Smoking in Canada 1 Introduction Smoking is a serious concern for the entire world because it has adverse impact on the health of people. Large numbers of people are facing addiction of smoking or using tobacco products in the world and the scenario is not different in Canada. This report analyses the health issues related to smoking in Canadian people. The report also helps to understand the role of nurses in preventing smoking in the country and aware the young Canadian people about the harmful effect of smoking on their health. However, there are several social determinants factors that are responsible for smoking in people has been also discussed in this report with a brief overview about the epidemiological factors which essential to identify the harmful effect of smoking in people. Apart from this, the report will also highlight the role of primary healthcare organisation and role of nurses in prevention of smoking in people. Overview about Smoking in Canada According to a survey conducted in 2011, one in every five Canadian people is addicted of smoking or using any tobacco products. It means more than 5.8 million Canadian people are involved in using tobacco products through smoking. 22.3% of men are addicted of smoking while 17.5% women are addicted of smoking. While 23.5% men are addicted of heavy smoking or chain smoking issues and 14.2% women are addicted of heavy smoking (Djalalov, Masucci, Isaranuwatchai, Evans, Peter, Truscott, & Hoch, 2018). However, the issues related to smoking have been observed in huge numbers in Canadian teenagers (between 15 to 19 years old), which is higher than any other group of people in Canada (Larsen, To, Irving, Boak, Hamilton, Mann, & Faulkner, 2017). More than 30% of youths are regular smokers while among them 21% regular smokers in home. However, the major issue with smoking is that it lowers the life expectancy rate of people and leads to several dangerous disease like Cancer, Cardiovascular disease, heart attack, Tuberculosis and Asthma etc. According to a report, more than 20,000 deaths have been recorded due to lung cancer, which is 27% of total numbers of death due to cancer in Canada. However, the current smoking rate in Canada is 19.9% in people (above than 12 years) and it was lower than 2001 when 25% of people were reported to smoking in the country (Brobeck, Bergh, Odencrants, & Hildingh, 2011). Smoking is the cause of many other type of chronic disease such as lung cancer, Tuberculosis, Asthma, hearth attack etc. According to a report published by WHO, more than
Smoking in Canada 2 7 million people death has been recorded every year because of smoking while 1.2 million people are died because they were being exposed to second hand smoke and they were not smokers (Kreatsoulas & Anand, 2010). Currently more than 1.1 billion people are smokers and among them, 80% people are living in the low-income and middle-income group of countries (David, Esson, Perucic, & Fitzpatrick, 2010). However, these statistics in USA are also very high and a great concern for the USA government. More than 16 million American living with a disease caused by smoking and at least 30 people is living with the serious disease, which is caused by Tobacco. If the habit of people or pattern of smoking will not change globally, more than 8 million people will die every year because of smoking by 2030. Social Determinants factors in Canada and Its impact on Smoking Social determinants are those factors that cause health issues in people or help to eliminate the health issues from the society. These factors are related with economic or social conditions that influence the current health status of people or community. Social determinants of health affect factors that are related to the health outcomes (Kreatsoulas & Anand, 2010). The social determinant factors generally include employment or unemployment situation, poverty, education, economic situation like housing or proper arrangement of foods, earning, or occupation of person etc. These factors are generally related to social, nature, socioeconomic factors, and behavioural factors of the people (Krueger, Krueger, & Koot, 2015). However, the major social determinant factors that are related to smoking are as follow: Economic conditions or Poverty:Most of the people in Canada understand that smoking is the best way of releasing economic pressure or avoiding issues related to poverty. People who are faces extreme economic pressure or jobless in the country are habituated to smoking. Around 4.9 million in Canada are living under poverty. It means every one out of seven people is facing poor economic situation and among them 75% people are addicted of smoking. More than 59% women are facing extreme issues related to poverty among them 30% women are addicted of smoking (Kreatsoulas & Anand, 2010). Education:Education is also an important factor in avoiding smoking in the country. It has been seen that extreme education pressure of stress of building career in the professional field forces the youngsters to use smoking products in night. Apart from this, it has been seen that large numbers of people even know the harmful effect of smoking
Smoking in Canada 3 products despite being they are regularly using cigarettes and other tobacco products in Canada (White, Rynard, Reid, Ahmed, Burkhalter, & Hammond, 2015). Society and Culture:The youngsters, who are living in professional life and spending their most of the time in the occupation and other business related activity, are also addicted of smoking. However, the impact of society and other people in the family directly affect the mentality of people over smoking. Large numbers of teenagers try to use smoking products after watching their parents that they used it on regular basis. This is the real problem in upper middle or higher income class of people in Canada (Hosseinpoor, Parker, d'Espaignet, & Chatterji, 2011). Income of People:Smoking is the major health issue in developing and underdeveloped countries because it is related with low income of people. Around 5 million people in Canada are living with very low income jobs are even searching for jobs for their life. The stress of low income and poor economic conditions of family force the people towards the alcoholism and smoking. There are large numbers of people in Canada belongs to this group of people. However, these factors are really crucial to understand the impact of smoking and its causes in Canada. To avoid the concerns related to smoking in the world, the primary healthcare Nurses in Canada can play a crucial role in avoiding issues related with smoking or consumption of tobacco products in form of smoking. This could be possible if both private and public primary healthcare organisation follow the five key principles of WHO (Wilson & Cardwell, 2012). The WHO has defined five key principles to ensure a better health facility for the people through avoiding healthcare inequalities and social injustice in the various countries. The five key principles are Accessibility, participation of community, health promotion, use of technology, and Intersectoral cooperation (Friedberg, Hussey, & Schneider, 2010). The accessibility ensures that distribution of healthcare facilities, professionals, and resources should be on equal basis for rural, urban, and remote areas. This means health equalities should be considered for all the people. The public participation people should be encouraged to make decision about their own health by identifying their health needs and requirements. The third principle health promotion includes provide education and awareness about the health issues to the people. The use of technology helps in research and finding new ways to eliminate or reduce the health issue from the society (Prus,
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Smoking in Canada 4 2011). The fifth principle is intersectoral cooperation that prefers that health and well-being of people is linked with both economic policies and social policies of the country. Epidemiological Factors in Prevention of Smoking in Canada Large numbers of people in Canada are addicted of smoking and most of them are youngsters including male and female both. More than 10.8% of Canadians (approximately 3.3 million people) are daily smokers in the country while 4.3% (1.3 million people) are non- daily smokers (Xiao, Zhou, Xu, Xu, Huang, Lu, & Wu, 2016). The engagement of youngsters in smoking is a real concern for the Canadian government because large numbers of young people and young adult who are facing unemployment and poor economic conditions are habitual of smoking. However, the number of statistics related to smokers not change since 2017 and it is still the same. The major reason of using tobacco products is mental stress or economic burden on the people. While some of the youngsters are addicted of smoking products because of their alcoholism addiction (Yong, Borland, Cummings, & Partos, 2018). However, unemployment of people and social culture cannot be ignored in this matter because large numbers of young children learn or copy the act of their parents and smoking is one of them. One in every six young people (16.4% between age 15 to 19 years) are reported for consuming smoking products in the Canada. However, most of them are non-daily smokers. However, the most of youngsters usually obtained their cigarettes from social sources like buying, taking, or given by friend or family members. Some of the people are not usually take or consume cigarettes or tobacco products like cigar or cigarettes but they became victim of second hand smoke when they stand near a person who smoke or suing tobacco products (Prus, 2011). Role of Primary Healthcare Nurses in Canada to Prevent Smoking and Importance of Cultural Competence The roles of primary healthcare nurses are so crucial in preventing smoking addiction in the community. Nurses can help the young people to avoid to smoking and can explain the people that how smoking is dangerous for their health (Wilson & Cardwell, 2012). A key principle of WHO is participation of community members in the healthcare programs. The success of nurses depend when people cooperates their initiatives and avoid buying or consuming cigarettes from the shops. The role of nurses in the country is to provide best healthcare facilities to the people who need better treatment and healthcare suggestions to
Smoking in Canada 5 stay health and fit. The nurses can also play a role of counsellors in rural areas or in schools to tell about the harmful effect of smoking in youngsters (Velez, Rosendaal, Alvarado, da Câmara, Belanger, & Pirkle, 2019). Usually it has been seen that youngsters generally arrange the smoking products from the social resources such as shops and friends or family members. However, the government here can also play a major role by preventing or banning those companies that are producing cigarettes or cigar for the people and force them towards cancer (McNeil, Kerr, Lampkin, & Small, 2015). Education people about the harmful effect of cigarettes can be a best idea to use primary healthcare nurses and reduces the cases of smoking and other health related issues that are related with smoking. Large numbers of people who live in rural area of Canada or in remote areas do not have proper information about the Canadian laws related to smoking and its prevention (Niaz, Godman, Massele, Campbell, Kurdi, Kagoya, & Kibuule, 2018). The lack of awareness about the clinical guidelines published to reduce smoking in the country is possible because the healthcare facilities of the country cannot reach to this specific group of people because of their culture competence. Canada is wide diverse culture country where large numbers of people belong to indigenous and rural areas and it is really difficult for a nurse of primary healthcare system to understand their needs and educate them about the harmful effect of smoking (Wilson & Cardwell, 2012). The nurses can talk to them and change their mentality and perception about the smoking and asked them to avoid such type of poisonous products to stay healthy and fit. Conclusion On the basis of above study, it can be concluded that smoking is a common issue in Canada and it is really difficult for the country to eliminate it with the society. Large numbers of youngsters are facing high level of addiction of smoking products and alcoholism provides the basis for it. It is also crucial to understand that the role of nurses are very important in eliminating smoking from the society as they can persuade and educate people who lives in indigenous and remote areas of Canada. The primary healthcare organisations can also reduce the numbers of cases of related to smoking disease by following the five key principles of WHO related to effective practice of primary healthcare services and professionals.
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