1. JOURNAL List 5 reasons why you think some teens start to use tobacco.

2. Choosing to be Tobacco Free

3. The good news: - The majority of young teens don’t smoke, in addition, smoking amongst high school students has declined. The bad news: -Each day 4,800 teens try their first cigarette. - Of this group, 2,000 will become regular smokers. - 1/3 of this group will die from smoking related diseases.

4. Why teens start smoking: Internal Influences: Stress Weight Image Peer Acceptance Independence

5. Why teens start smoking cont….. External Influences: -Imitate role model -Peer Pressure -Entertainment -Advertising -Family Members/Adults

6. HOW NOT TO START 1. Choose friends who don’t use tobacco 2.Avoid situations where is present. 3. Use refusal skills: NO, EXCUSE, WALK AWAY

7. Strategies for Quitting 1. Cold Turkey – stopping all at once 2. Nicotine Patch - a medication that allows tobacco users to give up tobacco right away while gradually cutting down on the nicotine.

8. E – Cigarettes (electronic cigarettes): Contain zero tobacco Device heats up liquid nicotine and turns to vapor. Alternative to inhaling tobacco smoke. Different levels of nicotine cartridges are purchased.

9. E-Cigarettes