Remember to Read the Captions and Features 1. As you are reading a lesson, do not forget to read the captions and features. Sometimes, captions have caption questions that you can answer to check your knowledge. 2. Building Your Skills features are activities that will help you act on the health skills you are learning. 3. Case Study features present lifelike scenarios in which young people have to make decisions about their health. 4. After reading each Case Study, complete the Thinking Critically questions. Discuss your answers with your classmates. 301 Copyright Goodheart-Willcox Co., Inc. Chapter 9 Tobacco and Vaping Nicotine ReplacementlearnedYou Some approaches to quitting nicotine rely on nicotine replacement. In nicotine replacement, people who use tobacco continue to put nicotine into their bodies. People do not do this, however, through the use of tobacco products. Instead, they typically use nicotine gum, nicotine lozenges, or the nicotine patch as replacements (Figure 9.24). These replacements lessen withdrawal symptoms. In this way, nicotine replacement makes tobacco use easier to quit. Nicotine replacement treatment enables people to gradually use smaller and smaller amounts of the substance. Eventually, people find they are no longer dependent on nicotine. Companies sometimes market vaping devices such as e-cigarettes as a nicotine-replacement tool for people who want to quit smoking. Unlike nicotine gum, lozenges, and patches, vaping devices have not been approved by the United States government as a successful and safe form of smoking cessation. Medications Sometimes medications prescribed by a doctor help people quit using tobacco. These medications usually simulate dopamine. People who take these medications cope better with withdrawal from nicotine. Self-Management Strategies Self-management strategies often involve developing ways to resist temptation (Figure 9.25). First, people must identify situations that trigger their desire for tobacco. Once they have that information, they can respond with two techniques—stimulus control and response substitution. bikeriderlondon/Shutterstock.com Figure 9.24 Nicotine patches can help tobacco users quit using tobacco products. What treatment method involves nicotine patches? Steps to Use Self-Management Strategies to Quit Tobacco 1. Set a "quit date" within the next month and note that date on your calendar. 2. Tell friends and family members about your quit date and ask them to support your efforts. 3. Get rid of tobacco products and their accessories in your environment. Avoid exposure to tobacco advertisements on social media. 4. Develop strategies for coping with nicotine cravings, such as getting physical activity, chewing gum, or keeping busy with other activities. 5. Develop strategies for refusing offers of tobacco products from other people. 6. Remind yourself of the benefits of quitting, including a longer life, more spending money, and increased stamina. 7. Reward yourself for quitting. For example, buy something with the money you saved by not using tobacco. 8. If you slip up, quickly renew your focus on the goal of quitting. Do not let one lapse lead to a return of the unhealthy behavior. Figure 9.25 If you or someone you know is trying to quit using tobacco, you can take the following steps to use self-management strategies. Unit 4 Tobacco, Alcohol, and Other Drugs Copyright Goodheart-Willcox Co., Inc. 298 for you, such as talking with a friend or getting physical activity. about some additional stress management strategies in Lesson 5.3. Think Critically Advertisements for cigarettes, vaping devices, and smokeless tobacco try to make these products look attractive. Companies that sell tobacco products cannot advertise on television, the radio, or print publications. Instead, tobacco companies have to use sneaky strategies to persuade people to use their products. Using critical thinking skills can help you recognize the tobacco industry’s practices and avoid being tricked. Today, most people know that cigarettes are dangerous. Since this knowledge is widespread, tobacco companies have changed the types of products they sell to appeal to young people. For example, some tobacco products look like electronic devices, breath strips, and flavored candy. Addiction Prevention Many factors determine the likelihood that a young person will use tobacco products. Most people form these habits at a young age. One of the most important ways to prevent addiction is never to use tobacco products in the first place. There will be many negative influences in a young person’s life that may influence someone to try vaping or smoking, including peer pressure and representations of it in the media. There are also positive influences that may convince young people not to vape or smoke. The power of positive peer pressure can weigh heavily on someone’s decision. You have the power to be a positive influence on your friends’ (and classmates’) decision to say no to tobacco products. Nicotine-Free Pledge and Personal Promise Design a Nicotine-Free Pledge and encourage your friends and classmates to sign one, too. See the basic example below to better understand the wording in a pledge. Do additional research to get ideas for what a pledge could look like. In addition to the pledge statement, add the following extra information to make your pledge special: • an inspirational quote • at least one image • at least three harmful effects of tobacco use • at least two benefits of being nicotine-free • other relevant information or images (if applicable) If you are choosing to be nicotine-free, sign the pledge. With teacher permission, hang the pledges at your school to advocate for nicotine-free youth. BUILDING Your Skills I Am Saying NO to Tobacco Products! I, ______________________________ , pledge to be nicotine-free. (person’s name) Nicotine-Free Pledge Ch09.indd 298 1/30/2020 12:08:05 PM Young people may worry that not using tobacco products means others will not like or accept them. If someone pressures you to try a cigarette, vaping device, or smokeless tobacco, that person is not really your friend. Real friends do not want their friends to engage in unhealthy behaviors. You can use positive peer pressure to encourage your friends to practice healthy behaviors. Media Messages The media is a factor affecting tobacco use. Originally, tobacco companies advertised their products on television, the radio, and in magazines and newspapers. After scientific data demonstrated the serious health consequences of tobacco use, bans forced tobacco companies to stop these CASE STUDY Kevin’s Decision to Vape Kevin did not think it was that big of a deal when he tried vaping for the first time. It was at the beginning of last school year. He was waiting after school for his mom to pick him up, and an older group of boys dared him to vape. His friend Max was standing next to him and he chose to walk away. Kevin recognized two of the boys from his neighborhood, so he did not think it was a big deal. Secretly, he hoped that he would fit in with the older boys and maybe they would think he was cool. The older boys did ask Kevin if he wanted to hang out with them several more times during the school year. Kevin always said yes. Sometimes they would just hang out, while other times they would vape or do other stuff that Kevin never would have done with his old friends like Max. Today, Kevin is grounded and his parents are so disappointed. Kevin and the older boys were caught vaping at school. Upon investigation by school administration, they uncovered that the group of boys were also selling vaping devices at school. Kevin knew it was a bad idea but went along anyway. He was suspended from school and eventually confessed everything to his parents. Kevin was tired of keeping secrets. If he could go back in time, he would not have given into the pressure to vape. Instead, he would have just walked away with Max. Thinking Critically 1. Why does experimenting with one risky behavior, such as vaping, often lead to other risky behaviors? 2. Kevin wanted to fi t in and be accepted by older boys. What are positive ways to fi t in and feel accepted within a group? 3. If you were Max, what could you have said to Kevin before he accepted the dare to vape? 4. What are two ways that Kevin could have respectfully and assertively refused vaping? iStock.com/yacobchuk iStock com/yacobchuk 1 2 3 4