
Recent surveys, reports and investigations show that Albertans, in the hopes of setting a good example for future generations, are moving towards a more smoke-free way of life. But while smoking rates amongst adults continue to drop, youth smoking rates have remained steady over the past few years. Of the 809 Albertans questioned by Ipsos Reid in an online poll between Dec. 20 to 26, 70% said they’d support a two dollar per pack tax increase on cigarettes, on the condition the proceeds go towards reducing tobacco usage and promoting a healthy lifestyle. Albertans hope that by restricting the ability to obtain cigarettes, it will help to keep youth from picking up the habit.
“We’ve made great improvements in the rates of smoking amongst the general public,” said Les Hagen, executive director of Action on Smoking and Health. “The rates are now less than one in five, but we haven’t had the same progress with young people. In fact, that rate of 14% had more or less stayed the same for the past several years. It’s a huge concern.”
The Canadian Community Health Survey shows 14% of Albertan youth aged 12 to 19 consider themselves to be current smokers, 4% above what Alberta Health Services lists as their youth smoking target for 2010.
In a survey conducted last summer by Campaign for a Smoke-Free Alberta, Premier Alison Redford agreed to help reduce tobacco sales to minors through tougher laws, adding that “Discouraging teens from lighting up is critical to lowering health-care costs and keeping Albertans healthy. A major part of this effort involves making tobacco products harder to obtain and I believe this requires legislation to further restrict vendors’ ability to sell tobacco products to minors.”
The sale of tobacco products is illegal to minors under the age of 18. An investigation of 60 tobacco retailers was conducted across Alberta by ASH — a western Canadian organization dedicated to the prevention and control of tobacco use — and the Canadian Cancer Society, after a Health Canada survey showed Alberta had one of the worst compliance rates amongst tobacco retailers.
The tests were conducted throughout Fort McMurray, Edmonton, Red Deer, Calgary and Lethbridge using 16- and 17-year-old volunteers who attempted to purchase cigarettes and were to tell the truth if asked for their real age or to produce photo ID.
“More than 90% of retailers are requesting ID, and that’s a good thing,” said Hagen. “Unfortunately, two-thirds of those retailers will sell to minors, even after the minor presents valid photo identification. To me, that means either the clerk is bad at math or they don’t care. The bottom line here is that the staff are poorly trained.”
Hagen believes the root of the problem stems from a lack of government policy regulating the sale of tobacco products.
“We’re asking the Alberta government to address this problem and what we’re recommending is that they apply the same rules to tobacco sales to minors as they currently do to alcohol sales to minors.”
Implementation of rules similar to that of alcohol sales would require provincial licensing for the sale of tobacco products, clerks to be 18-years-old and have completed mandatory online government training in order to sell tobacco, a request for valid photo ID from anyone appearing under the age of 25 and potential fine and license suspensions of establishments who are caught selling to minors.
Hagen says smoking awareness and prevention amongst teens is crucial as tobacco companies direct much of their advertising towards that vulnerable demographic.
“The vast majority of new smokers are under the age of 18, so if tobacco companies don’t get them before they turn 18, chances are they won’t get them,” said Hagen.
Echoing the sentiments of Hagen and ASH, Randy Sloan, a pharmacist with the Wood Buffalo Primary Care Network says its important to realize the problem with smoking starts at a much younger age than most people realize.
“Most smokers begin smoking when they’re in adolescence,” explained Sloan. “In actual fact, it is a pediatric disease that people carry into adulthood with them. I don’t encounter many smokers that started in their 20s or 30s. Almost everyone started in their teens. By nature, smoking is an adolescent problem. That’s when it starts.”
Sloan has been working with the WBPCN to develop a smoking cessation program to help Fort McMurray residents as they deal with the struggles of quitting.
“We’ll discuss things like how to deal with the triggers. A lot of people have those triggers that prompt the idea in their mind that they want a cigarette. We also talk about withdrawal symptoms and how to manage those to prevent a relapse back into smoking. We talk about the medications that are available to help you quit smoking and really help the patient choose the best option for them. If something needs to be prescribed, we take care of that (during the appointment). Everything happens all in one visit,” said Sloan.
While patients are required to have a local family doctor, they do not need a doctor’s referral to contact Sloan. The program is also free of charge because, Sloan adds, it’s important to make quitting as easy as possible.
“We want to take advantage of that person’s motivation to quit, because motivation can be a flakey thing. It can be there one day and not the next, so if someone comes in for their visit, we want to take advantage and get them as prepared as possible to begin the process of quitting.”
The benefits of quitting are numerous, but as Sloan points out, are not always immediately evident, often getting lost behind the hardships of withdrawal symptoms.
“Generally speaking, the first month would be the time that an individual would be most challenged by symptoms of withdrawal, but everybody’s different. It’s not carved in stone. Some withdrawal symptoms last longer than others, for example, (increased) appetite is one of the ones that lasts longer. That can go for about 10 weeks. Some of the other symptoms are certainly the cravings, the obsession to smoke, and depression or irritability,” he explained.
“(After quitting) energy levels go up, they can breath better, and people can climb a flight of stairs without running out of breath. There are things people will experience, but may not notice, such as their blood pressure going down. You’re reducing the chance of heart attack and strokes and various forms of cancer.”