1. Choosing to Be Tobacco Free
In this lesson, you will Learn About…
Reasons some teens start using tobacco.
Strategies for avoiding tobacco use.
Ways to quit using tobacco.

2. Choosing to Be Tobacco Free
The Vocabulary terms in this lesson are:
Cold turkey.
Nicotine patch.
Click each term to display its definition.

3. Why Some Teens Start to Use Tobacco - Internal Influences
Some of the internal factors that influence teens to start using tobacco include:
Stress.
Weight.
Image.
Independence.
Peer acceptance.
Each day, 4,800 teens smoke their first cigarette. Of this group, 2,000 will become regular smokers. One-third of these will eventually die of smoking-related illnesses.
Stress. Teens may think that tobacco will help them relax and cope with stress. They don’t realize that the symptoms of withdrawal from nicotine, which occur as often as every 30 minutes, will add to their daily stresses.
Weight. Some teens wrongly believe that using tobacco will help them maintain a healthy weight. In reality, its use reduces a person’s capacity for aerobic exercise and sports.
Image. Using cigarette lighters and blowing smoke makes some teens feel grown up. Teens who are really mature know that they don’t want to give up lifelong health just to look “cool.”
Independence. Tobacco use may seem to be a sign of independence. However, it’s really just the opposite. Tobacco users become dependent on their unhealthy and costly habit.
Peer acceptance. Teens may think they need to smoke in order to fit in with their peer group. However, most teens today don’t want anything to do with tobacco users.

4. Why Some Teens Start to Use Tobacco - External Influences
Some of the external factors that influence teens to start smoking include:
Role models.
Peers.
Media.
Advertising.
Family members and other adults.
Role models. Some teens want to be like a friend, a celebrity, or some other role model who uses tobacco. They don’t realize that their role models wish they could quit their tobacco habit.
Peers. Peers, siblings, and friends are powerful influences. Many teens try their first cigarette with a friend who already smokes.
Media. Movies and television shows often portray tobacco use in ways that appeal to teens. Tobacco companies pay millions of dollars to have their products featured in movies.
Advertising. There is strong evidence that tobacco advertising influences teens. One study found that 86 percent of kids who smoke prefer the three most heavily advertised brands.
Family members and other adults. Some teens see their parents and other adults using tobacco and think that it’s all right for them to use it, too.

5. How Not to Start
The best way to lead a tobacco-free life is never to start using tobacco products.
Resisting peer pressure to use tobacco can be difficult. These strategies can help:
Choose friends who don’t use tobacco.
Avoid situations where tobacco may be used.
Use refusal skills.
Choose friends who don’t use tobacco. If a person’s friends don’t use tobacco, then he or she won’t be pressured to use it.
Avoid situations where tobacco may be used. People may be invited to a party where they know their peers will be using tobacco. Give reasons for not going and then enjoy an alternative activity with their tobacco-free friends instead.
Use refusal skills. If tobacco users urge others to try tobacco, they can respond by saying no. If the pressure continues, however, they can explain their reasons for avoiding tobacco products.

6. Ways to Refuse Tobacco “How about chewing a stick of gum
instead?”
“I just washed my hair, and I don’t want to smell it up.”
“I’ll get into trouble with
my parents.”
“No, I need to stay fit.”
“That big tobacco wad in my mouth would look gross!”
“I don’t like the taste of cigarettes.”

7. Strategies for Quitting
A variety of strategies are available to help someone break the tobacco habit.
One way is to quit gradually by reducing the number of cigarettes smoked or the frequency of using chew over a period of time.
Another way to quit is cold turkey, or stopping all at once. Cold turkey is thought to be more effective than trying to quit gradually.
Products such as a nicotine patch can help tobacco users through withdrawal.
Tobacco users, no matter what age, may need products such as a nicotine patch or nicotine gum to help them through withdrawal. The nicotine patch is a medication that allows tobacco users to give up tobacco right away while gradually cutting down on nicotine. The patch is available both by prescription and over the counter. Nicotine gum is available over the counter, and it works in a similar way as the patch.
Tobacco users who want to quit may seek help from local support groups and organized programs or from professional counselors. The American Lung Association, the American Heart Association, and the American Cancer Society, as well as hospitals and health groups, offer programs to help tobacco users quit. Identify and participate in any tobacco-free events that are taking place in the community.

8. Reviewing Terms and Facts
_________ is stopping smoking all at once.
Cold turkey
Click to show the correct answer.

9. Reviewing Terms and Facts
List internal and external influences that affect tobacco use.
Internal influences include:
Stress.
Weight.
Image.
Independence.
Peer acceptance.
External influences include:
Role models.
Peers.
Media.
Advertising.
Family members and other adults.
Click to show the correct answer.

10. Thinking Critically
What advice would you give someone who wants to quit smoking?
Answers will vary, but might include suggesting that the user quit using tobacco cold turkey or seek help from a support group.

11. Chapter Review

12. Reviewing Terms and Facts
________ is a powerful, addictive drug found in tobacco leaves and all tobacco products.
Nicotine
Click to show the correct answer.

13. Reviewing Terms and Facts
A physical or psychological need for a drug or other substance is called withdrawal.
True
False
Click to show the correct answer.

14. Reviewing Terms and Facts
A physical or psychological need for a drug or other substance is called withdrawal.
True
False

15. Reviewing Terms and Facts
Cold turkey is a:
withdrawal symptom.
way of quitting tobacco use.
chemical in tobacco.
type of drug.
Click to show the correct answer.

16. Reviewing Terms and Facts
Cold turkey is a:
withdrawal symptom.
way of quitting tobacco use.
chemical in tobacco.
type of drug.

17. Thinking Critically
Smoking filtered or low-nicotine cigarettes is as dangerous as smoking regular cigarettes. Explain why.
Responses may vary, but might include suggesting that specialty cigarettes can be even more dangerous than regular cigarettes.

18. Thinking Critically
Many experts believe that teens who use tobacco are more likely to use alcohol and other drugs. Why do you think this might be so?
Responses will vary. Accept all reasonable responses.

19. Thinking Critically
How can using positive peer pressure help counteract the negative effects of living in an environment where tobacco dependency exists?
Responses will vary. Accept all reasonable responses.

20. Vocabulary Review Cold turkey is stopping smoking all at once.
Click the slide to go back to the Vocabulary Review home page.

21. Vocabulary Review
The nicotine patch is a medication that allows tobacco users to give up tobacco right away while gradually cutting down on nicotine.
Click the slide to go back to the Vocabulary Review home page.