Sevier County Kick Butts 2015 a Tobacco Use Prevention Program targeting middle school age students (11 to 14 years old)

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Sevier County Kick Butts 2015 a Tobacco Use Prevention Program targeting middle school age students (11 to 14 years old) Two-day event held at three schools in Sevier County (6 th, 7 th & 8 th graders). Community Partners included: Sevier County Health Department, Sevier County Schools, Coordinated School Health, East Tennessee State University Quillen College of Medicine, East Tennessee State University College of Public Health

Collaborate with community partners to conduct an educational carnival focused on encouraging children not to start using tobacco. Rotate students through a series of stations set up with displays, demonstrations, games, and information that address the impact that tobacco products have on a person s life & health. Provide promotional incentives (wrist bands, stickers & activity books) that support the project activities.

Use pre and post-test to measure what students learn about the impact of tobacco products on a person s life & health from the carnival activities. Participate in statewide data collection plan on this topic. Submit semi-annual projects outputs report to TDH using Survey Gizmo. Participate in statewide training opportunities for all counties implementing projects on this topic.

Raise awareness of the problem of tobacco use in their state or community; Encourage youth to reject the tobacco industry's deceptive marketing and stay tobacco-free; and Urge elected officials to take action to protect kids from tobacco.

Students will learn the financial short & longterm costs of smoking. Each student will be given seven fake $5.00 bills for a total of $35.00. Presenter uses a poster, fake money, & props such as a computer gaming station to demonstrate how much a person can purchase if they do not smoke.

Students will learn about the effects of smokeless tobacco on the mouth. A Mr. Gross Mouth model is used to demonstrate the effects of smokeless tobacco on the mouth. Fill jar of smokeless tobacco with water. Pour liquid mixture into the mouth model. Use a tongue depressor to push tongue down which will cause the mouth model to spit. Presenter will discuss poster & have facts on smokeless tobacco. Handout brochure on smokeless tobacco.

Students learn the harmful effects of tobacco use & how damaging lung effects begin to take place within 10 mins of smoking the first cigarette. Student place a straw in their mouth to mimic the decreased lung capacity smoking causes. Each student will jog in place for one minute to see how they are short of breath.

Students learn statistics & information regarding smoking during the high school years. Statistics about use, side effects & consequences of smoking cigarettes. Supplemental information to support lifestyle choices that will prevent use or future use. The station will have manipulatives & brochures to engage students.

Students learn that secondhand smoking occurs & its consequences. Using a display unit & cigarette model showing toxins in cigarettes students will learn about the numerous effects of secondhand smoke including the effects on pets.

Students learn about diseases caused by smoking including chronic bronchitis, emphysema, and manifestations of COPD Using Clem s Phlegm prop, students engage in interactive talk about the biological effects of cigarette smoke, the lungs, the pathophysiology of chronic bronchitis & emphysema. Diagrams will be drawn on white board illustrating the effects of smoking.

Students learn how many people die each year in TN & in the USA in a year. Students engage in discussion of tobaccorelated deaths by using building blocks to represent numbers of people who die from tobacco each year (one block equals 200 people).

Students learn how electronic cigarettes compare to traditional tobacco cigarettes. Students engage in active discussion about risks of electronic cigarettes including toxins & nicotine. Clarify that electronic cigarettes are a new way to smoke not a tool to quit smoking.

Participant Summary Participants Count Grade Range Number of males (Posttest) 104 (45.2%) 6 th 7 th 8 th Number of females (Posttest) 126 (54.8%) 6 th 7 th 8 th Total number of participants (Posttest) 230 6 th 7 th 8 th

Survey Question Pre Test Post Test Percentage Change 1. Are you a Boy/Girl? Boys 48.6% (108) Girls 51.4% (114) 2. What grade are you in? 6 th 7.2% (16) 7 th 29.7% (66) 8 th 63.1% (140) Boys 45.2% (104) Girls 54.8% (126) 6 th 7.4% (17) 7 th 28.7% (66) 8 th 63.5% (146) NA 0.4% (1) NA NA 3. Have you ever tried tobacco products (cigarettes, cigars, dip, chew) or e-cigarettes? (Yes a, b, c answers) 28.4% (63) 31.3% (72) NA 4. Which grade were you in when you first tried cigarette smoking, even one or two puffs? Never 76.1% (169) 1 st -3 rd 5.0% (11) 4 th -6 th 9.45% (21) 7 th -8 th 9.45% (21) Never 70% (161) 1 st -3 rd 6.5% (15) 4 th -6 th 11.4% (26) 7 th -8 th 11.7% (27) NR 0.4% (1) NA 5. How long does it take for a nonsmoker to be affected by secondhand smoke? (5 minutes) 117 172 +47.0%

Survey Question Pre Test Post Test Percentage Change 5. How long does it take for a nonsmoker to be affected by secondhand smoke? (5 minutes) 117 172 +47.0% 6. Effects of smoking on your mouth include: (all of the above) 203 216 +6.4% 7. The harmful cancer-causing substances found in cigarettes begin to build up in your body within 30 minutes of smoking your FIRST cigarette. (True) 173 210 +21.4 8. How many Americans smoke tobacco? (18%) 11 18 +63.6% 9. How much does a pack of cigarettes cost? ($5.00) 88 208 +136.4% 10. What organs in your body are affected by smoking? (All of the above) 147 211 +43.5%

11. About how many people die in Tennessee each year from smoking-related causes? (10,000) 39 177 +353.8% 12. What harmful chemicals are found in tobacco products? (All of the above} 151 206 +36.4% 13. E-cigarettes are sold as: a. A new way to smoke b. A way to quit smoking c. A way to help breathing d. A way to smoke indoors a. 73 (32.8%) b. 111 (50%) c. 5 (2.3%) d. 31 (14%) NR 2 (0.9%) a. 149 (64.8%) b. 57 (24.8%) c. 4 (1.7%) d. 16 (7.0%) NR 4 (1.7%) a. +100.4% b. -48.6% c. -20% d. -48.4% 14. Youth who use smokeless tobacco (spit/chew) are more likely to become cigarette smokers? (True) 144 207 +43.8% 15. How likely are you to consider tobacco use based on the information you heard at the Kick Butts Day about the risks associated with tobacco use? a. Less likely to consider tobacco use 176 (76.5%) b. More likely to consider tobacco use 14 (6.1%) c. No change one way or other 31 (13.5%) d. I use tobacco products, and now I want to stop - 7 (3.0%) OVERALL Percentage Change (Questions 5-13)(9 questions) 1002 1567 +56.4%

Dental Hygienists conducting anti-tobacco education inside the school system in combination with oral health message. Primary Prevention Initiative Outreach being conducted throughout the East Region within the school system. Tobacco Settlement Funding set aside yr. 1-3 for incentives, pamphlets, posters, etc.