1. Smoking in the Korean American Community Korean Quitline Webinar Wednesday, November 3, 2010

3. The Effects of Smoking Smoking is the number one preventable cause of death = 400,000 die each year in the US Kills more people each year than: Alcohol AIDS Car Accidents Illegal Drugs Murders Suicides House Fires All of the combined… * Campaign for Tobacco-Free Kids. Toll of Tobacco in the United States of America. 2010

4. Secondhand Smoke More than 40,000 people die each year in the United States from secondhand smoke-related diseases and conditions Over 4,000 chemicals in a cigarette 40+ chemicals are known carcinogens (cancer-causing) Secondhand smoke is more dangerous than firsthand because it is not filtered * U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. 2006.

5. National Smoking Prevalence * Center for Disease Control. Cigarette Smoking Among Adults – United States. 2007.

6. Washington Smoking Prevalence * Washington State Department of Health. Asian Americans and Tobacco in Washington. 2006.

7. Korean Smoking Prevalence by Study Reference Page: 1, 2, 3, 4, 5, 6

8. Korean Smoking Prevalence by Age Reference Page: 2, 3

9. Current Smoking Status by Study Reference Page: 1, 2

10. Smoking Cessation Interest Age vs. Generation Study: California 2005 Reference Page: 4

11. Smoking Cessation Interest Generation vs. Acculturation Reference Page: 4Study: California 2005

12. Smoking Cessation Interest Acculturation vs. Time in US Reference Page: 4Study: California 2005

13. Smoking Cessation Interest Hawaii (2004) Reference Page: 3

14. Korean Americans without Health Insurance Coverage Korean Americans have high rates of uninsured individuals Number of uninsured did not change with annual income or education level Uninsured are less likely to get preventive information from a medical professional, including on smoking and cessation Reference Page: 2, 3

15. Additional Study Findings Maryland Alcohol Use: Those who used to smoke were more likely to have drunk alcohol regularly than non- smokers Hypertension: Those with hypertension were more likely to have stopped smoking than those who did not have hypertension Reference Page: 2

16. Additional Study Findings Hawaii Health Effects: 87% of survey respondents felt that: secondhand smoke causes serious health problems smoking causes cancer a person’s right to breathe clean air is more important than the right to smoke Children’s Health: Former and current smokers were less likely to acknowledge the health effects of smoking except for secondhand smoke’s affect on children’s health Reference Page: 3

17. Additional Study Findings California Multiple Smokers: Korean smokers were less likely to intend to quit if more than one member of the household smoked Household Smoking Bans: Korean smokers living in households with partial or complete smoking bans were more likely to intend to quit Reference Page: 4

18. Asian Language Quitline Several studies found language was a major barrier in quitting, and those who didn’t speak English well were less likely to plan on quitting Lack of insurance prevents many from receiving smoking and cessation information from doctors Korean language Quitline provides free cessation support from Korean speaking counselors, as well as free nicotine replacement for Washington residents

19. Asian Language Quitline Currently only 1.3% of calls to the English language Quitline in Washington State are from Asian or Pacific Islander smokers Asian and Pacific Islanders make up almost 8% of the total population of Washington Studies found more Asian smokers call the language-specific Quitlines in California than the English-only Quitline a.Washington State Department of Health. b.Zhu S H, et al. Use of a Smokers’ Quitline by Asian Language Speakers: Results from 15 Years of Operation in California. Am J Public Health 2010; 100(5): 846-52.

20. Study References 1. Center for Disease Control. Behavioral Risk Factor Survey of Korean Americans – Alameda County, California. 1994. 2. Juon H S, et al. Acculturation and Cigarette Smoking Among Korean American Men. Yonsei Med J 2003; 44(5): 875-82. 3. Lee H R, et al. Health Behaviors of Koreans in Hawaii: Hawaii Korean Health Promotion Survey Report. 2005. 4. Myung S K, et al. Relationship between Household Smoking Restrictions and Intention to Quit Smoking among Korean American Male Smokers in California. J Korean Med Sci 2010; 25: 245-50. 5. California Health Information Survey. 2007. 6. South Korea Ministry for Health, Welfare and Family Affairs. 2009.