Nicotine - Stigma: Difference between revisions

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=='''Reccomendations: PWS (People Who Smoke)'''==
=='''Reccomendations: PWS (People Who Smoke)'''==
===American Psychiatric Nurses Association: [https://www.apna.org/wp-content/uploads/2021/03/Tobacco_Dependence_Treatment_Position_Statement_07_20.pdf POSITION STATEMENT: Psychiatric-Mental Health Nursing’s Role in Tobacco Treatment]===
*"...“smoker” replaced with person-first language such as “person who smokes.”
===Anesthesia Experts - [https://anesthesiaexperts.com/uncategorized/person-first-language-anesthesiology-care/ Person-First Language in Anesthesiology Care]===
*So, is person-first language objectively superior to nonperson-first language? An increasing body of research suggests that it is. Many of the diseases and conditions frequently used to stand in for a person with the condition are those in which there is an unstated or even explicit implication that lifestyle choices are responsible for the condition (alcoholic, addict, diabetic, cirrhotic) or otherwise telegraph shame directed at the patient with the diagnosis (obese, epileptic, smoker). Using person-first language promotes respect and dignity for patients. Describing someone as “a patient with diabetes” rather than “a diabetic” acknowledges that the person is more than just their illness and recognizes their individuality. Using person-first language also helps to avoid stigmatization and discrimination, which can have a negative impact on a patient’s mental and physical well-being (Diabetes Spectr 2018;31:58-64). This may be especially true for mental health conditions, substance use disorders, painful syndromes, eating or body image-related conditions, and in obstetric care (Int J Drug Policy 2010;21:202-7).


===CDC - Centers for Disease Control and Prevention: [https://www.cdc.gov/healthcommunication/Preferred_Terms.html Preferred Terms for Select Population Groups & Communities]===
===CDC - Centers for Disease Control and Prevention: [https://www.cdc.gov/healthcommunication/Preferred_Terms.html Preferred Terms for Select Population Groups & Communities]===
*Instead of this… "Smokers," Try this... "People who smoke"
*Instead of this… "Smokers," Try this... "People who smoke"


===[https://twitter.com/NCSCT/status/1727984982897910117 NCSCT - The National Centre for Smoking Cessation and Training]===
===Change Lab Solutions - [https://www.changelabsolutions.org/sites/default/files/2022-03/Justice-in-the-Air-Framing-Tobacco-Related-Health-Disparities_FINAL_20220307A.pdf Justice In The Air: Framing Tobacco-Related Health Disparities A FrameWorks Strategic Brief ]===
*Use person-first language. Avoid labeling people as “smokers” or “tobacco users.” Instead, start with people, then add any necessary qualifiers: people who smoke, people with a dependence on nicotine.
 
===NCSCT - [https://twitter.com/NCSCT/status/1727984982897910117 The National Centre for Smoking Cessation and Training]===
*The NCSCT has committed to using ‘people first’ language wherever possible, so instead of ‘smoker’ we will talk about ‘people who smoke’ or just ‘people’
*The NCSCT has committed to using ‘people first’ language wherever possible, so instead of ‘smoker’ we will talk about ‘people who smoke’ or just ‘people’


===2023: Rosh Review: [https://www.roshreview.com/blog/inclusive-language-for-medical-education-and-qbanks-an-evolving-guide/ Inclusive Language for Medical & Health Education: An Evolving Guide]===
===NYC - [https://www.nyc.gov/assets/doh/downloads/pdf/survey/tobacco-inequities-2022.pdf Addressing New York City’s Smoking Inequities]===
*Use person-first language (“person who smokes” not “smoker”).
 
===Rosh Review - [https://www.roshreview.com/blog/inclusive-language-for-medical-education-and-qbanks-an-evolving-guide/ Inclusive Language for Medical & Health Education: An Evolving Guide]===
*Instead of: smoker (e.g., patient is a smoker)
*Instead of: smoker (e.g., patient is a smoker)
**Use: smokes (e.g., patient smokes cigarettes)
**Use: smokes (e.g., patient smokes cigarettes)


===2023: Anesthesia Experts: [https://anesthesiaexperts.com/uncategorized/person-first-language-anesthesiology-care/ Person-First Language in Anesthesiology Care]===
===STR - [https://thoracicrad.org/wp-content/uploads/2022/01/4083-STR-Newsletter-r5.pdf Society of Thoracic Radiology]===
*So, is person-first language objectively superior to nonperson-first language? An increasing body of research suggests that it is. Many of the diseases and conditions frequently used to stand in for a person with the condition are those in which there is an unstated or even explicit implication that lifestyle choices are responsible for the condition (alcoholic, addict, diabetic, cirrhotic) or otherwise telegraph shame directed at the patient with the diagnosis (obese, epileptic, smoker). Using person-first language promotes respect and dignity for patients. Describing someone as “a patient with diabetes” rather than “a diabetic” acknowledges that the person is more than just their illness and recognizes their individuality. Using person-first language also helps to avoid stigmatization and discrimination, which can have a negative impact on a patient’s mental and physical well-being (Diabetes Spectr 2018;31:58-64). This may be especially true for mental health conditions, substance use disorders, painful syndromes, eating or body image-related conditions, and in obstetric care (Int J Drug Policy 2010;21:202-7).
 
===2022: [https://thoracicrad.org/wp-content/uploads/2022/01/4083-STR-Newsletter-r5.pdf Society of Thoracic Radiology]===
*STR’S COMMITMENT TO NON-STIGMATIZING LANGUAGE IN LUNG CANCER CARE
*STR’S COMMITMENT TO NON-STIGMATIZING LANGUAGE IN LUNG CANCER CARE
*"Whether we as chest imagers realize it or not, our very language can have a negative impact on the care for the patients we serve. As published studies continue to demonstrate, smoking-related language bias often stigmatizes our patients with a smoking history and results in suboptimal care and less than desirable clinical outcomes... Instead of a report stigmatizing the patient as a “smoker,” consider describing the patient as a “person who smokes.” Rather than a “nicotine addict,” an expression such as a “person with a nicotine dependence” attenuates the common stigmatization of these patients. One will notice these alternative descriptors utilize a person-first approach rather than a habit-based one. This approach can and should be adopted in publications, society and conference presentations as well as in daily training with residents and fellows. Ultimately, this language shift more precisely aligns itself with a core underpinning of our approach to care – respect for our patients.  
*"Whether we as chest imagers realize it or not, our very language can have a negative impact on the care for the patients we serve. As published studies continue to demonstrate, smoking-related language bias often stigmatizes our patients with a smoking history and results in suboptimal care and less than desirable clinical outcomes... Instead of a report stigmatizing the patient as a “smoker,” consider describing the patient as a “person who smokes.” Rather than a “nicotine addict,” an expression such as a “person with a nicotine dependence” attenuates the common stigmatization of these patients. One will notice these alternative descriptors utilize a person-first approach rather than a habit-based one. This approach can and should be adopted in publications, society and conference presentations as well as in daily training with residents and fellows. Ultimately, this language shift more precisely aligns itself with a core underpinning of our approach to care – respect for our patients.  


===2022: EX Program by Truth Initiative: [https://www.theexprogram.com/resources/blog/how-to-reduce-mental-health-stigma-smoking-stigma-in-the-workplace/ How to Reduce Mental Health Stigma, Smoking Stigma in the Workplace]===
===Truth Initiative's Ex Program - [https://www.theexprogram.com/resources/blog/how-to-reduce-mental-health-stigma-smoking-stigma-in-the-workplace/ How to Reduce Mental Health Stigma, Smoking Stigma in the Workplace]===
*It can be tempting to dismiss these kinds of negative labels as simply semantics, but research has shown that language matters. Using person-first language like “people who smoke” instead of “smokers” acknowledges the tenacity of this disease, conveys dignity and greater respect, and can reduce smoking-related stigma.
*It can be tempting to dismiss these kinds of negative labels as simply semantics, but research has shown that language matters. Using person-first language like “people who smoke” instead of “smokers” acknowledges the tenacity of this disease, conveys dignity and greater respect, and can reduce smoking-related stigma.


===2022: [https://www.canceraustralia.gov.au/sites/default/files/the_program_tools_guidance_information_and_communication_workforce_considerations_and_aboriginal_and_torres_strait_islander_considerations_for_a_lcsp_-_the_university_of_melbourne_-_2022_-_.pdf The University of Melbourne - Melbourne School of Population and Global Health]===
===University of Melbourne - [https://www.canceraustralia.gov.au/sites/default/files/the_program_tools_guidance_information_and_communication_workforce_considerations_and_aboriginal_and_torres_strait_islander_considerations_for_a_lcsp_-_the_university_of_melbourne_-_2022_-_.pdf Melbourne School of Population and Global Health]===
*All communications materials aimed toward potential and enrolled LCS participants must be created sensitively and incorporate the plain English guidelines to be accessible to those with low levels of health literacy. This includes clear, short sentences that use active verbs. It is also important to avoid stigmatizing language, as this can affect the care provided to patients, impact the attitude of other health care providers towards the patient, and can adversely impact health outcomes. Therefore, language used within such materials – from promotion materials to results letters – must aim to reduce the burden of stigma already experienced by these high-risk populations.  
*All communications materials aimed toward potential and enrolled LCS participants must be created sensitively and incorporate the plain English guidelines to be accessible to those with low levels of health literacy. This includes clear, short sentences that use active verbs. It is also important to avoid stigmatizing language, as this can affect the care provided to patients, impact the attitude of other health care providers towards the patient, and can adversely impact health outcomes. Therefore, language used within such materials – from promotion materials to results letters – must aim to reduce the burden of stigma already experienced by these high-risk populations.  
*As part of a communications strategy, the International Association of Lung Cancer (IALSC) Language Guide should be adopted across all communications tools and resources and be included as part of HCP education and training.
*As part of a communications strategy, the International Association of Lung Cancer (IALSC) Language Guide should be adopted across all communications tools and resources and be included as part of HCP education and training.
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***End stigma. For example, instead of “smoker” use “person who smokes.”
***End stigma. For example, instead of “smoker” use “person who smokes.”
***Equity. Follow best practices regarding race, ethnicity, gender, socioeconomic, and geographic descriptions to promote cultural humility and sensitivity.
***Equity. Follow best practices regarding race, ethnicity, gender, socioeconomic, and geographic descriptions to promote cultural humility and sensitivity.
===2022: [https://www.nyc.gov/assets/doh/downloads/pdf/survey/tobacco-inequities-2022.pdf Addressing New York City’s Smoking Inequities]===
*Use person-first language (“person who smokes” not “smoker”).
===2021: [https://www.changelabsolutions.org/sites/default/files/2022-03/Justice-in-the-Air-Framing-Tobacco-Related-Health-Disparities_FINAL_20220307A.pdf Justice In The Air: Framing Tobacco-Related Health Disparities A FrameWorks Strategic Brief ]===
*Use person-first language. Avoid labeling people as “smokers” or “tobacco users.” Instead, start with people, then add any necessary qualifiers: people who smoke, people with a dependence on nicotine.
===2020: American Psychiatric Nurses Association: [https://www.apna.org/wp-content/uploads/2021/03/Tobacco_Dependence_Treatment_Position_Statement_07_20.pdf POSITION STATEMENT: Psychiatric-Mental Health Nursing’s Role in Tobacco Treatment]===
*"...“smoker” replaced with person-first language such as “person who smokes.”


=='''Publication Policies - Language (General)'''==
=='''Publication Policies - Language (General)'''==