EARN 2 UNITS This self-study CE course is written for dentists, dental hygienists and dental assistants. INTERVENTION Strategies Tobacco By Linda D. Boyd, RDH, RD, EdD AN EFFECTIVE APPROACH TO PREVENTION AND CESSATION COUNSELING WILL HELP ADDRESS THE GROWING PREVALENCE OF TOBACCO USE AMONG YOUNG PEOPLE OBJECTIVES After reading this course, the participant should be able to: EDUCATIONAL 1. Explain the various alternative tobacco products and prevalence of use. 2. Describe the health effects of tobacco use. 3. Discuss the “5 A’s” of tobacco cessation, and the approach to addressing these with patients. 4. Summarize resources available to assist with tobacco cessation intervention. T he U.S. Surgeon General refers to tobacco use as a pediatric disease because 90% of adult tobacco users start the habit before they turn 18.1 This is a concern because tobacco use appears to be on the rise in young peo- ple. At least in part, this increase may be due to the advent of alternative tobacco products (ATPs) rang- ing from hookah pipes to electronic cigarettes (e-cigarettes). Amrock and Wietzman2 have characterized the use of ATPs as the “second front in the war on tobacco.” Cigarettes are the most commonly used form of tobacco among adults.3 The prevalence of tobacco use among adults and youth in the United States is measured by national surveys, which reveal 17% of adults, 9% of high school students and 2% of middle school students are cigarette smokers (defined as smoking > 1 cigarette per day in the past 30 days).3,4 leading, however, because young people tend to favor ATPs.3,4 the overall prevalence of tobacco use, Singh et al5 This is mis- In terms of report that approximately 7% of middle school students, 25% of high school students and 21% of adults use tobacco products. These include smoked and smokeless items, such as cigars, snus, dissolvables and chewing tobacco, to name a few.6,7 Electronic nicotine delivery systems (ENDS) heat liquid containing nicotine to an aerosol that is inhaled;8 ENDS include vaporizers, vape pens, hookah pens, e-pipes and e-cigarettes. According to the U.S. Surgeon General, these delivery systems can also be used for cannabinoids and other drugs.9,10 The increased use of ENDS by youth is occurring more rapid than in adults, with national surveys showing 1% to 5% of adults using ENDS, compared to 14% to 16% of high school students.4,5,11 From 2011 to 2015, the use of ENDS among high school students increased from 1.5% to 16%; in middle school students, the reported use increased from < 1% to more than 5% in the same time period.5 Even more alarming is that approximately 10% of high school and 8% of middle school students report daily use of ENDS.4 Among those using e-cigarettes, 63% report using flavored ENDS products, suggesting this enhances their appeal to Belmont Publications, Inc. is an ADA CERP-recognized provider. Belmont Publications, Inc. designates this activity for 2 credit hours of self-study continuing education units. This course is released December 2017 and expires December 2020. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ada.org/cerp. 44 Decisions IN DENTISTRY • December 2017 Approved PACE Program Provider FAGD/MAGD credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement July 1, 2016 to June 30, 2019 Provider ID 317924 AGD Subject Code:158 DecisionsInDentistry.com NICOLASMCCOMBER/E+/GETTY IMAGES PLUS
