II. Epidemiology
- Smoking is the top cause of preventable death in U.S.
- Dwarfs Alcohol and Drug Abuse deaths and HIV combined
- Mortality in the United States
- Deaths per year: 434,000
- Deaths per day: >1000
-
Prevalence of smoking in United States
- Overall adults: 25% (47 Million smoking)
- Ages 18-24 years: 33%
- Medical costs of Tobacco Abuse
- Direct: $50 billion
- Indirect: may approach additional $50 billion
III. Risk Factors
- Lower socioeconomic groups
- Lower education Levels
- Adult smokers begin in adolescence (95% before age 20)
IV. Complications: Tobacco Abuse in Pregnancy
- Low Birth Weight Infant
- High Carbon Monoxide load for fetus
- High Hematocrit for fetus
V. Labs
-
Spirometry in 10 pack year smokers over age 40
- Evaluate for COPD
- References
VI. Adverse Effects
- Low tar Cigarettes carry the same risk of Lung Cancer
- College student smokers have impaired quality of life
- Infections with increased risk related to Tobacco use
VII. Management
VIII. Resources
- CDC Tobacco Page