Here are the facts

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Research shows nicotine can be just as addictive as heroin, cocaine, or alcohol.
Centers for Disease Control and Prevention. (n.d.). 50th anniversary: Surgeon General’s report on smoking and health. https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm

Research shows nicotine can be just as addictive as heroin, cocaine, or alcohol.

What’s a vaping myth teens fall for?

A
Strawberry vapes are the same as strawberries
B
Flavored vapes make your lungs smell good
C
Vaping doesn’t get you addicted
D
If you vape on Tuesdays, it doesn’t count
Florida Department of Health. (n.d.). FLHealthCharts – Youth Tobacco Survey Data.
https://www.flhealthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=SurveyData.YTS.Report&tabid=YTS

Yes, some teenagers still think you can’t get addicted to vapes. Can you believe it?

Not the right answer. Keep guessing.

Quitting tobacco helps you stay off other drugs and lowers the risk of relapse.
Centers for Disease Control and Prevention. (2024, May 15). What we know: Tobacco use and quitting among individuals with behavioral health conditions (Behavioral-health-p). https://www.cdc.gov/tobacco/health-equity/behavioral-health/pdfs/behavioral-health-p.pdf

Quitting tobacco helps you stay off other drugs and lowers the risk of relapse.

Naldi L. (2016). Psoriasis and smoking: links and risks. Psoriasis (Auckland, N.Z.), 6, 65–71. https://doi.org/10.2147/PTT.S85189

People who team up with their doctors have a better shot at quitting for good.

How many young vapers would quit if flavors disappeared?

A
10%
B
70%
C
30%
D
50%
Sidhu, N. K., Lechner, W. V., Cwalina, S. N., Whitted, L., Smiley, S. L., Barrington-Trimis, J. L., Cho, J., Wagener, T. L., Leventhal, A. M., & Tackett, A. P. (2021). Adolescent and young adult response to hypothetical e-liquid flavor restrictions. Journal of Studies on Alcohol and Drugs, 82(5). https://doi.org/10.15288/jsad.21-00466

Exactly. 70% of young vapers say they’d quit if vapes didn’t come in fruity or menthol flavors.

No, it’s way more than that. Try again.

García‑Rodríguez, O., Secades‑Villa, R., Flórez‑Salamanca, L., Okuda, M., Liu, S.-M., & Blanco, C. (2013). Probability and predictors of relapse to smoking: Results of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Drug and Alcohol Dependence, 132(3), 479–485. https://doi.org/10.1016/j.drugalcdep.2013.03.008

After quitting, most relapses happen in the first 3 months, but they can happen anytime.

Centers for Disease Control and Prevention. (n.d.). Tobacco use and quitting among individuals with behavioral health conditions: What we know. https://www.cdc.gov/tobacco/health-equity/behavioral-health/pdfs/behavioral-health-p.pdf

Quitting tobacco improves mental health, reducing anxiety, stress, and depression.

Which part of a hookah can expose you to heavy metals?

A
Charcoal
B
Foil
C
Bowl
D
All of the above
US Department of Health and Human Services. (n.d.). The Real Cost: Other tobacco products – Hookah. https://therealcost.betobaccofree.hhs.gov/other-tobacco-products/hookah

The charcoal, foil, and bowl of a hookah can expose you to heavy metals.

Not quite right. Keep guessing.

Centers for Disease Control and Prevention. (n.d.). Cigarettes and cancer. https://www.cdc.gov/tobacco/about/cigarettes-and-cancer.html#:~:text=The%20risk%20of%20developing%20cancer%20decreases%20over%20time:&text=5%20to%2010%20years%20after,cancer%20drops%20by%20about%20half

Quitting smoking cuts your lung cancer risk compared to those who keep smoking.

Brown, J. L., Rosen, D., Carmona, M. G., Parra, N., Hurley, M., & Cohen, J. E. (2023, August 17). Spinning a global web: Tactics used by Big Tobacco to attract children at tobacco points‑of‑sale. Tobacco Control. Advance online publication. https://doi.org/10.1136/tobaccocontrol-2021-057095

Cigarette ads are often placed right at kids’ eye level.

Is hookah smoke toxic?

A
No, it only gives your heart a workout
B
Yes, it clogs arteries and leads to heart disease
C
No, it’s just flavored air
D
Maybe, if you're over 30
Centers for Disease Control and Prevention. (n.d.). Hookahs. https://www.cdc.gov/tobacco/other-tobacco-products/hookahs.html

Yup, hookah smoke is toxic. It can clog your arteries and lead to heart disease.

That’s not it. Try again.

National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. (2012). Preventing tobacco use among youth and young adults: A report of the Surgeon General (Surgeon General’s report). Centers for Disease Control and Prevention. https://www.ncbi.nlm.nih.gov/books/NBK99238/

Cheaper tobacco prices make it easier for teens to start, try, and keep smoking.

Truth Initiative. (2023, April 5). Netflix streams 1.1 billion minutes of tobacco‑related imagery in newest season of F1 racing show. Truth Initiative. https://truthinitiative.org/research-resources/tobacco-pop-culture/netflix-streams-11-billion-minutes-tobacco-related-imagery

The tobacco industry uses streaming and sports like F1 to get to you.

Which cancers are linked to smokeless tobacco use?

A
Mouth cancer
B
Throat cancer
C
Pancreatic cancer
D
All of the above
Centers for Disease Control and Prevention. (n.d.). Health effects of smokeless tobacco. https://www.cdc.gov/tobacco/other-tobacco-products/smokeless-tobacco-health-effects.html

That’s right! Using smokeless tobacco can cause cancer of the mouth, throat, and pancreas.

No, keep guessing.

Smoking can lead to:

A
A mild flu
B
A rare case of teen pox
C
A healthier heart
D
Strokes and heart disease
Centers for Disease Control and Prevention. (2014). The health consequences of smoking—50 years of progress: A report of the Surgeon General.
https://www.cdc.gov/tobacco/data_statistics/sgr/50th-anniversary/index.htm

Yup. Smoking can cause strokes and heart disease.

No. No. No. Keep trying.

Public Health Law Center. (n.d.). *The verdict is in: Tobacco industry accountability and litigation* [PDF]. Mitchell Hamline School of Law. https://www.publichealthlawcenter.org/sites/default/files/resources/tclc-verdict-is-in.pdf

For years, tobacco brands have made vapes and cigs look cool to lure teens.

“Heat-not-burn” devices still hook you with:

A
Warm air
B
Only smoke
C
Nicotine
D
Nothing
Centers for Disease Control and Prevention. (2024, May 15). Heated tobacco products. https://www.cdc.gov/tobacco/other-tobacco-products/heated-tobacco-products.html

Literally yes, new “heat-not-burn” devices still dose you with nicotine.

Love the energy, but wrong answer. Keep trying.

Federal Trade Commission. (2024). E‑Cigarette report for 2021. https://www.ftc.gov/system/files/ftc_gov/pdf/E‑CigaretteReportfor2021.pdf

Vape companies are making billions by getting teens like you hooked.

Centers for Disease Control and Prevention. (n.d.). Secondhand smoke. https://www.cdc.gov/tobacco/secondhand-smoke/index.html

Just a little secondhand smoke can still be harmful or even deadly.

How much does smoking raise your risk of heart disease?

A
It doesn’t raise it
B
It increases it a little
C
It doubles or quadruples it
D
It only increases it after age 40
Centers for Disease Control and Prevention. (n.d.). Cigarettes and cardiovascular disease.
https://www.cdc.gov/tobacco/about/cigarettes-and-cardiovascular-disease.html

Yes, smoking doubles or even quadruples your risk of heart disease.

That’s not how smoking works. Try again.

U.S. Department of Health and Human Services. (2004). The health consequences of smoking: A report of the Surgeon General. National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. https://www.ncbi.nlm.nih.gov/books/NBK44324/pdf/Bookshelf_NBK44324.pdf

Secondhand smoke increases your risk of cancer, heart problems, and stroke, even if you don’t smoke.

What’s really hiding in tobacco smoke?

A
A secret flavor
B
Thousands of chemicals. Hundreds are toxic. At least 70 can cause cancer.
C
Pure oxygen
D
A harmless mist
U.S. Department of Health and Human Services. (2010). How tobacco smoke causes disease: What it means to you (consumer booklet).
https://www.cdc.gov/tobacco/data_statistics/sgr/2010/consumer_booklet/index.htm

Tobacco smoke has over 7,000 chemicals, hundreds of which are toxic, and around 70 can cause cancer.

Let’s be real, tobacco smoke is not harmless. Try again.

What happens to your stress levels when you quit?

A
They actually drop
B
No change
C
Depends on the day
D
Total meltdown
Parrott, A. C., & Murphy, R. S. (2012). Explaining the stress-inducing effects of nicotine to cigarette smokers. Human psychopharmacology, 27(2), 150–155. https://doi.org/10.1002/hup.1247

People think quitting increases stress, but it actually lowers it.

A confident take, but incorrect. Keep trying.

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