social determinants of drug usage bonnie halpern-felsher, phd professor of pediatrics
TRANSCRIPT
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Social Determinants of Drug Usage
Bonnie Halpern-Felsher, PhD
Professor of Pediatrics
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Social Determinants of Drug Usage
Don’t Be Duped!!!
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Setting the Ground Rules
• OK to ask questions, but Stay on Target!
• Raise your hand (usually)
• Confidential discussion
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List Types of Drugs
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Why Do We Care About Drug Usage?
List Some Outcomes…
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Cost!
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Addiction
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I Can Just Have 1-2 Cigarettes…
I can easily quit…
True or False?
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I Can Just Have 1-2 Cigarettes…
I can easily quit…
False!…
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What Causes the Addiction?
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Nicotine
• An addictive alkaloid produced and found in the leaves of the tobacco plant
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Did the Tobacco Industry Manipulate Nicotine
Levels?
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Did the Tobacco Industry Manipulate Nicotine
Levels?
YES!!!!!
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DON’T BE DUPED!!!!!
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How Much Alcohol Is In A Drink?
Depends on Size and Type of Drink
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How Much Alcohol Is In A Drink?
= =
12 oz of beer = 5 oz of table wine = 1/5 oz of hard liquor
5% alcohol 12% alcohol 40% alcohol
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What is BAC?
• Blood Alcohol Concentration– Amount of alcohol in your body–Measured in grams of alcohol per
100 milliliters of blood– Takes 30-60 minutes after last drink
for BAC to reach its highest concentration
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What Affects BAC?• Amount you drink• Time period over which you drink• Weight• Time since last ate• Level of physical fitness• Health of your liver• Gender• Type of drink
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What Affects BAC?
• For women: 1 standard drink each hour
• For men: 1-2 standard drinks per hour and 1 standard drink per hour after
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California BAC for DUI?
• .08% BAC for adults• 0% FOR YOU!
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So, If Drug Use Is So Bad…Why Do Teens Use Drugs?
List some reasons…
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Why Do Teens Use Drugs?
• Advertisements
• Peer Pressure
• Perceived Benefits
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ADVERTISEMENTS
• Cigarette and alcohol companies claim they do not advertise to kids
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ADVERTISEMENTS
• Cigarette and alcohol companies claim they do not advertise to kids
Do you agree???
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• Sweetened alcoholic beverages that are often bubbly and taste like soda, fruit juice, or energy drinks
• Packaging similar to nonalcoholic drinks
ALCOPOPS
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Can YOU Pick Out the Alcohol?
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Alcopops are made to look and taste like juice, soda, tea,
and other soft drinks:
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ADVERTISEMENTS
• Cigarette and alcohol companies claim they do not advertise to kids
Do you agree???
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Far More Money is Spent on Advertising than
Interventions or Cessation
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PEER PRESSURE
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What is Peer Pressure?
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Why Is It So Hard to Resist Peer Pressure?
• Afraid of being rejected• Want to be liked• Don’t want to lose a friend• Don’t want to hurt someone’s
feelings• Aren’t sure what you really
want• Don’t know how to get out of
the situation
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Resisting Peer Pressure
YOU HAVE THE RIGHT TO RESIST!!!
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What Are Some Ways You Think You Can Avoid Peer
Pressure?
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Resisting Peer Pressure
• Say no over and over• Say no and leave• Change the subject• Ignore and walk away• Suggest an alternative• Say you’re not allowed• Give a reason why you can’t
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Resisting Peer Pressure
• DO:– Say no assertively– Suggest something else to do– Stand up for self and others–Walk away–Do something else with other
friends
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Resisting Peer Pressure
• Don’t:– Attend a party unprepared to
resist peer pressure– Attend a party without adult
supervision– Be afraid to say no– Mumble– Say no too aggressively– Act like a Know-it-all
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A Few More Thoughts• Don’t put your cup/glass down• Lie• Pretend• Blame on parent
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Hey – want to come drinking with us?
• What would YOU do?
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Hey – want to come drinking with us?
• Um…sorry…I …uh…have a thing…
• No thanks. I don’t want to.• No, and you shouldn’t either. It’s
really bad for you.• Oh my! Did you see what that
guy was wearing?
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WHAT CAN YOU DO to AVOID USING DRUGS?
• Make a commitment.– Commit to NOT using alcohol until
legal age of 21.–Decide that you do not want your
life to be ruled by an addiction.
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WHAT CAN YOU DO to AVOID USING DRUGS?
• Know the truth.–Despite all the alcohol and tobacco
used on TV and in the movies … most teens, adults, and athletes don’t use alcohol.
–Don’t let the industry fool you.
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WHAT CAN YOU DO to AVOID USING DRUGS?
• Get involved in sports and other activities.– Students who are involved in
extracurricular activities are less likely to use alcohol, tobacco or other drugs.
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WHAT CAN YOU DO to AVOID USING DRUGS?
• Spend your money on things.• Find other ways to gain the
benefits• Get involved:– Spread the word about the
dangers of drug use– Start or join an activist group
against drugs–Write letters!
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DON’T BE DUPED!!!!!!!!!