Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5 1
TobaccoTobacco
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 2
MotivationMotivation• Using tobacco is not
a healthy choice.• Today, you’ll learn
about tobacco’s dangers and how you can make the choice to be tobacco free for life.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 3
Lesson overviewLesson overview• What is tobacco?• What are the different types of tobacco
products?• What is in tobacco?• How does tobacco affect the user's body?• What does tobacco do to a person's
appearance?
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 4
Lesson overview (cont’d)Lesson overview (cont’d)• Who buys tobacco?
• What are the short-term and long-term effects of tobacco use?
• How expensive a habit is tobacco use?
• What is tobacco addiction?
• How many Americans do not smoke?
• What is withdrawal?
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 5
Lesson overview (cont’d)Lesson overview (cont’d)
• What does tobacco use cost society?• Why do some teens start using
tobacco?• How can you avoid becoming a tobacco
user?• What strategies can you use to break
the tobacco habit?
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 6
Quick WriteQuick Write
Why do some teens begin using tobacco? List all the reasons you can think of.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 7
What is tobacco? What is tobacco? • Plant grown in warm, humid climates• Leaves dried, aged, mixed with chemicals• Products made for smoking and chewing• Contains powerful drug that makes user want
more• Harmful to health• Major cause of early and preventable death
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 8
What are the different types of tobacco products?
What are the different types of tobacco products?
• Types of tobacco products• Cigarettes• Cigars • Pipes• Smokeless tobacco • Specialty cigarettes
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 9
What are the different types of tobacco products? (cont’d)
What are the different types of tobacco products? (cont’d)
• Cigarettes • Most common form of tobacco• Smoked by millions of people• Smokers at increased risk for certain diseases• Cause more than 430,000 deaths in U.S. each
year
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 10
What are the different types of tobacco products? (cont’d)
What are the different types of tobacco products? (cont’d)
• Cigars • Contain same substances as cigarettes but in
larger quantities• Cigar smokers have greater risk of
• Cancer of mouth, larynx, and esophagus • Heart disease
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 11
What are the different types of tobacco products? (cont’d)
What are the different types of tobacco products? (cont’d)
• Pipes • Pipe smokers inhale less than cigarette
smokers.• Pipe smokers still have increased health
risks.• Cancers of lip, mouth, and throat are
common in pipe smokers.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 12
What are the different types of tobacco products? (cont’d)
What are the different types of tobacco products? (cont’d)
• Smokeless tobacco • Tobacco that is chewed or sniffed• Not safer than inhaled tobacco products
• Poisonous substances absorbed through mouth or nose
• Cancers of the mouth, esophagus, larynx, stomach, and pancreas
• Stained teeth, tooth loss, gum disease
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 13
What are the different types of tobacco products? (cont’d)
What are the different types of tobacco products? (cont’d)
• Specialty cigarettes • Bidis
• Flavored, unfiltered cigarettes
• Some contain pure tobacco• Clove cigarettes
• Made from tobacco and ground cloves• More dangerous than regular cigarettes
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 14
What is in tobacco?What is in tobacco?• Approximately 4,000 chemicals
• Over 200 chemicals dangerous to humans, including• Nicotine• Tar• Carbon monoxide
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 15
What is in tobacco? (cont’d)What is in tobacco? (cont’d)
• Nicotine • This drug reaches the brain quickly and
creates feeling of stimulation.• When chemicals have left the brain, user
begins to feel discomfort.• Desire to avoid discomfort causes user to
crave more tobacco.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 16
What is in tobacco? (cont’d)What is in tobacco? (cont’d)
• Tar • Enters lungs and leaves residue• Destroys cilia and air sacs in lungs• Can make breathing difficult• Can cause emphysema, other lung diseases,
cancer
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 17
What is in tobacco? (cont’d)What is in tobacco? (cont’d)• Carbon monoxide
• Passes through lungs into bloodstream• Reduces amount of oxygen blood cells can
carry• Weakens muscles and blood vessels• May lead to heart attacks and stroke
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 18
How does tobacco affect the user’s body?
How does tobacco affect the user’s body?
• The chemicals in tobacco and tobacco smoke • Cause damage to most body systems• Are particularly damaging to teens, who are
still growing• Cause both short-term and long-term effects
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 19
What does tobacco do to a person’s appearance?
What does tobacco do to a person’s appearance?
• Lingering smell on hands, hair, breath, clothing
• Stained teeth and fingers• Older look because the skin wrinkles• Cracked lips, inflamed gums, mouth sores
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 20
Who buys tobacco?Who buys tobacco?• Tobacco is big business in the U.S.• Tobacco companies spend billions each year
selling tobacco products.• Companies want to attract new users. • Children and teens represent most profitable
market.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 21
What are the short-term and long-term effects of tobacco
use?
What are the short-term and long-term effects of tobacco
use?• Nervous system
• Short-term effects
• Changes in brain chemistry• Withdrawal symptoms • Increased heart rate and blood pressure
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 22
What are the short-term and long-term effects of tobacco
use? (cont’d)
What are the short-term and long-term effects of tobacco
use? (cont’d)
• Nervous system• Long-term effects
• Increased risk of stroke because of decreased flow of oxygen to brain
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 23
What are the short-term and long-term effects of tobacco
use? (cont’d)
What are the short-term and long-term effects of tobacco
use? (cont’d)
• Circulatory system• Short-term effects
• Increased heart rate• Reduced energy because of less oxygen to body
tissues
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 24
What are the short-term and long-term effects of tobacco
use? (cont’d)
What are the short-term and long-term effects of tobacco
use? (cont’d)• Circulatory system
• Long-term effects• Weakened and narrowed blood vessels• Increased cholesterol levels• Clogged blood vessels due to fatty buildup• Reduced oxygen flow to heart• Greater risk of heart disease and stroke
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 25
What are the short-term and long-term effects of tobacco
use? (cont’d)
What are the short-term and long-term effects of tobacco
use? (cont’d)• Respiratory system
• Short-term effects• Bad breath• Shortness of breath• Reduced energy• Coughing and more phlegm• More frequent colds and flu
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 26
What are the short-term and long-term effects of tobacco
use? (cont’d)
What are the short-term and long-term effects of tobacco
use? (cont’d)• Increase in allergies and asthma• Increase in respiratory illnesses
• Respiratory system• Long-term effects
• Increased risk of lung cancer and lung diseases
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 27
What are the short-term and long-term effects of tobacco
use? (cont’d)
What are the short-term and long-term effects of tobacco
use? (cont’d)• Digestive system
• Short-term effects• Upset stomach• Bad breath• Stained teeth• Dulled taste buds• Tooth decay
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 28
What are the short-term and long-term effects of tobacco
use? (cont’d)
What are the short-term and long-term effects of tobacco
use? (cont’d)• Digestive system
• Long-term effects
• Cancer of mouth and throat• Gum and tooth disease• Stomach ulcers• Bladder cancer
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 29
How expensive a habit is tobacco use?
How expensive a habit is tobacco use?
• People who use tobacco• Frequently pay higher health insurance rates• Generally have more doctor and dental bills• Spend around $5.80 for each pack of
cigarettes• Will spend over $2,109 each year on
cigarettes
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 30
What is tobacco addiction?What is tobacco addiction?
• Addiction—a physical or psychological need for a drug
• Nicotine causes two types of addiction.• Physical dependence • Psychological dependence
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 31
How many Americans do not smoke?
How many Americans do not smoke?
• Most adults and teens who smoke would like to quit.
• 44 million Americans are now former smokers.
• The number of Americans who don’t smoke has been rising steadily.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 32
How many Americans do not smoke? (cont’d)
How many Americans do not smoke? (cont’d)
0
20
40
60
80
100
120
1970
1974
1979
1983
1988
1992
1995
1998
Former Smoker
Never Smoked
Selected years
Number of
adults, in
millions
Source: Centers for Disease Control and Prevention
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 33
What is withdrawal?What is withdrawal?• Withdrawal
• Physical symptoms • Craving to use nicotine
• Headaches
• Shakiness
• Fatigue
• Increased appetite
• Nausea
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 34
What is withdrawal? (cont’d)What is withdrawal? (cont’d)
• Psychological symptoms• Feeling irritable, anxious, nervous
• Feeling anxious
• Feeling nervous
• Sadness
• Trouble thinking during the day and sleeping during the night
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 35
What does tobacco use cost society?
What does tobacco use cost society?
• Secondhand smoke • Mainstream smoke—what a smoker inhales
and exhales• Sidestream smoke—given off by the burning
end of a cigar, cigarette, or pipe
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 36
What does tobacco use cost society? (cont’d)
What does tobacco use cost society? (cont’d)
• Nonsmokers exposed to secondhand smoke can develop
• Respiratory illnesses• Lung disease• Heart disease• Cancer
• Infants and young children have more colds, ear infections, allergies, asthma
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 37
What does tobacco cost society? (cont’d)
What does tobacco cost society? (cont’d)
• Public health costs• Costs of health insurance and medical care
increase for everyone.
• Costs to nation’s economy• People miss work. • Fewer goods or services are produced.• Less money is made.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 38
What does tobacco cost society? (cont’d)
What does tobacco cost society? (cont’d)
• Pregnancy and tobacco• Pregnant women who smoke risk low birth
weight babies and premature delivery.• Nicotine and carbon monoxide keep
nutrients and oxygen from the fetus.• SIDS is higher when parents smoke.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 39
Why do some teens start using tobacco?
Why do some teens start using tobacco?
• Internal influences• Stress• Weight• Image• Independence• Peer acceptance
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 40
Why do some teens start using tobacco? (cont’d)
Why do some teens start using tobacco? (cont’d)
• External influences• Imitate role model• Peers• Entertainment• Advertising• Family members and other adults
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 41
How can you avoid becoming a tobacco user?
How can you avoid becoming a tobacco user?
• Do not start using tobacco products.
• 90% of adult smokers began smoking before the age of 21.
• Half became regular smokers by age 18.
• Avoiding tobacco in middle school or high school will increase chances you will never start.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 42
How can you avoid becoming a tobacco user? (cont’d)
How can you avoid becoming a tobacco user? (cont’d)
• Strategies to resist peer pressure to use tobacco• Choose friends who don’t use tobacco.• Avoid situations where tobacco products may be
used.• Use refusal skills.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 43
What strategies can you use to break the tobacco habit?
What strategies can you use to break the tobacco habit?
• Quit gradually• Quit cold turkey• Nicotine patch or nicotine gum• Local support groups and organized
programs• Professional counselors
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 44
Lesson reviewLesson review• Tobacco is a plant whose leaves are dried,
aged, mixed with chemicals, and then used to make various products for smoking or chewing.
• Tobacco products include cigarettes, cigars, pipe tobacco, smokeless tobacco, and specialty cigarettes such as bidis and clove cigarettes.
• Substances in tobacco include nicotine, tar, and carbon monoxide.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 45
Lesson review (cont’d)Lesson review (cont’d)• Nicotine is the addictive drug found in
tobacco leaves and in all tobacco products.• Tobacco causes damage to most systems in a
user’s body.• Tobacco can damage a user’s appearance,
causing things such as wrinkles, tooth and mouth problems, and bad odor.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 46
Lesson review (cont’d)Lesson review (cont’d)• Many people use tobacco, but most U.S.
adults do not. • The tobacco industry tries to attract young
people to replace users who have quit or died.• Short-term effects of tobacco use include
increased heart rate and blood pressure, reduced energy, respiratory problems, and tooth decay.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 47
Lesson review (cont’d)Lesson review (cont’d)• Long-term effects of tobacco use include
weakened and clogged blood vessels as well as greater risk of cancer, stroke, and heart and lung diseases.
• Smokers may pay over $1,000 per year for a pack-a-day habit. (The 2005 cost varied up to $2,109 in the U.S.A.)
• Tobacco users generally have more medical bills and higher health insurance rates.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 48
Lesson review (cont’d)Lesson review (cont’d)• Tobacco addiction is the physical or
psychological dependence on tobacco use.• In 1998, nearly 150 million adults either had
never smoked or had quit smoking.• Withdrawal from tobacco consists of the
symptoms that occur when someone stops using it, including headaches, anxiety, shakiness, and nausea.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 49
Lesson review (cont’d)Lesson review (cont’d)• Secondhand smoke is air that has been
contaminated by smoke.• Nonsmokers can develop respiratory
illnesses, lung cancer, heart disease, and cancer as a result of exposure to secondhand smoke.
• Tobacco use inflicts heavy costs on both smokers and nonsmokers; costs to the United States as a whole approach $100 billion per year.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 50
Lesson review (cont’d)Lesson review (cont’d)• Some teens may start tobacco use because of
internal issues, such as stress, weight concerns, image, independence, and peer acceptance.
• External influences that cause teens to start smoking include their desire to imitate role models who smoke, the influence of advertising, and the example of their parents and other adults using tobacco.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 51
Lesson review (cont’d)Lesson review (cont’d)• You can avoid starting tobacco use by
choosing nonsmoking friends, avoiding situations where smoking is likely, and using refusal skills.
• Strategies for quitting tobacco include going cold turkey, using a nicotine patch or gum, and joining support groups.
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 52
SummarySummary• What is tobacco?• What are the different types of tobacco products?• What is in tobacco?• How does tobacco affect the user's body?• What does tobacco do to a person's appearance?• Who buys tobacco?• What are the short-term and long-term effects of
tobacco use?
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 53
Summary (cont’d)Summary (cont’d)• How expensive a habit is tobacco use?• What is tobacco addiction?• How many Americans do not smoke?• What is withdrawal?• What does tobacco use cost society?• Why do some teens start using tobacco?• How can you avoid becoming a tobacco user?• What strategies can you use to break the tobacco
habit?
Making Safe, Drug-Free Decisions
Lesson 2, Chapter 5, Tobacco 54
NextNext
• Done— Tobacco
• Next— Alcohol