Smoking, Nurses, Knowledge: We’ve Come a Long Way, But Not Far EnoughJanuary 22, 2014
By Shawn Kennedy, MA, RN, AJN editor-in-chief
Back in the day, I remember riding in the car with my parents, both of whom smoked. My siblings and I used to jockey for the window seats so we could be near the fresh air streaming in. And I recall holidays with visiting relatives when all the adults would sit in the living room smoking cigarettes. (Kent filter-tips for the women; Camels for the men.) And as kids, we used to “smoke” candy cigarettes. The ones that “puffed” when you blew into them were our favorites.
But I also recall getting older and not wanting to visit my Uncle Joe, a once tough New York City police detective, because he would just sit on the edge of his chair, leaning over a table and struggling to breathe. This made my dad quit cold turkey after he had a heart attack at age 48 and our family physician told him he could either keep smoking or quit and see his children get married. My mom quit when she was pregnant with my youngest sister, after the surgeon general’s report said smoking could harm the fetus.
Our parents were constantly telling us that they wished they’d never started (my dad began in the army, when cigarettes were standard issue for GIs), that it was a “dirty habit” and an expensive one—and “don’t forget Uncle Joe.” Their efforts paid off—neither I nor any of my six siblings smoke today. Ironically, while I repeated those same messages (bolstered with more clinical information) to my three sons, two of them took up smoking during adolescence. Fortunately, they did stop, but not from my efforts—their girlfriends (who later became wives) pushed them into quitting .
Fifty years ago this month, U. S. Surgeon General Luther Terry issued the landmark report first identifying tobacco’s harmful effects; this week, the Centers for Disease Control and Prevention (CDC) issued a special anniversary report highlighting advances in knowledge about and prevention efforts against smoking. We know a great deal more now about just how harmful tobacco smoke is—the CDC estimates that since that first report was issued, over 20 million people have died from preventable smoking-related diseases.
It’s important for health professionals to model good behavior, but too often we rely on “do as I say, not as I do” when it comes to encouraging healthy behavior. However, a study published in the January 8 issue of JAMA does inspire hope: smoking among RNs decreased by 36% between 2003 and 2011.
If you smoke, stopping is the single most important thing you can do to improve your health. But it’s not easy. There are a plethora of resources to help people kick the habit. Check out the resources offered by the CDC or the American Cancer Society, the Department of Health and Human Services, or the American Lung Association.
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