their practices, and if only 25 of their smoking patients quit, more than 1 million individuals could become ex-smokers each year (Fig 3).
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Intervention Channels

The most rational way to reduce tobacco-related cancer deaths is to prevent the initiation of tobacco use. Most users begin their habit during adolescence. Programs in schools have the potential to influence long-term behaviors, since schools reach more individuals consistently in this age group than does any other institution, and young people are exposed to the health education in their formative years. Yet school-based programs to date have been uneven in quality as well as in success and, in general, the interventions that have been used have affected only small numbers of youth. In addition, the long-term efficacy of the interventions has not been adequately tested. The STCP s school-based program is testing 9 intervention strategies in rural, urban, and suburban areas. About 300,000 students in grades 6 through 12 are targeted through this research effort.
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The National Cancer Instituted Smoking, Tobacco, and Cancer ProgramIn the past 20 years, a solid scientific base of information has been codified showing that the majority of cancers are closely linked to lifestyle and environmental factors. To act on this knowledge, however, and modify the conditions for the public to profit from this knowledge is a major challenge. In the mid-1980s the National Cancer Institute (NCI) began a new initiative to reduce cancer mortality 50% by the end of this century. This effort is aimed at saving hundreds of thousands of lives partly through primary prevention measures, and particularly by reducing the prevalence of tobacco use. Read the rest of this entry »

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