Learning Plan 5 - population
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Transcript Learning Plan 5 - population
Population-based Health
Promotion Strategies for
Reduction of Tobacco Use
Created by the Registered Nurses’
Association of Ontario
Social Determinants of Health
Related to Tobacco Use
Social determinants of health:
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Economic status
Education
Housing
Employment
Single parenthood
Social deprivation is associated with high
rates of smoking and low rates of cessation
(World Health Organization, 2003)
During patient assessment it is important
that nurses recognize the myriad factors that
contribute to the health status of the
client/patient
National Tobacco Control
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Federal Tobacco Control Strategy:
A Framework for Action
• Health Canada
• Developed in 2001
• Revised in 2007
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Current goal to reduce overall smoking
from 19% to 12 % (by 2011)
National Tobacco Control –
New Objectives:
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Reduce prevalence of youth (ages 15 – 17)
smokers from 15% to 9%
Increase number of adults who quit smoking
to 1.5 million
Reduce prevalence of people exposed to
second-hand smoke from 28% to 20%
Examine the next generation of tobacco
control policy in Canada
Contribute to the global implementation of
WHO’s Framework Convention on Tobacco
Control
Monitor and assess contraband tobacco
activities and enhance compliance
National Tobacco Control (cont.)
Federal government regulates aspects of
the sale of tobacco:
Requirements for health messages
Importation of tobacco products
Control of advertising and sponsorship by tobacco
companies
National Tobacco Control (cont.)
• Latest initiative oblige tobacco companies to list
more of cigarettes’ toxic ingredients on the package
Ingredient
Tar
Nicotine
Carbon Monoxide
Formaldehyde
Hydrogen cyanide
Benzene
(Health Canada, 2009b)
Emission levels for a cigarette sold in Canada
Previous
Current *
8 mg
8 – 29 mg
1 mg
1 – 2.6 mg
9 mg
9 – 27 mg
n/a
0.035 – 0.13 mg
n/a
0.073 – 0.25 mg
n/a
0.034 – 0.08 mg
Provincial Tobacco Control
Each province has jurisdiction over
tobacco products and their regulation
[Insert specific information here for your
province/territory]
Smoke-Free Ontario (SFO)
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Administered through the Ministry of Health
Promotion and Sport under the Chronic
Disease Prevention division
SFO’s Tobacco Control Act
Regulates smoking in public spaces and workplaces
Regulates the conditions of sale of tobacco products
Prohibits the sale of tobacco to people under 19 years
Protects children from second-hand smoke when in
daycare programs
• Restricts smoking in and around health-care facilities
• Bans the use of point-of-sale advertising such as retail
power walls
• Bans smoking in vehicles when children under 16 years
are present
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SFO
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Supports awareness and prevention programs
through:
– Public health programs (e.g. high school programs)
– Monitoring access of minors to tobacco products
– Cessation programs:
Smoker’s Helpline
Leave The Pack Behind - campus program
Driven to Quit Challenge - provincial contest
Stop Smoking Treatment for Ontario Patients (STOP) –
research study examining the effectiveness of NRT
• Training Enhancement in Applied Cessation Counselling
and Health (TEACH) – certified training course for healthcare professionals
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SFO Strategy
Prevention
• Child/youth programs
• Restricted access to tobacco
Protection
Legislation
Smoke-free public spaces, workplaces etc.
Cessation
Cessation programs
Education for health-care professionals
Tobacco Awareness
Communication Campaign
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Needs assessment
Choosing the community, topic, channels
of communication
Assessing resources
Tailoring campaigns
Community development
Implementation
Evaluation
Creating a program logic model