two discussions answers needed
Tobacco use and its impact on people of low socioeconomic status: helping the least among us
Alec George
xxxxxx University
HLTH 507: Public Health Administration
Word Count: 827
November 21, 2017
Background
· Tobacco use has harmed Americans
· Since the first Surgeon General’s report on tobacco in 1964, 20 million Americans have died because of smoking related illnesses.
· Currently, more than 16 million Americans are living with a diseased caused by tobacco use.
· Tobacco related illness costs more than $300 billion each year in the United States.
· Tobacco use is closely associated with the following diseases:
· cancer,
· heart disease,
· stroke,
· premature birth,
· reduced fertility,
· stillbirth, and
· Type 2 diabetes.
· Addressing tobacco use is an enumerated goal of Healthy People 2020
· Healthy People 2020’s tobacco related goal is, “reduce illness, disability and death related to tobacco use and secondhand smoke exposure.
· Healthy People 2020 provides a frame work to accomplish this goal which includes:
· Increasing the price of tobacco
· Enacting comprehensive smoke-free policies
· Reducing tobacco advertising and promotion directed at children
· Fully funding tobacco control programs at CDC-recommended levels
Issues
· Tobacco use is more prevalent among the poor
· Prevalence of tobacco use in individuals at or above the poverty level is 13.9%
· Prevalence of tobacco use in individuals below the poverty level is 26.1%
· Tobacco products often represent more than 10% of total household expenditure in impoverished households.
· Individuals living in poverty smoke cigarettes for a duration of nearly twice as many years as people with a family income of three times the poverty rate.
· Tobacco use is more prevalent among people with less formal education
· Prevalence of tobacco use in individuals with less than a high school education is 24.2%
· Prevalence of tobacco use in individuals with a GED is 34.1%
· Prevalence of tobacco use in individuals with an undergraduate degree is 7.4%
· Prevalence of tobacco use in individuals with a graduate degree is 3.6%
· Individuals with a high school education smoke cigarettes for a duration of more than twice as many years as people with at least a bachelor’s degree.
· Tobacco use impacts different racial/ethnic groups differently.
· American Indian/Alaska Natives – 21.9%
· Asians – 7%
· Blacks – 16.7%
· Hispanics – 10.1
· Multiple Races – 20.2%
· White (non-Hispanic) - 16.6%
· The tobacco industry specifically targets their products towards those of lower socioeconomic status
· Research has found a higher density of tobacco retailers in low-income neighborhoods.
· The tobacco industry targets women of low socioeconomic status through distribution of coupons, point-of-sale discounts, direct-mail coupons, and development of brands that appeal to poor women.
Biblical Applications
· “I have the right to do anything,” you say—but not everything is beneficial. “I have the right to do anything”—but I will not be mastered by anything. 1 Corinthians 6:12
· The bible makes it clear here that there is not a biblical utility to some things, even when those things are accepted by others in a community, such as tobacco use.
· This verse also makes clear that whenever something is a ‘master’ over you, there is a biblical conflict. Such as the mastery that nicotine addiction can have over someone’s life.
· Their destiny is destruction, their god is their stomach, and their glory is in their shame. Their mind is set on earthly things. Philippians 3:19
· This verse explains that our appetites can be a source of our shame and can become a deity like figure.
· God makes clear that we are to have no other God before him, so anything that takes precedence over him is a source of sin and should be addressed.
· Nicotine addiction is a substance which ignites an insatiable craving which can become a deity like interference with an individual’s walk with Jesus.
· Put a knife to your throat if you are given to gluttony. Proverbs 23:2
· This verse reminds us to be very weary of overconsumption.
· This verse also seems to suggest that some individuals are more susceptible to overconsumption than others.
· Perhaps there is a useful lesson contained in this verse about the correlation of tobacco consumption and poverty?
· Do not be deceived: God cannot be mocked. A man reaps what he sows. Galatians 6:7
· There are very real consequences for our actions, both in this life and the next.
· This verse reminds us of the importance to speak truth with authority, even when that truth is hard to deliver.
· Tobacco use must be viewed and addressed with judicious expediency because the consequences might not be immediate, but they will have an impact on the health of a population eventually.
· The King will reply, 'Truly I tell you, whatever you did for one of the least of these brothers and sisters of mine, you did for me. Matthew 25:40
· God calls us to care for each other, but there is a special calling for those who are advantaged to help the poor in our communities.
· The purposeful exploitation of the poor is unacceptable go the Creator.
References:
1. Healthy People 2020. Tobacco Use. https://www.healthypeople.gov/2020/topics-objectives/topic/tobacco-use . Accessed 11/21/2017
2. Centers for Disease Control and Prevention. Cigarette Smoking and Tobacco Use Among People of Low Socioeconomic Status. https://www.cdc.gov/tobacco/disparities/low-ses/index.htm . Accessed 11/21/2017
3. Centers for Disease Control and Prevention. Burden of Tobacco Use in the US. https://www.cdc.gov/tobacco/campaign/tips/resources/data/cigarette-smoking-in-united-states.html#by_income . Accessed 11.21.2017
4. Centers for Disease Control and Prevention. Fast Facts – Smoking and Tobacco Use. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/fast_facts/index.htm . Accessed 11/21/2017
5. World Health Organization. Tobacco Free Initiative – Poverty. http://www.who.int/tobacco/research/economics/rationale/poverty/en/ . Accessed 11/21/2017
6. The Holy Bible. New International Version. https://www.biblegateway.com/ . Accessed 11/21/2017
This is a student reply to tis bulleted paper
Alec,
The tobacco industry has sold the idea that tobacco is not harmful. It seems as though there are more public service announcements that are trying to educate people on the dangers of smoking; though, sometimes it seems to be in vain. The big name tobacco companies truly do seek out the lower income neighborhoods. Individuals who live in low-income communities have the least information about the health hazards of smoking, the fewest resources and social supports, and often the least access to services to help them quit.1
Recently, I have noticed that some of the campaigns through public service announcements are doing their best to target adolescents and the dangers of smoking. The “truth” campaign is one that is presenting our upcoming generation with the facts of smoking. They not only create commercials for television, posters, and more, but they travel throughout the country on van tours to help adolescents realize the health hazards of smoking.2
It seems the two biggest groups that the tobacco industry targets are the lower income communities and adolescents. Your use of the Healthy People 2020 and their framework of ending tobacco is very informative and should be emphasized more. The idea of increasing prices and controlling access to products is crucial. Moreover, it is also important to reduce the advertising to our adolescents, and lower income communities.3
Alec, your paper is very informative and insightful on how the tobacco industry targets these two groups of people. It would be great to hear more information on continuing to educate these two groups and hopefully decrease the use of tobacco between them.
References
1. Initiative T. Tobacco and social justice: Smoking in low-income communities. Truth Initiative. https://truthinitiative.org/news/smoking-and-low-income-communities. Published January 31, 2017. Accessed November 26, 2017.
2. Truth. #FinishIT. truth. https://www.thetruth.com/. Published 2017. Accessed November 26, 2017.
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