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Session 1 COUGH Cessation Student Advocates Training

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CYAN and Project UNIFORM

on 6 March 2017

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Transcript of Session 1 COUGH Cessation Student Advocates Training

COUGH
Tobacco Cessation Student Advocates

An online training series
for college students who are interested in helping
tobacco users quit.

Thank you for your interest in this training!

This training was conceptualized by students who wanted to lean more about how to help tobacco users quit, and be advocates for campus tobacco cessation.
Overview
About CYAN
The California Youth Advocacy Network (CYAN) is dedicated to the support of youth and young adult tobacco control advocacy throughout California.

Trainings
Technical Assistance
Networking Opportunities
Information & Resources
About COUGH
About This Training
We realize that students may have challenging schedules. We designed this training so you can participate in each session at your own pace when it's convenient for you.

6 Sessions.
About 30 minutes each.
Short evaluation after each session, with an opportunity to ask questions.
Young Adult Tobacco Use
Young adults have the second highest tobacco use rate
of any age group (13.5%)
Then What Happened?
Master Settlement Agreement (MSA) in 1998
Agreement between 46 states and 4 major cigarette companies.
What It's Like Now...
Young adults age 18-24 are the youngest legal targets for tobacco industry marketing.

If a person does not become a tobacco user before the age of 25, they are unlikely to ever start.

... But why?
College Tobacco Use Rates
Spring 2013 ACHA NCHA
Any use in last 30 days 13.8%
17.4% for males, 11.7% for females


California Young Adult Smoking Rate
13.5% in 2013
Daily and Non-Daily Use
Daily
Uses tobacco every day

Non-Daily
Daily, cutting back
Occasional, becoming daily
Occasional, staying the same

Social
Only uses tobacco in certain situations or with certain people
Social Norms
Students often think that tobacco use rates are much higher than they actually are.
Where Do We Go From Here?
Session 2
Nicotine & New and Emerging Products
Session 4
Cessation, Helping People Quit
Session 5
Motivational Interviewing
Session 6
Taking Action with Advocacy and Policy on Campus
Session 3
Understanding Nicotine Dependence
After you complete all 6 sessions we will send you a certificate of completion.
Session 1 Done
Review
In this session we talked about what CYAN, COUGH, and this training are all about.

We also covered the basics of young adult tobacco use, including rates, health disparities, daily and non-daily tobacco use, and social norms.
Next Session
In session 2 we will take a closer look at different tobacco and nicotine products on the market, and we'll introduce the issue of nicotine dependence.
What It Used To Be Like...
Remember Joe Camel?
Cartoon advertising?
Cigarette commercials on TV?

During the 1990's, smoking among 18-24 year old's dramatically increased.

In the 1990's, 90% of smokers started before the age of 18.
More information at http://cyanonline.org

Goals:
Promote tobacco-free policy adoption, implementation, and enforcement.
Advocate for effective and accessible cessation services.
Educate campus communities on comprehensive tobacco issues.
Prevent and respond to the evolving threat of new tobacco and nicotine products to our campus communities.
COUGH is a statewide coalition of college students, active since 2002.

COUGH's mission is to ensure a healthy campus environment free of tobacco and tobacco industry presence.



When you complete all 6 online sessions and corresponding evaluations, CYAN will send you a certificate of completion for participating in the training.

Restrictions on advertising.
The largest civil litigation settlement in US history
Provides some funding for tobacco control programs.
Release industry documents to the public.
No more marketing to youth under 18.
18 - 24 Years Old
It's all about the frontal cortex! Around age 25 the brain finally finishes developing. The last part of the brain to finish developing is the frontal cortex. This is the part of the brain that controls reasoning, and helps us think before we act. It is almost unheard of for someone to start using tobacco after age 25.
People who occasionally use tobacco MAY or MAY NOT identify as a tobacco user.
SESSION 1
Recognition
Video
: 15 years after the Master Settlement Agreement (MSA) Challenges and Successes (1 hour, 36 minutes)
http://www.legacyforhealth.org/what-we-do/warner-series/fifteen-years-after-the-master-settlement-agreement-msa-successes-and-challenges

Website
: Legacy Library at UCSF
http://legacy.library.ucsf.edu

Health Disparities
Tobacco companies are not allowed to market their products to kids.
Young adults have the second highest smoking rate of any age group in CA.
There is more to the story: tobacco-related disparities.
More on health disparities
:
http://www.healthypeople.gov/2020/about/disparitiesAbout.aspx
Evaluation

To get credit for completing this session, fill out the brief evaluation.


Education & Income
Race & Ethnicity
Gender
Geography
LGBT Community
Military Service Members
& Veterans
People With Disabilities
People With Mental Illness
Cigarette smoking by U.S. working adults:
Highest among those with less than a high school education (28.4%).

Rates of smoking vary by occupation:
Highest rates in food preparation/serving (44.7%) and construction (42.9%).
Lowest rates in education, training, and library occupations (12.3%).

Smoking prevalence varies by education level:
Highest among adults with a GED certificate (49.1%).
Lowest among adults with a graduate degree (5.6%).
African American men have a higher death rate from lung cancer than white men.
Although they begin smoking later;
Smoke fewer cigarettes;
More likely to smoke mentholated cigarettes.
Smoking rates are high among Hispanic men.
Smoking rates are also high among some Asian/ Pacific Islander groups.
American Indians/ Alaska Natives have the highest rate of smoking in the U.S. of any ethnic group.
In general, men use tobacco more than women.
Globally, men smoke at 4x the rate of women (48% vs 12%).
Everyone who is exposed to tobacco products is at risk for tobacco-related disease, but women experience specific tobacco related health problems.
Globally, 80% of tobacco deaths occur in low to middle income countries.
In California, rural residents generally experience a higher tobacco use rate than urban counties.
Rural residents have a higher exposure to secondhand smoke than their urban counterparts.
Smoking prevalence for men in the LGBT community is about 50% higher than that of the general community (27.4% vs. 19.1%)

Smoking prevalence for women in the LGBT community is about triple the rate of that of the general community (32.5% vs 11.9%)
People with disabilities have a smoking rate 50% higher than those without disabilities.
People with mental illness smoke at rates almost twice as high as the general population (41% vs. 22.5%).
Much higher rates (60%-80%) among people diagnosed with depression, bipolar disorder, or schizophrenia.
74% of veterans report a history of cigarette use.
Soldier (Army) 27%
Sailors (Navy) 24%
Marines (Marine Corps) 31%
Airmen (Air Force) 17%
Coast Guardsmen (Coast Guard) 20%
Tobacco Use Disparities
College and University Campuses are places of diversity.
Many students fall within one or more of these groups.
A person in any of these groups may face unique challenges in quitting tobacco and may have unique needs for cessation support.
Evaluation
: http://surveymonkey.com/s/CCSA-Assessment-1

More Information at ProjectUNIFORM
: http://projectuniform.org
25-34 year olds have the highest rate (15.7%)
Tobacco Industry Targeting
Documents from the tobacco industry provide evidence of the predatory practice of marketing tobacco products to young adults.
Advancing Health Equity in Tobacco Control:
http://www.cdph.ca.gov/programs/tobacco/Documents/Resources/Publications/HealthEquitySum-Web.pdf
Website:
County Health Ranking
http://www.countyhealthrankings.org/our-approach/health-factors/tobacco-use
Evaluation
: http://surveymonkey.com/s/CCSA-Assessment-1
COUGH Cessation Student Advocates Training Tips
AUDIO

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VIDEO

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LINKS

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FULL SCREEN

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Questions? Email us at info@cyanonline.org
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Full transcript