Commercial Determinants of Health
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Questions and Answers

How does nicotine contribute to tobacco addiction?

  • It directly stimulates the release of serotonin.
  • It prevents the release of catecholamines.
  • It operates by inhibiting dopamine receptors.
  • It triggers nicotinic cholinergic receptors to release dopamine. (correct)

What percentage of children in Ireland are exposed to second-hand smoke at home?

  • 30%
  • 20%
  • 45% (correct)
  • 50%

What law was enacted in Ireland regarding smoking in vehicles with children?

  • It became illegal to smoke in vehicles with a child present. (correct)
  • A total smoking ban in all public places.
  • Only pregnant women are prohibited from smoking in cars.
  • Smoking is allowed if the windows are open.

What is the fixed penalty for smoking in a vehicle with a child present in Ireland?

<p>€100 (D)</p> Signup and view all the answers

What are two primary sources of childhood second-hand smoke exposure?

<p>Domestic settings and vehicular transport (C)</p> Signup and view all the answers

What is the primary demographic difference in the prevalence of problem drinking in Ireland?

<p>Men exhibit harmful drinking patterns more frequently than women. (B)</p> Signup and view all the answers

Which of the following is NOT considered a criterion for binge drinking?

<p>Having physical, social, or mental well-being harmed. (B)</p> Signup and view all the answers

What is the total number of deaths attributed to alcohol consumption worldwide in 2016?

<p>3 million (A)</p> Signup and view all the answers

Which of the following statements accurately reflects the alcohol units consumed per week for men and women?

<p>Men should not exceed 28 units, while women should not exceed 21 units. (B)</p> Signup and view all the answers

What percentage of the global population engaged in heavy episodic drinking in 2016?

<p>18.2% (B)</p> Signup and view all the answers

What percentage of all deaths worldwide is tobacco responsible for?

<p>10% (A)</p> Signup and view all the answers

What is the projected annual death toll from tobacco by 2030?

<p>10 million (C)</p> Signup and view all the answers

Which cancer has the highest associated risk due to smoking, with a 20 times greater risk?

<p>Lung cancer (B)</p> Signup and view all the answers

Which of the following is a harmful effect of passive smoking on infants?

<p>Respiratory issues (D)</p> Signup and view all the answers

What demographic trend is observed regarding smoking prevalence?

<p>Increasing in low-income countries (C)</p> Signup and view all the answers

What percentage of tobacco-related deaths occur among women and children due to secondhand smoke?

<p>75% (D)</p> Signup and view all the answers

What is the cost of treatment per smoker in Ireland as of 2009?

<p>€7,700 (B)</p> Signup and view all the answers

According to the 1951 study by Doll and Hill, what percentage of men with lung cancer were smokers?

<p>99.5% (A)</p> Signup and view all the answers

What role does self-efficacy play in brief interventions for alcohol problems?

<p>It encourages an individual's belief in their ability to change behavior. (A)</p> Signup and view all the answers

Which pharmacological treatment is classified as anti-craving for alcohol use disorder?

<p>Acamprosate (A)</p> Signup and view all the answers

Which of the following statements about alcohol-related deaths is true?

<p>5.9% of all global deaths were linked to alcohol consumption. (B)</p> Signup and view all the answers

Which psychological treatment strategy is used for addressing alcohol dependency?

<p>Motivational interviewing (C)</p> Signup and view all the answers

What percentage of total alcohol consumed in Ireland during 2013 was part of binge drinking sessions?

<p>75% (B)</p> Signup and view all the answers

What is a common consequence of alcohol misuse in terms of societal impact?

<p>Increased risk of violent behavior. (A)</p> Signup and view all the answers

What aspect does the 'Empathy' component in brief interventions emphasize?

<p>Providing warm and understanding feedback. (B)</p> Signup and view all the answers

Which option correctly represents a statistic related to alcohol use in Ireland?

<p>4 in 10 women engage in harmful drinking patterns. (A)</p> Signup and view all the answers

What percentage decrease in cigarette consumption was observed in countries with a ban on advertising?

<p>9% (C)</p> Signup and view all the answers

Which country was the first to enact smoke-free indoor workplace legislation?

<p>Ireland (D)</p> Signup and view all the answers

Which of the following is a significant feature of pictorial warning labels on tobacco products?

<p>They have a greater impact across diverse populations. (B)</p> Signup and view all the answers

What was a significant policy implemented in Ireland in 2008 regarding tobacco packaging?

<p>Graphic pictorial warnings (D)</p> Signup and view all the answers

In which year did Ireland ban cinema and billboard advertising for tobacco products?

<p>2002 (A)</p> Signup and view all the answers

How many people does tobacco use reportedly kill each year according to the WHO?

<p>6 million (A)</p> Signup and view all the answers

What is one of the latest tobacco control policies adopted in Ireland?

<p>Standardized packaging (C)</p> Signup and view all the answers

What is the primary goal of implementing pictorial health warning labels on tobacco products?

<p>To reduce communication inequalities (D)</p> Signup and view all the answers

Which intervention is considered the most effective way to reduce tobacco demand?

<p>Tax increases (D)</p> Signup and view all the answers

What is the impact of raising the real price of cigarettes by 10% in high-income countries (HICs)?

<p>Reduces smoking by about 4% (D)</p> Signup and view all the answers

What is a potential harmful effect of tobacco taxation?

<p>Increases risk of malnutrition (B)</p> Signup and view all the answers

What is a possible consequence of transitioning from tobacco farming in low and middle-income countries (LMICs)?

<p>Job losses among tobacco farmers (A)</p> Signup and view all the answers

Which of the following best describes the WHO Framework Convention on Tobacco Control (WHO FCTC)?

<p>The first global public health treaty (D)</p> Signup and view all the answers

What mechanism is recommended for cigarette taxation by the FCTC?

<p>At least 70% of the cost of cigarettes should be tax (C)</p> Signup and view all the answers

What challenge does increased tobacco taxation pose in some countries?

<p>It can be regressive where poor people are likely to smoke (B)</p> Signup and view all the answers

How has the coverage of comprehensive tobacco control measures changed since 2007?

<p>Increased to cover 63% of the world’s population (A)</p> Signup and view all the answers

Flashcards

Tobacco Use

A major public health concern killing 10% of all people worldwide and 30% of all cancer deaths annually. This disease is responsible for 1 death every 6 seconds.

Secondhand Smoke

A serious health risk, responsible for 600,000 deaths globally every year. It affects women and children disproportionately.

Doll and Hill's Case Control Study (1951)

A study that found 99.5% of men diagnosed with lung cancer were smokers, highlighting the strong link between smoking and lung cancer.

Mainstream Smoke

This refers to smoke that is inhaled directly from burning tobacco, as opposed to secondhand smoke.

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Environmental Tobacco Smoke (ETS)

Consists of a complex mixture of over 4000 compounds, including several known carcinogens (cancer-causing substances). It poses a serious health risk.

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Harmful Effects of Smoking

The harmful effects of smoking are widespread and include risks for multiple systems in the body.

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Sudden Infant Death Syndrome (SIDS)

A condition caused by inhaling second-hand smoke that can affect children and infants.

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Economic Impact of Smoking

Smoking has significant financial consequences, leading to high healthcare costs and reduced productivity due to premature mortality.

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Taxation impact on smoking

Increasing the price of cigarettes through taxes is the most effective way to reduce tobacco consumption.

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WHO FCTC

The WHO Framework Convention on Tobacco Control (FCTC) is the first global public health treaty focused on reducing tobacco use.

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FCTC Goals

The FCTC aims to protect people from tobacco smoke, regulate tobacco products, and raise awareness about tobacco's harms.

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FCTC Scope

The FCTC addresses issues related to tobacco taxation, trade, investment, and marketing, tackling the globalization of the tobacco epidemic.

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FCTC Tax Recommendation

The FCTC recommends that at least 70% of the price of cigarettes be made up of taxes.

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Non-price tobacco control measures

Non-price measures in tobacco control include protection from smoke, regulating tobacco products, education, communication, and restrictions on advertising and promotion.

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Progress in Tobacco Control

The WHO report in 2017 indicated a significant increase in coverage of comprehensive tobacco control measures since 2007.

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Tobacco Supply Reduction Effectiveness

Reducing the supply of tobacco, such as through bans on farming, has not been proven effective in reducing tobacco consumption.

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Pictorial Warning Labels: Effectiveness

Pictorial warning labels on tobacco products have been found to be effective in reducing smoking across various demographics, including different racial and socioeconomic groups.

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Tobacco Advertising Bans: Effectiveness

Bans on tobacco advertising, promotion, and sponsorship have shown to be effective in reducing cigarette consumption, with studies showing a significant decrease in countries with such bans.

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Irish Smoke-Free Policy: Global Impact

Ireland became the first country worldwide to enact a comprehensive smoke-free policy, followed by other countries like Norway and Italy, creating a global movement for smoke-free environments.

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Tobacco Control Measures: Positive Impact

Tobacco control policies, including advertising bans, comprehensive smoke-free laws, and graphic pictorial warnings, have collectively demonstrated a positive impact on reducing the global burden of smoking-related diseases.

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Global Tobacco Deaths

The World Health Organization (WHO) estimates that tobacco use is responsible for approximately 6 million deaths annually worldwide, highlighting the scale of the global tobacco epidemic.

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Shift from Tobacco Advertising to Anti-Tobacco Campaigns

Anti-tobacco campaigns have increasingly replaced traditional tobacco advertising, demonstrating a shift in focus towards public health messaging and promoting healthier choices.

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Global Trend: Smoke-Free Environments

Smoke-free environments, both indoors and outdoors, have become a global trend, driven by increasing awareness of the harms of secondhand smoke and a growing commitment to public health.

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Standardized Packaging: Impact

Standardized packaging, which removes all branding and focuses on health warnings, has been shown to reduce the attractiveness of tobacco products and contribute to reduced smoking rates.

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DALY (Disability-Adjusted Life Year)

A measure of how much a substance affects health and well-being, expressed as years of life lost due to illness or disability; often used to quantify the impact of diseases, injuries, and risk factors.

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Nicotinic Cholinergic Receptor

A type of receptor in the brain that is activated by nicotine, leading to the release of dopamine and other neurotransmitters.

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Neurotransmitter

Chemical messengers in the brain that transmit signals between nerve cells.

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Binge Drinking

A pattern of alcohol consumption where a person drinks large amounts of alcohol in a short period of time, often leading to intoxication.

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Units of Alcohol

A measurement of the amount of alcohol in a drink, commonly used to guide safe drinking limits.

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Neurotransmitter Release

The process of releasing neurotransmitters from nerve cells. One of them, dopamine, is associated with pleasure.

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Secondhand Smoke Exposure

Exposure to secondhand smoke in homes and vehicles is a major concern for children, affecting their health.

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Problem Drinkers

People who experience negative consequences, such as physical, social, or mental health problems, due to their alcohol consumption.

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Alcohol Consumption Limits

The recommended weekly limit for alcohol consumption for men and women, respectively.

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Car Smoking Ban

A law enacted in Ireland to penalize smoking in cars with children present, aimed at protecting their health.

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Brief Intervention

A brief, structured conversation aimed at reducing harmful alcohol use, typically lasting a few minutes or less.

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Pharmacological and Psychological Treatment for Alcohol Misuse

A method of addressing alcohol misuse involving a combination of medications and therapies. Medications include aversive agents like Disulfiram, anti-craving medications like acamprosate and naltrexone. Therapies may include motivational interviewing and cognitive behavioral therapy.

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Alcohol Misuse and its Global Impact

Alcohol misuse is a serious health risk leading to deaths and disability globally. It is linked to chronic illnesses like cancer, diabetes, mental health issues, and cardiovascular problems. It also contributes to injuries, violence, and reduced productivity.

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The 'FRAMES' Approach to Alcohol Intervention

High-risk individuals are identified and offered feedback on their alcohol consumption, emphasizing their responsibility for change and providing advice, menu of options, and empathy to enhance their self-efficacy for behavioral change.

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Addressing Co-Morbid Issues in Alcohol Misuse

An approach to alcohol issues involving addressing co-occurring mental disorders, social issues, and providing support for personal challenges.

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Global Burden of Disease Attributable to Alcohol

Alcohol misuse contributes significantly to disability-adjusted life years (DALYs), a measure of the overall burden of disease and injury. It is a leading cause of death globally, surpassing deaths from HIV/AIDS, violence, and tuberculosis.

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Harmful Drinking Patterns in Ireland

A significant proportion of Irish drinkers display harmful patterns of alcohol consumption. Binge drinking is prevalent, leading to numerous health problems, including a high rate of alcohol-related deaths and negative impacts on children.

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Consequences of Alcohol Misuse

Alcohol misuse can lead to decreased work performance, absenteeism, family hardship, violence, suicide, homicide, traffic accidents, and risky sexual behavior.

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Study Notes

Tobacco Epidemiology

  • 1.1 billion smokers globally, including 850 million men and 250 million women.
  • One-third of the world's population over 15 smokes.
  • Smoking rates correlate with education and social standing.
  • Smoking responsible for 10% of all deaths and 30% of cancer deaths.
  • One smoking-related death every six seconds globally.
  • Tobacco causes 16% of male and 7% of female deaths.
  • Secondhand smoke annually kills 600,000 people, mostly women and children.
  • Projections predict tobacco as the leading global killer by 2030 (10 million deaths annually) and 1 billion deaths by the end of the 21st century.
  • Treatment costs per smoker: €7,700.
  • Smoking-related health expenditure: €500 million.
  • Premature mortality costs: €3,500 million.
  • Revenue from tobacco: €1,216 million.

Stages of the Worldwide Tobacco Epidemic

  • The epidemic progresses through four stages, with different countries at various stages and different rates of smoking prevalence.

Harmful Effects of Smoking

  • 1951 study links smoking to 99.5% of male lung cancer cases.
  • Smoking increases the risk of many cancers (lung, throat, mouth, etc.), cardiovascular diseases (heart disease, stroke, etc.), respiratory problems, and various others.

Passive Smoking

  • Environmental tobacco smoke (ETS) is a mixture of mainstream and side stream smoke.
  • ETS contains over 4,000 compounds, 50+ of which are carcinogens, including benzene, etc.
  • Secondhand smoke linked to increased lung cancer risk in spouses, fetal issues, and respiratory problems in children.

Nicotine Replacement Therapy (NRT)

  • NRT is offered to patients who want to quit or express withdrawal symptoms in hospital.
  • NRT includes patches, gums, nasal sprays, and inhalers.
  • A standard course of NRT support for smoking cessation costs approximately €150.
  • Treatments should not be repeated within 6 months.
  • Psychological support for addiction is also necessary.

Public Health Interventions

  • Comprehensive tobacco control policies are generally beneficial, but government revenue should be considered.
  • Global policies are focused on banning advertising and promotion of tobacco, with a rising emphasis on taxes and restrictions.
  • Policies on tobacco control are designed to reduce consumption and increase the price of tobacco to reduce the demand.

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Test your knowledge on how nicotine leads to tobacco addiction and the impact of second-hand smoke on children in Ireland. Explore laws regarding smoking in vehicles with children and the penalties imposed. This quiz will help you understand the vital statistics and regulations aimed at protecting children's health from tobacco exposure.

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