Tobacco-Related Health Disparities

In Fall 2020, the Northwest ATTC sponsored three presentations as part of the University of Washington’s course HSERV 556, "Tobacco-Related Health Disparities and Social Justice."

Those presentations, along with their slides and a Q&A, are available below.

THE TOBACCO EPIDEMIC IN THE U.S.

Beatriz Carlini, PhD, MPH
Research Scientist, Alcohol & Drug Abuse Institute, UW

In this presentation, Dr. Carlini covers background information about the tobacco epidemic in the U.S., particularly the cigarette epidemic, addresses disparities in the populations most vulnerable to tobacco addiction and related health effects, and describes emerging products and diseases related to tobacco, including the impact of smoking history on the severity of symptoms in people who contract COVID-19.

Presentation slides | Q&A


ADDRESSING EQUITY IN TOBACCO DEPENDENCE TREATMENT

Tim McAfee, MD, MPH
Former Director and Senior Medical Officer, Office on Smoking & Health, CDC (currently a consultant with the CDC)
Chief Medical Officer and Founder, Free & Clear (Optum)
Affiliate Faculty, Department of Health Services, UW

In this presentation, Dr. McAfee describes what is generally meant by tobacco “treatment,” from both a public health and clinical perspective; the unique health and equity issues that face smokers, including in the COVID era; and potential solutions for those issues.

Presentation slides | Q&A

 
TOBACCO AND OPIOID DEPENDENCE

Kimber P. Richter, PhD, MPH
Professor, Department of Population Health, KU Medical Center, University of Kansas
Director, UKanQuit at KUMed
Dr. Richter conducts federally funded research on tobacco treatment in rural primary care and hospitals.

Dr. Richter talks about the prevalence and health consequences of tobacco use among people with opioid use disorder, what helps them quit, opportunities for harm reduction, and what needs to happen in terms of future research and practice.  

Presentation slides | Q&A


ADDITIONAL RESOURCES

Interested in learning more about this topic? Here are some resources suggested by Dr. Beatriz Carlini.

Smokefree.gov resources that clinicians can refer their patients to for help quitting tobacco:   

Online Training: Rx for Change: Clinician-Assisted Tobacco Cessation (UCSF)

Rx for Change: Clinician-Assisted Tobacco Cessation is a comprehensive tobacco cessation training program from the University of California San Francisco (UCSF) that equips health professional students and practicing clinicians, of all disciplines, with evidence-based knowledge and skills for assisting patients with quitting. Includes virtual patient exercises.
 
Tobacco-related disparities (CDC)

The Center of Diseases Control and Prevention (CDC) page Tobacco-Related Disparities contains useful information on how tobacco use affects different segments of society, including race, ethnicity, age, gender, sexual orientation, socioeconomic status, place of residence, military status and mental health condition. 
 
Research, fact sheets, updates  

University of Wisconsin Center for Tobacco Research and Intervention offers a range of education materials for smokers, researchers, providers, and more.