2. Social Smoking Module 6

3. Tobacco 101: Module 63 Social Smoking Social (intermittent) smokers light up regularly but not daily. They think, "I will smoke a little in social situations and quit later.“ Fiction: Smoking with my friends won’t hurt me. Fact: Social smoking is smoking.

4. Tobacco 101: Module 64 Social Smoking Social smoking is smoking. Social smoking can lead to regular smoking. Fiction: Real smokers are people who can’t make it through a day without their cigarettes. Fact: Social smoking can lead to regular smoking. You can have fun without smoking.

5. Tobacco 101: Module 65 Social Smoking If you smoke or are around tobacco smoke, you are at an increased risk for cancer and heart disease. There is hardly a part of the human body that's not affected by the chemicals in tobacco. Fiction: There’s no risk of getting cancer if someone only smokes for a few years. Fact: If you smoke at all, you are at an increased risk for cancer and heart disease.

6. Tobacco 101: Module 66 Social Smoking Slide 3: Ackerson, L. K., and K. Viswanath. 2009. “Communication Inequalities, Social Determinants, and Intermittent Smoking in the 2003 Health Information National Trends Survey.” Preventing Chronic Disease 6(2). http://www.cdc.gov/pcd/issues/2009/apr/08_0076.htm Slide 4: North Carolina Health and Wellness Trust Fund. “Tobacco Free Colleges: Social Smoking,” accessed January 10, 2012, http://www.tobaccofreecollegesnc.com/elements/files/Social_fact_sheets_college.pdf Slide 5: –Centers for Disease Control and Prevention. “Highlights: Overview of Findings Regarding Cancer,” accessed January 10, 2012, http://www.cdc.gov/tobacco/data_statistics/sgr/2010/highlight_sheets/pdfs/overview_cancer.pdf http://www.cdc.gov/tobacco/data_statistics/sgr/2010/highlight_sheets/pdfs/overview_cancer.pdf –Partnership for a Tobacco-Free Maine. 2008. “Why Quit?” http://www.tobaccofreemaine.org/quit_tobacco/index.php http://www.tobaccofreemaine.org/quit_tobacco/index.php –Weitzman, M., S. Cook, P. Auinger, T. A. Florin, S. Daniels, M. Nguyen, and J. P. Winickoff. 2005. “Pediatric Cardiology: Tobacco Smoke Exposure Is Associated With the Metabolic Syndrome in Adolescents.” Circulation 112:862–869. http://circ.ahajournals.org/content/112/6/862.longhttp://circ.ahajournals.org/content/112/6/862.long References

7. Tobacco 101: Module 67 Social Smoking Slides 1 and 2: Photographs courtesy of iStockphoto. Slide 3: Photograph courtesy of Thinkstock/Photos.com. Slide 4: Photograph courtesy of Dragan Trifunovic/Photos.com. Slide 5: Photograph courtesy of iStockphoto. Photographs are used for illustrative purposes only, and any persons depicted are models. Photograph Credits

8. Prepared by Sterling Fulton-Smith, North Carolina Department of Health and Human Services; Sandhya Joshi, RTI International; Caley Burrus, Duke University; Ronny Bell, Maya Angelou Center for Health Equity; and Barri Burrus, RTI International. March 2012