Health Disparities In Smoking Cessation

The P.E.R.I.E. process is illustrated in this case by the steps taken to address the issue of smoking rates in adults, being impacted by the rise in adolescent smoking behaviors. The first step of this process is the Problem. In this case, the text indicates, the problem is the growth rate of smoking teens in the 80’s and 90’s (Riegelman & Kirkwood, 2015). This in turn, led to an increase in adult smokers. This would raise rates again, after previously lowering them by approximately 50% (Riegelman & Kirkwood, 2015). The next step is Etiology. In this step we correlate smoking with cancer and the rise of adult smoking rates with the growth of adolescent smoking rates. This in turn, correlates adolescent cigarette smoking, to the rises in cancer (morbidity), and deaths from cancer (mortality). The case study also states, “…it was also found that nearly 90% of those who smoked started before the age of 18…” (Riegelman & Kirkwood, 2015). It was determined through behavior modification (preventing adolescent smoking), the rate of adult smokers would reduce. Thus, recommendations were introduced. The case study reveals, adolescents were targeted in cigarettes advertisements and marketing (Riegelman & Kirkwood, 2015). Cigarette availability was also an issue. Implementations of sales and advertisement campaign policies, were altered in reference to miners. The text reveals, once evaluated, strategies to reduce adolescent smoking

In the United States, smoking cigarettes is the number one preventable cause of morbidity and death (Bergen, 1999), and accounts for $300 Billion in health care costs and economic productivity loss (Jamal, 2015). While the national smoking rate is 16.8% (CDC, 2016), specific demographics are more susceptible to developing smoking habits: people who live below the poverty line (10.9% higher), disabled or with a limitation (6.2% higher), and males (4.7% higher) (Agaku, 2014).

Having a low income can lead to poor to health, because you won’t have access or opportunities for better health, such as safe homes, nutritious foods and good schools. “Income may not be the strongest risk factor for any particular disease or outcome, but it’s a risk factor for all of them.” (Krisberg, 2017)

Action on Smoking and Health (ASH, 2007; Richardson (2001) argued that manual groups are likely to smoke heavier than the managerial groups and stated likely reason for this such as food insecurity, substitute for food, social environment, segregation and pressure, lack of good health and lack of confidence. In addition to this, epidemiology statistics reported by Health and Social Care Information Centre (HSCIC, 2013 and Wanless, 2004) stated that smoking is more prevalent among the lower socio-economic groups and known to be key part of the disparities in life expectation between manual and non-manual groups. Therefore it is important something is done to eradicate inequality in the health of the general population.

This web site is operated by Moores University California San Diego (UCSD) Cancer Center under the direction of Shu-Hong Zhu, PhD, Professor of Family and Preventive Medicine. It is called California Smokers' Helpline. Members of this center have been trained professionally about caring and helping smokers quit. Most of them have a bachelor’s degree or higher. The center has counselors that can speak fluently in English, Spanish, Mandarin, Cantonese, Korean, and Vietnamese – six languages spoken commonly in California – for helping services. These services are supported by California Department of Public Health, First 5 California, Center for Disease

Racial and ethnic health disparities plays a significant role when it comes to those living in a what is considered a low- economic community because people are more susceptible to poor air quality, high blood pressure related to stress, and violence. Inaccessibility to healthy foods forces people to have to eat unhealthy and struggle with the risk that can lead to obesity or high cholesterol down the road (Noonan, A et al ,2016). Also social racism with having limited income, and education can cause people to act out in a negative way due to being frustrated and can cause one to act out in a violent way which can cause a spike in crime. So much can be done to strengthen low economic communities such as re-opening schools in the neighborhood,

This is a paper to assist a fifty-two year old, widowed white woman, with two young children to assist her on her cessation to smoking. She states that she has been smoking since was seventeen years old and smokes a pack a day. She states that she would like to stop smoking because she would like to have a ‘healthier lifestyle’. She works full-time in an administrative position in a nursing facility. She does not have a support system in the home but does have support from friends in community and fellow workers at her place of employment.

Healthy People 2020 is a movement in America which was started in 1979 and provides 10 year national objectives based on science for promoting health and preventing diseases. It sets and monitors health objectives and tries to influence individuals to make informed health decisions. With such kind of objectives, smoking becomes a big health concern to Healthy People 2020. Smoking affects national health and causes health disparities. Smoking has been associated with a number of health complications such as cancer and heart diseases. Under Healthy People 2010 issues such as smoking during pregnancy and cigarette smoking cessation were to be addressed.

Of the roughly 42 million adults in the US that use tobacco, nearly 69% of smokers want to quit and more than 42% of those wishing to quit will make the attempt through various methods(1). These methods range from the "cold turkey" method, nicotine replacement therapy, behavioural therapy and even medicine. Each method has it's unique strengths and weaknesses as well as varying success rates. There are many reasons to quit and many ways in which to do so, either with methods that involve slowly weaning off of nicotine, like gums and patches from replacement therapy, to nicotine-free methods which require support from various sources.

Pharmacists are health care professionals that work in their communities to raise the quality of life for the patients they serve. Pharmacists have been working at Consumer Values Stores (CVS) since their first doors opened in 1963. The company has since largely expanded and has become the second largest retail-pharmacy chain in the United States with more than 8,000 store nationwide. CVS is a billion dollar company and has since changed its corporate name to CVS Health along with becoming a leader in corporate social responsibility. The chain is going to great lengths to improve public health all over the country by doing such things as ceasing the sale of cigarettes in its stores and starting a nation-wide smoking cessation program called “We’re Tobacco Free”. CVS has also partnered with MinuteClinic to operate inside some of its stores.

This study examined the health inequalities among different socio-economic groups from 2004 to 2014 among Australians whose age ranging from 20 to 65 years old. According to the study, the health risk factor behaviour; smoking by sex results indicated that males smoking were higher than females during the study period. The highest rate of smoking were reported among males in 2004. Smoking status by education groups suggested that the highest rate of smoking were accounted in year 12 or below group in all three years, while university degree holders accounted for the least group. The different income groups showed that the poorest people smoking percentage were higher compared to the richest and the percentage had increased when it was moving

Smoking is still a pressing issue for Americans, despite efforts to regulate and lessen tobacco use. One in every five Americans still regularly smokes a cigarette, and those who attempt to quit aren’t utilizing all the assistance resources available to them. With these treatments being more prominent now than ever before, there is evidence that supports the effects of a quitter using aid compared to one who does not. Providing brief interventions about tobacco cessation may encourage more quit attempts and use of appropriate treatments, such as a quit-lines or medication. Despite many efforts, healthcare providers are still failing to provide brief interventions to patients, which therefore exposes flaws in a healthcare-based strategy to drive

Smoking cessation: The status is uncontrolled and patient is willing to try to quit smoking.

For our smoking cessation community project, we will be using the Orem Self-Care Deficit Theory which was developed by Dorothea Orem to improve the quality of nursing in general. The goal is to guide and improve the practice of nursing which must be consistent with other validated theories, laws and principles. The theory of self-care is a practice of activities that an individual, like in our case the cigarette or tobacco smoker to initiate or perform in his or her own behalf to maintain a healthy well-being. This includes stopping smoking by using different available resources and a therapeutic self-care demand to be performed over a specific duration to meet the self-care

According the Centers for Disease Control and Prevention (2015), cigarette smoking is the leading cause of preventable disease and death in the United States, accounting for more than 480,000 deaths every year, or 1 of every five deaths. In 2015, about 15 of every 100 U.S. adults age 18 years or older currently smoke cigarettes. However, this is a decline from nearly 21 of every 100 adults back in 2005. One reason for the decline is due to smoking cessation programs developed within our communities. These programs are helping smokers to quit their habit, and improve their health and lifestyle. Let us look at what it takes to make a smoke cessation successful within ones’ community.