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Smoking Cessation

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Monika Thompson

on 1 April 2014

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Transcript of Smoking Cessation

Smoking Cessation
Why is it important?
Specific challenges we have:
Some resources and tips to help with quitting smoking
Further evidence suggests that we are not only dealing with second hand smoke, but also ‘third-hand smoke’, making smoking an even greater concern for health promotion efforts.

Third-hand smoke is the leftover contamination that is deposited in environments, such as room furniture and walls, car fabrics and surfaces, clothing, and toys, etc. – contamination that lingers long after the cigarette is extinguished and the air appears to have cleared.
Smoking Cessation is important because:
Currently 4.6 million Canadians smoke an average 15 cigarettes a day
Tobacco smoking is the leading cause of preventable disease, disability and death in Canada, resulting in 40,000 premature deaths each year

Factors that affect quitting:
Most people who try to quit will try as often as 8-10 times
Quitting cold turkey has only a 2% success rate
Nicotine withdrawal can add to feelings of anxiety and restlessness
People enjoy smoking
Getting sick triggers quit attempts
Addiction – the number 1 predictor of difficulty quitting
Smokers with less education are less likely to try to quit or succeed in quitting
Triggers for relapse:
Acute stress reactions
Mood changes
Post-cessation weight gain
“Tobacco is the most effective
agent of death ever
developed and deployed on a worldwide scale.”

To get best results:
Be aggressive in approach

1mg per 1 cigarette / day
Combination therapy – best for people who smoke 20 cigs + a day

Realistic expectations:
Promote the importance of relevant behaviours
Stimulate motivation to change
Link people to effective resources
Reinforce through follow-up

Smoking cessation leads to:

• Health improvements
• Increase in life expectancy
• Improvement of quality of life
• Reduction in second and third hand smoke

Smoking is a risk factor for 6 of the leading causes of death
Copyright © 2009 Copyright © 2009 Elsevier Ltd.
All rights reserved.

– John Seffrin, Past President,
American Cancer Society and the
International Union Against Cancer

Smoking cessation works in combination with nicotine replacement therapy, pharmacotherapy and individual counselling by focusing on benefits of quitting rather than the risks.
Aitken, D., & Tulloch, H. (2014).
Helping the Complex Patient
[PowerPoint slides]. Retrieved March 30, 2014, from

Brender, E., Lynm, C., & Glass, R. (2010). Smoking Cessation.
Journal of the American Medical Association
, 304(22), 2548.

Ebbert, J. (2014).
Smoking Cessation: Looking Back, Moving Forward.
[PowerPoint slides]. Retrieved March 30, 2014, from http://www.ottawamodel.ca/en_ottawaconference.php

John Seffrin’s quote as sited in Fong, G., T. (2014).
Fighting the Global Tobacco Epidemic with Evidence.
[PowerPoint slides]. Retrieved March 30, 2014, from

Pipe, A., & Reid, R., (2014).
Contemporary Issues & Contemporary Practice.
[PowerPoint slides]. Retrieved March 30, 2014, from

Winickoff, J. (2014).
Thirdhand Smoke: Novel Clinical Approaches to Family - Centered Tobacco Control.
[PowerPoint slides]. Retrieved March 30, 2014, from
http://www.ottawamodel.ca/ottawaconference/documents/THSandclinimplication s01242 014final.pdf
Full transcript