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Smoking & Tobacco Use

Sabemos
An English- Spanish-language communications kit designed to promote awareness of existing positive social norms regarding in-home protection from secondhand smoke.

Effects of tobacco smoking on cancer and cardiovascular disease in urban black South Africans

Br J Cancer. 2008 Mar 25 [Epub ahead of print] Stein L, Urban MI, Weber M, Ruff P, Hale M, Donde B, Patel M, Sitas F. 1MRC/NHLS/Wits Cancer Epidemiology Research Group, National Health Laboratory Service, PO Box 1038, Johannesburg 2000, South Africa. Abstract Demographic and lifestyle information from 9690 black patients diagnosed with cancer or cardiovascular disease was collected in an ongoing case-control study in Johannesburg, South Africa. Compared to never smokers, the odds ratio (OR) for lung cancer among current smokers was 16.3 (95% confidence interval (CI), 9.6-27.6) for men and 6.4 (95% CI, 4.0-10.4) for women. The corresponding OR for other smoking-related cancers was 4.6 (95% CI, 3.7-5.7) among men and 1.9 (95% CI, 1.6-2.2) among women, and for cardiovascular disease, 3.4 (95% CI, 2.1-5.4) among men and 1.5 (95% CI, 1.1-2.1) among women. Risks were higher among smokers than former smokers, and all risk estimates increased with increasing levels of smoking duration and intensity. Non-electric domestic fuel was associated with approximately 60% increase in the risk of smoking-related cancer, but not cardiovascular disease. Risks for cancers of cervix, oesophagus, oral cavity/pharynx, stomach, larynx, pancreas and anogenital region, as well as squamous cell carcinoma of skin were all significantly higher among current than never-smokers, with ORs ranging from 1.5 for cervix (95% CI, 1.2-1.8) to 14.7 for larynx (95% CI, 7.2-30). The risks of tobacco-related disease reported here are similar to that currently observed in Western countries, even though cigarette consumption is relatively low in this population.

2007 National Healthcare Quality Report and the 2007 National Healthcare Disparities Report

For the fifth year in a row, the Agency for Healthcare Research and Quality (AHRQ) has produced the National Healthcare Quality Report (NHQR) and the National Healthcare Disparities Report (NHDR). These reports measure trends in effectiveness of care, patient safety, timeliness of care, patient centeredness, and efficiency of care. The reports present, in chart form, the latest available findings on quality of and access to health care.

 

The ACHI Community Health Assessment Toolkit

is a new Web site guide for planning, leading, and using community health assessments to better understand and ultimately improve the health of communities. It provides insight to the assessment process drawn from experienced professionals and a variety of proven tools from the health and public health sectors. This is a member-only resource and you will need to be logged in.  Once on the website, select "member log-in" in the upper right and enter your ACHI Web site username and password.

 

Hispanic Adult Tobacco Survey Guide

Also available on the CDC OSH Web site is the Hispanic/Latino Adult Tobacco Survey Guide. The guide highlights the unique attributes of the Hispanic/Latino Adult Tobacco Survey and provides tips for meeting the unique challenges of conducting a population-based sample survey among the Hispanic population. The survey was designed to measure the tobacco-related behaviors, knowledge, attitudes and opinions of Latinos.

Community Anti-Tobacco Tool Kit

The Centers for Disease Control and Prevention (CDC) Office on Smoking and Health (OSH) is making available a community outreach tool kit for parenting tobacco-free Hispanic youth. The new resource is Sabemos: Por respeto – Aquí no se fuma: Community Outreach Tool Kit. The campaign is designed to help community leaders heighten awareness among Hispanic parents who have recently arrived in the United States (less than two years) about secondhand smoke and how it can affect them and their children. In addition, the campaign educates and empowers parents on practical steps they can take to achieve a smoke-free environment for their children. The tool kit and separate parenting materials for the consumer can be ordered or downloaded at no cost.

Tobacco Use Among the Amish in Holmes County, Ohio

ABSTRACT: Purpose: The objective of this study was to estimate tobacco use prevalence among the Amish in Holmes County, Ohio, using both self-report and a biochemical marker of nicotine exposure.

CDC Report Calls on States to Boost Medicaid Tobacco Cessation Coverage

Feb 8, 2008

The Centers for Disease Control and Prevention (CDC) this week called on states to dramatically increase their Medicaid tobacco dependency treatment coverage. The CDC report cited the Healthy People 2010 goal of instituting total health insurance coverage for evidence-based tobacco cessation treatments in all 51 state Medicaid programs, AHA News Now reports. In this week's Morbidity and Mortality Weekly Report, the CDC outlines results from a 2006 nationwide survey, which indicates that 39 state Medicaid programs offer some form of tobacco-dependence treatment coverage for beneficiaries, one-third of whom smoke. While all programs cover some form of pharmacotherapy and 17 states cover some form of cessation counseling services, many Medicaid programs have limitations on coverage for treatment. Barriers include co-payments, requirements for prior authorization, caps on treatment duration, requirements that patients try one form of therapy before beginning another and provisions for covering a single treatment type at a time. Reinforcing results of a May 2007 Institute of Medicine report that recommended all health plans offer lifetime tobacco cessation benefits, the CDC advocates full Medicaid coverage for recommended tobacco-dependence treatments to reduce tobacco use (AHA News Now, 2/7/08; CDC report, 2/8/08).

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