The Effects Of Smoking On The Decline Of Smoking Rates

Tobacco has and still is the most important public health issue faced in Australia and internationally. (Jochelson, 2006). Many countries such as North America, England, Australia, Canada and Ireland have introduced policies regarding smoking in public areas and restriction of smoking in indoor areas. (Thomson, Wilson & Edwards, 2009). The government, community leaders and policy makers work towards introducing policies that will stop consumers from smoking in public areas. (Pizacani, maher, Rohde, Drach & Stark, 2012). Government intervention should extend public smoking bans so that second hand smokers can be safe, a better environment and less death incidents relating to smoking.

Heart disease is the number on killer in the United States. Nearly 787,000 people in the U.S. died from heart disease, stroke and other cardiovascular diseases in 2011. That’s about one of every three deaths in America. About 2,150 Americans die each day from these diseases.

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

     There are eight major contributors that result in heart disease: heredity, smoking, high blood pressure, high blood cholesterol (LDL), physical inactivity, obesity, diabetes, and arterial inflammation. The remaining seven contributors can be controlled, or at least reduced to safer levels that will help prevent or even reverse the disease, prevent a heart attack, and prolong one’s life.

This essay aims to address the issues associated with smoking, its impact on the public health and how this can be tackled through health promotion, therefore the role of the nurse will be explored in respect of the nursing contribution, especially primary care in community settings. The current national and international policies will be considered as a recognition of its impact to the public health, conjointly how these can support the nurse in delivering the health promotion. Finally, the implications for future for Public Health will be considered.

Much of the burden caused by cardiovascular is preventable. Major modifiable risk factors include tobacco smoking, high blood pressure, high blood cholesterol, insufficient physical activity, overweight and obesity, diabetes,

The smoking habit is the principal cause of illness, disability and death around the world. More than five million of people in the world die due to smoking habit every year. If we don’t take care of this in 2030 the amount will be ten million. Seven million of these deaths would be in poor countries.

Tobacco use also increases the risk of cardiovascular diseases, whether it being smoking or chewing tobacco. The risk is particularly higher if the person started smoking at a young age, smokes heavily and/or if the person is a woman. No matter how long that person has been smoking for, stopping can make a major difference when it comes to cardiovascular diseases. Physical inactivity is also a modifiable risk factor, obesity is a big problem in many countries and it increases the risk of heart diseases by 50%. Obesity also leads people to diabetes, which is also a risk. 31% or coronary heart diseases and 11% of the strokes worldwide are due to a high diet in fats, this is a big deal in certain countries because high diets in fats are seen everywhere. Another factor is being poor. It is normal that low income will make people's lives lean towards a stressful one, one where there is social anxiety, isolation and depression, which are all reasons why a person can get cardiovascular diseases. When someone abuses alcohol, drinking more than two drinks a day, it increases their risks as well. There are a few other modifiable risk factors, such as taking certain medications.

“Smoking rates have halved in Australians over the past 30 years, falling below 16%. Except for in Indigenous populations, smoking rates have remained at more than twice this level, with even higher rates reported in remote communities” (RACGP, 2013) The inequality that has been faced by Indigenous people is still at an unacceptable level, and has “been identified as a human rights concern by the United Nations” (Dick, 2007). Smoking is a major issue because, “it is the most preventable contributor to the gap in life expectancy between Indigenous and non-Indigenous peoples” (Ivers, 2011). “Smoking contributes to 17% of the life expectancy gap” (Australian Government: Department for Health and Welfare, 2011). The socio-economic disadvantage faced by Indigenous people leads to the addiction of tobacco, which can be caused by many factors including; their position on the social gradient, education, social exclusion, their employment status and their social support. There is a lack of developed personal skills on the health risks of tobacco, “some Aboriginals don’t identify smoking as a health issue” (Korff, 2014), due to the history of Aboriginal people around smoking. As well as first hand smoke, passive smoking also contributes to poor health, especially for children. Smoking is the major cause for heart disease, stroke, some cancers, lung diseases and a variety of other conditions (HealthInfoNet.ecu.edu.au, 2013). “If we could reduce tobacco consumption levels

According to Centers for Disease Control and Prevention, Cardiovascular disease (CVD) is the leading cause of death in the world, responsible for 30% of all deaths globally (WHO) 1 -3 deaths in the U .S. (CDC).

3. Reduce Stress : American Heart Association states “ Some scientist have noted a relationship between coronary heart disease risk and stress in a person’s life may affect the risk factors for heart disease, for example.”

In Australia, tobacco is the largest single preventable cause of diseases and death (Australian Bureau of Statistics, 2013). According to the National drug strategy household survey 2013, the prevalence of daily smoking in Australian population over 14

In each year between 1998 and 2002, over 106,000 deaths in the UK, around a sixth of the total, were from smoking-related causes and smoking was the direct cause of about three in five of all cancers (Westlake, Yar, 2006:

‘’ Tobacco smoking is the largest single preventable cause of death and disease in Australia” (Cancer Council, 2006). The 2003 Australian Burden of disease study considers tobacco smoking as a leading cause of disease burden in Australia (Begg S, 2003). Anti-Cancer Council of Australia conducted its first national survey which shows that during the middle of last century, large numbers of males aged 16 and over were smokers and compared to females. However, in the following decades, the prevalence of smoking decreased among males due to publicity regarding health effects of smoking which first started in 1950s and early 1960s (Gray N and Hill D, 1975). According to the survey conducted by the Australian Bureau of statistics in

There is a smoking related death every 28 minutes in Australia, (19,019 related smoking deaths in 1998 alone). Aside from being one of the number one causes of cancer, smoking is responsible for property damage and endangering surrounding wild-life and polluting the environment. Smoking in the workplace should be banned inside and out due to the harm it causes to the individual smoking and the harm that inflicts on others from second-hand smoke.