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LATEST INFORMATION ON
TOBACCO, MARIJUANA,
ELECTRONIC SMOKING DEVICE
USE/PRODUCTS
QUITTING TOBACCO
RESOURCES
Bob Doyle
Director of Lung Health
American Lung Association in Colorado
COMPARING USE – HIGH SCHOOL
Behavior Use Rate
Soda in last seven days 17%
Energy drink last seven days 5%
Alcohol last 30 days 30%
Marijuana Use Last 30 Days 21%
Prescription drugs last 30 days 6.7%
Cigarette last 30 days 8.6%
Cigar use last 30 days 8.9%
Chew use last 30 days 4.9%
Electronic smoking device use last 30
days
26%
Youth using any tobacco product 30%
Youth exposed to home tobacco
smoke in last 7 days
16%
TOBACCO USE RATES BY POPULATION
COLORADO HIGH SCHOOL
CHKS 2015
Population Use
9th grade 19.7%
10th grade 29.8%
11th grade 32.8%
12th grade 38.7%
TOBACCO USE RATES BY POPULATION
COLORADO HIGH SCHOOL YOUTH COLORADO HEALTHY KIDS SURVEY 2015
Population Rate
African American/Black 20%
White 30%
Hispanic 31%
Multiple race 35%
Gay and Lesbian 40%
American Indian/Alaska Native 26%
Asian 9%
COLORADO HIGH SCHOOL YOUTH
CHEWING TOBACCO RATES COLORADO HEALTHY KIDS SURVEY 2015
Population Chewing Tobacco Rate
High School Rate 4.9%
Male /Female 7.3%/2.2%
American Indian 9.3%
Black/African American 2.4%
White 5.3%
Hispanic Only 3.3%
Multi Racial 7.4%
PUEBLO AND COLORADO HIGH SCHOOL MARIJUANA USE LAST 30 DAYS COLORADO HEALTHY KIDS SURVEY 2015
Population Pueblo State
Total 30.1% 21.1%
9th Grade 22.9% 12.4%
10th grade 28.1% 18.8%
11th grade 34.6% 26.3%
12th grade 36.3% 27.8%
TYPE OF MARIJUANA USE AMONG
COLORADO HIGH SCHOOL YOUTH COLORADO HEALTHY KIDS SURVEY 2015
Type of Marijuana Use Use Among High School Marijuana Users
Vaporizing 21% (28% for males vs 14% female)
Ate 27% (31% males vs 23% females)
Smoked 91% (90% male vs. 93% female)
COLORADO ADULT SMOKING RATES SOURCE: CDPHE TABS
Overall Adults 17.3%
Low Income 27%
Latino 21.8%
Black/African American 23.7%
Persons with mental illness 32.9%
Gay and Lesbian 33.4%
18-24 non student 31.9%
Low income – no high school
graduation
35.2%
ADULT CHEW RATES COLORADO COLORADO TABS
Population Chew Rates
18-24 8.5%
25-44 8.4%
45-64 6.3%
COLORADO TOBACCO IMPACT SOURCE: CAMPAIGN FOR TOBACCO FREE KIDS
Annual smoking deaths 5,100
Annual Healthcare costs for smoking: $1.89 billion
Annual Medicaid costs from smoking: $386 million
Annual lost productivity from smoking: $1.27 billion
ADULT MARIJUANA USE RATES -
COLORADO
Overall adult rate is 13.7%
Higher Use Rates Among:
Low income adults (almost 20%)
Black Adults (almost 20%)
18-24 Year Olds (almost 30%)
Gay and Lesbian Adults (Over 30%)
Daily use Among Colorado Adult Marijuana Users: 33.2%
MARIJUANA IMPACT COLORADO
Increasing ER visits
Increasing hospitalizations
Increasing auto fatalities with mj positive
drivers
Other impacts – workplace, schools, etc.
MANIPULATING THE PRODUCT
A CANDY FLAVORED TOBACCO WORLD
FOR YOUTH (,MENTHOL CIGARETTES AND CANDY FLAVORED CHEW, E-
CIGARETTES, AND HOOKAH TOBACCO)
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THC 0.2 0.2 0.4 0.5 1 1 1.5 3.3 3.3 3.5 3.5 3.1 3.1 4 4.5 5.2 5 4.7 5.4 6.2 7.3 7.2 8.3 8.1 9.1 10 10 9.9 11 11
CBD 0.3 0.3 0.4 0.4 0.3 0.3 0.4 0.4 0.4 0.4 0.5 0.5 0.4 0.5 0.5 0.5 0.5 0.5 0.4
0
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MA
RIJ
UA
NA
PO
TEN
CY
CBD: NON-
Psychoactive Ingredient
Average THC and CBD Levels in the US: 1960 - 2011
Source: Mehmedic et al., 2010
THC: Psychoactive
Ingredient
16
MANIPULATING THE PRODUCT FOR NEW USERS LOW THC SODA –
LOWERING HARM PERCEPTION
TARGETING YOUTH
ELECTRONIC SMOKING DEVICES
Perfect Storm – Growing World of
Nicotine and Marijuana Electronic
Smoking Devices
DEVICES USED FOR SEVERAL DRUGS
http://www.wftv.com/news/news/local/9-investigates-drug-use-schools-using-hookah-pens/nfwKk/
ELECTRONIC SMOKING DEVICES
NICOTINE
“…offering cannabis consumers
a stealthy, convenient way to
get high in almost any location
or situation.” High Times Magazine March 28, 2013
“…it will produce almost
scentless vapor and can be hit
easily in a bathroom or on the
street.”
The Ipod of Getting Baked, Rolling Stone, June
20, 2013
(80 to 90% THC) Concentrates
“Shatter”
Butane Hash Oil
(BHO)
“Budder”
“Green
Crack”
Wax
“Ear Wax”
What type of marijuana can be used, and is
promoted for use, in electronic smoking
devices?
Disposable
vape pen
with 60-70%
pure THC Oil
CONFISCATED VAPORIZERS FROM HIGH SCHOOL STUDENTS IN COLORADO
ELECTRONIC
SMOKING
DEVICE FOR
E-JUICE AND
MARIJUANA
VooDoo e-pen Side of box – promoting its
use with mj wax/oil– high
THC
Back of box – promoting
its use with flavored e-
juice
MEDICAL AD? NOT A PRESCRIPTION NO REQUIRED MEDICAL PROTOCOLS
NO DOSAGE
NO DURATION
18 VS. 21 2 0Z VS. 1 OZ
CANNABIS BASED MEDICINE
THE SMOKE-FREE/AEROSOL FREE
MOVEMENT
QUITTING TOBACCO USE FACTS
Smokers who saw a healthcare provider n the last year and
advised on quitting was 68%
Latino smokers more likely to make a quit attempt (65 vs 50%)
More than half of adult and youth smokers attempt quit in last year
Of smokers who made a quit attempt in the previous year , 31%
used an evidenced based treatment (counseling or NRT)
NOT ON
TOBACCO RACE/ETHNICITY
NOT ON TOBACCO QUIT RATES BY
PRODUCT TYPE
RESOURCES
Quit Smoking Resources
NOT – teen cessation program – free for any school, youth serving site
Colorado Quitline
ACA coverage through health plans
Medicaid
Two 90 day quit attempts
American Lung Association - Freedom From Smoking –
Online – FFS Plus debut end of September
Lung Helpline
On site classes
Colorado Crisis Services
COLORADO QUITLINE
Free for 15 years and up
Assigned a quit coach
Must be 18 to be eligible for free patches
1-800-quit-now (784-8669)
www.coquitline.org
Fax and online referrals from providers
FDA APPROVED QUIT SMOKING
PRODUCTS
Nicotine patch
Nicotine gum
Nicotine lozenge
Nicotine Inhaler
Nicotine spray
Chantix
Zyban
Electronic Smoking Devices are NOT FDA approved quit smoking products
COLORADO CRISIS SERVICES
http://coloradocrisisservices.org/
1-844-493-talk (8255)
Mental health, substance use or emotional help for yourself or
someone you know. Provides confidential and immediate
support, 24/7/365. Toll-free number 1-844-493-TALK (8255) or text
TALK to 38255 to speak to a trained professional.
Walk-in Clinics Available
Mobile care - With a referral from a Crisis Services Clinician, may
send out a mental health professional to provide a face-to-face
assessment.
