From: kbrown@healthedcouncil.org
Date: Fri, 07/16/04
NNTPP <http://www.nntpp.org/> LISTSERV
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Friday July 16, 2004
In this edition:
1) Increasing Access to Smoking <> Cessation Treatment in a
Low-Income, HIV-Positive Population: The Feasibility of Using Cellular
Telephones
2) Stage of Change of Cigarette <> Smoking in Drug
Dependent Patients
3) Relationship of Onset of <> Cigarette Smoking During
College to Alcohol Use, Dieting Concerns, and Depressed Mood: Results
from the Young Women's Health Survey
4) NYC to Distribute Nicotine Patches <> to the Poor
5) Jail Smoking Spurs Damage Claims <>
6) Upcoming Events <>
1) Increasing Access to Smoking Cessation Treatment in a Low-Income,
HIV-Positive Population: The Feasibility of Using Cellular Telephones
Lazev A, Vidrine D, Arduino R, Gritz E.
Nicotine Tob Res. 2004 Apr;6(2):281-6.
This study examined the feasibility of using cellular telephones to
improve access to smoking cessation counseling in a low-income,
HIV-positive population. Two pilot studies were conducted: (a). A survey
of interest and barriers in participating in a smoking cessation
intervention (n=49) and (b). a cellular telephone smoking cessation
intervention in which participants were provided with free cellular
telephones and received six telephone counseling sessions over a 2-week
period (n=20). A primary care clinic serving a multiethnic, medically
indigent, HIV-positive population served as the setting. Demographics
and smoking status were assessed by self-report and expired-air carbon
monoxide testing. In study 1, participants reported multiple barriers to
participating in a smoking cessation intervention, including
transportation, transience, and telephone availability. However, they
also reported a high level of interest in participating in a smoking
cessation intervention, with the greatest interest in a cellular
telephone intervention. In study 2, 19 of the 20 participants
successfully completed 2 weeks of smoking cessation counseling with a
93% (106 of 114 calls) contact rate. A total of 19 participants made a
quit attempt, and the 2-week end of treatment point-prevalence
abstinence rate was 75%. The provision of cellular telephones allowed
for the implementation of a proactive telephone smoking cessation
intervention providing an underserved population with access to care.
Cellular telephones also may provide unique benefits because of the
intensity of counseling and support provided as well as the ability to
provide counseling in real-world, real-time situations (in vivo
counseling).
2) Stage of Change of Cigarette Smoking in Drug Dependent Patients
Kolly S, Besson J, Cornuz J, Zullino DF.
Swiss Med Wkly. 2004 May 29;134(21-22):322-5.
Nicotine cessation programs in Switzerland, which are commonly based on
the stage of change model of Prochaska and DiClemente (1983), are rarely
offered to patients with illicit drug dependence. This stands in
contrast to the high smoking rates and the heavy burden of
tobacco-related problems in these patients. The stage of change was
therefore assessed by self-administered questionnaire in 100 inpatients
attending an illegal drug withdrawal program. Only 15% of the patients
were in the contemplation or decision stage. 93% considered smoking
cessation to be difficult or very difficult. These data show a
discrepancy between the motivation to change illegal drug consumption
habits and the motivation for smoking cessation. The high proportion of
patients remaining in the precontemplation stage for smoking cessation,
in spite of their motivation for illicit drug detoxification, may be due
to the perception that cessation of smoking is more difficult than
illicit drug abuse cessation.
3) Relationship of Onset of Cigarette Smoking During College to Alcohol
Use, Dieting Concerns, and Depressed Mood: Results from the Young
Women's Health Survey
Saules KK, Pomerleau CS, Snedecor SM, Mehringer AM, Shadle MB, Kurth C,
Krahn DD.
Addict Behav. 2004 Jul;29(5):893-9.
To investigate the issue of smoking initiation during college, we
administered a survey of women's health behavior to college women during
freshman orientation, at the end of their freshman year and again during
their senior year. Never smokers (NS; n=374), early-onset smokers (EOS;
n=52), and late-onset smokers (LOS; n=64) were compared on dieting
concerns, mood problems, alcohol-related problems, and frequency of
binge drinking episodes. By the senior year of college, 55% (64/116) of
those who had smoked in the past month had started smoking during
college, although they were more likely than never smokers to have
experimented with cigarettes prior to college. Escalating depression
during the first year of college, dieting concerns, and alcohol-related
problems were significant risk factors for smoking initiation during
college, while binge drinking appeared to covary with cigarette smoking.
Results suggest that prevention efforts should target nonsmokers with
high dieting concerns and escalating depression early in college, while
intervention efforts may need to target not only smoking but also
problematic alcohol use among smoking college women.
4) NYC to Distribute Nicotine Patches to the Poor
New York City officials plan to launch a new program that will provide
25,000 low-income smokers in the city with free nicotine patches, the
Wall Street Journal reported July 8.
Nicotrol smoking cessation patches, which were donated by Pfizer Inc.,
will be distributed in Harlem, the Bronx, north and central Brooklyn and
other low-incomes areas in the city through community organizations and
city-owned hospitals.
According to city officials, one in five people living in the city's
low-income neighborhoods are smokers. An estimated 70 percent said they
wanted to quit, but few insurance plans cover nicotine replacement
therapies.
Some public health advocates question the effectiveness of such
giveaways. "Most people tell you these are miracle drugs. But when you
go into the real world, you are hard pressed to find long-term
ex-smokers - who are totally off nicotine - who quit by using these
products," said Joel Spitzer, educational director at WhyQuit.com
<http://www.whyquit.com> , an online resource that advocates quitting
without nicotine replacement.
In addition to distributing the nicotine patches, the city will provide
counseling through city-owned health facilities.
This is the second time New York City has held a nicotine patch
giveaway. After the state implemented its indoor smoking ban last year,
the city gave away generic nicotine patches to 35,000 smokers.
5) Jail Smoking Spurs Damage Claims
By Cameron Jahn -- Bee Staff Writer
Published 2:15 am PDT Wednesday, July 14, 2004
Current, ex-inmates want county to pay for alleged health ills.
Twenty-nine current and former inmates of the Rio Cosumnes Correctional
Center have filed claims against Sacramento County asking for a total of
$1.9 million to compensate for health damages allegedly caused by
breathing secondhand smoke at the jail.
In the handwritten claims, which set the stage for a possible lawsuit,
the inmates said tobacco smoke inhaled while incarcerated has harmed
lungs, throats, brains and reproductive organs. Pompeii Thompson said he
deserves $150,000 to compensate for the "unnecessary pneumonia" he
contracted due to second-hand smoke and the "near-death experience" of
recovering from the illness at the south county jail near Bruceville and
Twin Cities roads.
Sheriff's Department officials said inmates were never allowed to smoke
inside jail buildings, but Thompson said guards rarely enforced that
rule, often resulting in dormitories filled with a blue haze from
inmates' cigarettes. "They were smoking in bath rooms, in their bunks,
and there were a couple of fires from people throwing cigarette butts in
the trash can," said Thompson, whose 74-day sentence for traffic
violations ended last month. "It would be OK if people were smoking
outside, but the officers allowed them to smoke in there in the dorms."
Smoking was a privilege given to well-behaved minimum-security inmates
until Friday, when the Sheriff's Department outlawed cigarettes from the
entire facility. The county's main jail downtown has been smoke-free
since it was built in the 1980s.
The inmates' claims did not prompt the smoking ban at the Rio Cosumnes
facility, but they may have been a factor, said Lt. Scott Loggins, the
jail's assistant commander. "At all times, staff will try to make it
the most healthy environment possible," he said. Under sheriff John
McGinness said the smoking ban was to prevent fires and reduce inmates'
exposure to smoke. "Over the years there have been cases where inmates
set fire to their belongings, their papers and mattresses with matches
and cigarettes, which caused a problem, but this (ban) was mainly due to
the potential for health risks caused by smoking," McGinness said.
Thompson doesn't buy it. "What else could it have been? Why else would
they have banned smoking?" he asked.
Inmates filed their claims individually over the past few months, though
the alleged smoke-related damage took place as far back as July 2003.
According to the claims, each dormitory houses about 20 nonsmoking
inmates alongside 100 inmates who smoke. Loggins would not elaborate on
the number of inmates in each housing unit of the 1,700-inmate facility.
Sheriff's Department officials are preparing to fight a suit, if any are
filed, but they say the inmates may have difficulty proving that their
alleged illnesses resulted from the conditions behind bars.
One inmate, James Boyd, Sr. asked for $12,500 for "unnecessary brain
damage" in his claim, while another, Lloyd Rich, wants $25,000 to
compensate for "further damage to his DNA so that he can't have children
free of birth defects," according to his claim. Michael Sunahara, wants
$50,000 for damage to his heart, liver and lungs and for a "shortened
life span," according to his claim. Although Sunahara gave up tobacco a
few months before going to jail, "he's been smoking since he was a
little kid," his girlfriend, Lavina Scott, said in an interview. Garry
Glasper is asking for $50,000 in his claim for having to breathe
secondhand smoke and "reproductive system damage," among other health
problems, but his wife, Denise Glasper, said in an interview that he
smoked off-and-on before stopping last year.
It will be Aadne Benestad's job to evaluate whether the county should
reject or agree to pay the inmates' claims. As the county's risk
manager, Benestad sifts through approximately 1,000 claims received
every year, which range from car accidents involving county vehicles to
lost property at the main jail. The county pays some amount of money on
less than half of the claims filed, he said.
6) Upcoming Events
Coalition for <http://www.tobaccofreeaz.org/best_of_the_west.htm>
Tobacco-Free Arizona 2nd Annual Conference
Black Canyon Conference Center/Phoenix, Arizona
July 22 & 23, 2004
Centerforce 5th Annual Inside/Out Summit
"Models for Change - Delivering Services to Those Affected by
Incarceration"
San Francisco Airport Marriott, Burlingame, CA
September 11-15, 2004
Pre-summit course for Clinicians: September 11-12, 2004
LCAT (National <http://www.nlcatp.org/> Latino Council on Alcohol and
Tobacco Prevention 3rd Annual National Conference
"Tobacco Prevention: Reducing the Impact of Chronic Diseases"
Sheraton Old Town, Albuquerque, NM
September 23 & 24, 2004
Ending Health Disparities Conference
Winston-Salem, NC
September 27-29, 2004
-Speaker proposals are due June 11, 2004
For more information please contact Ruth Cole Burcaw at (336) 945-9288
or hdconference@quantumevents.com
132 <http://www.apha.org/> nd American Public Health Association
Conference
November 6-10, 2004 - Washington, DC
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