Four Major Diseases linked to smoking

According to the Centers for Disease Control and Prevention (2021), Cigarette smoking damages almost every organ in the body, leading to numerous diseases and overall health decline. In the United States, smoking is responsible for over 480,000 deaths each year, nearly one in five deaths. For women, smoking can make it more difficult to conceive and can adversely affect a baby’s health before and after birth. In men, smoking can reduce sperm quality, decreasing fertility and increasing the risk of congenital disabilities and miscarriage. Smoking also harms oral health, potentially leading to tooth loss. Moreover, it increases the risk of cataracts, which cloud the eye’s lens and impair vision. It can cause age-related macular degeneration (AMD), damaging a small spot near the retina’s center needed for central vision. Additionally, smoking is a risk factor for type 2 diabetes mellitus and can complicate its management, with active smokers having a 30-40% higher risk of developing diabetes compared to nonsmokers (Centers for Disease Control and Prevention, 2021).

The four major diseases linked to smoking are

• Cardiovascular Diseases
  • Increased mortality rates due to smoking.
  • Elevated risk of ischemic heart diseases.
• Respiratory Conditions
  • Smoking is a primary cause of chronic respiratory deaths.
  • Increased risk of respiratory diseases and tuberculosis.
• Stroke
  • A Study reports a Positive correlation between smoking prevalence and stroke-related deaths.
• Lung Cancer
  • Study reports there is a higher likelihood of lung cancer with increased daily cigarette consumption . https://doi.org/10.1080/15332640.2018.1511493 https://doi.org/10.1186/s12889-024-19336-6 https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm
    Prevalent Barriers to obesity within the African American population.

    As we know, obesity stands as a significant health concern affecting the lives of African Americans. It is imperative to grasp the barriers that contribute to the rising rates of obesity within this population.

    Obesity is characterized by excessive body fat accumulation influenced by environmental and genetic factors and poses various health risks, including specific cancers, type 2 diabetes, hypertension, osteoarthritis, hyperlipidemia, and cardiovascular disease. Omondi & Freysteinson (2023) estimated annual medical expenses related to obesity issues in the United States to be around $147 billion. Research reveals that obesity prevalence is notably high among African Americans, with rates around 49.6%, surpassing non-Hispanic Whites at 42.2%. Mainly, obesity rates are higher among African American women, reaching 56.9%, compared to 41.1% among African American men (Lofton et al., 2023).

    Access to nutritious foods is limited for African Americans, who often consume less nutritious diets with high levels of added sugars and fried foods. Multiple obstacles hinder healthy eating habits, including limited knowledge, the cost of nutritious foods, time constraints for meal preparation, reliance on transportation to access stores, and communication barriers with healthcare providers regarding dietary habits.

    Similarly, opportunities for physical activity are restricted, exacerbating the obesity issue. Reduced physical activity levels and increased sedentary behaviors like gaming or screen time have been associated with higher body mass index (BMI). African Americans facing obesity encounter various challenges in engaging in physical activity, including a lack of awareness regarding effective exercise methods, limited access to affordable exercise programs, inadequate facilities, transportation limitations, and health concerns.

    References

    Omondi, H., & Freysteinson, W. M. (2023). Understanding Obesity in African American Women Using Leininger’s Theory. Nursing Science Quarterly, 37(1), 71–75. https://doi.org/10.1177/08943184231207383

    Lofton, H., Ard, J. D., Hunt, R. R., & Knight, M. G. (2023). Obesity among African American people in the United States: A review. Obesity, 31(2), 306–315. https://doi.org/10.1002/oby.23640

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    Cultural Health Insight: Obesity Among African American Women

    African American women have the highest obesity rates among all groups in the U.S. About 80% are

    classified as overweight or obese (Omondi & Freysteinson, 2023b). Research has shown that African

    American (AA) women tend to lose less weight compared to their Caucasian counterparts. Contributing

    factors include limited access to nutritious food, inadequate health insurance, a lack of safe spaces for

    physical activity, among other factors. It’s reported that these challenges are often attributed to barriers

    such as personal beliefs, limited time, family dynamics, lack of motivation, and financial constraints.

    Cultural norms within the AA community which often embrace larger body sizes and promote a positive

    body image, can also influence health behaviors. While fostering a positive body image has

    psychological benefits, it may reduce motivation to maintain a healthy weight (Omondi et al., 2024b). In

    Black culture, obesity and being overweight are often considered acceptable and carry little to no stigma.

    Cultural perspective may partially explain why general health promotion efforts are less effective in this

    community. Study reports that many Black female students aim to embody the culturally valued “thick

    and curvy” figure, consuming specific foods to shape their bodies while avoiding activities that might

    result in weight loss (Omondi & Freysteinson, 2023b). Additionally, distrust in the healthcare system is

    deeply rooted, making it challenging for many women to seek medical advice or treatment. Moreso,

    underestimating body weight among AA women could lead to reduced engagement in healthy behaviors,

    such as regular physical activity. Also, reports identified physical inactivity as a major contributor to non-

    communicable diseases and mortality, highlighting the importance of addressing these issues within the

    community (Omondi et al., 2024b) .

    https://doi.org/10.1177/08943184231207383 https://doi.org/10.1111/jan.16616

    Seven ways to create a meaningful impact on the health and well-being of others:

    Our connections with family, friends, and colleagues are crucial. Individuals who have strong social connections and supportive relationships are more likely to adopt healthy lifestyles and effectively cope with stress, anxiety, and depression, especially during difficult times. A supportive network of family members, close friends, and colleagues provides a sense of belonging and emotional support.

      Ways to create meaningful impacts are;

    1.Showing kindness: Providing a listening ear, checking in on them, offering assistance, or simply sharing a smile can profoundly influence the overall well-being of others.

    

    2. Promoting physical activity: Encouraging others to participate in physical activities such as organizing sports events, walking or running together, or engaging in group activities can enhance physical and social well-being.

    

    3. Spreading awareness and education: Educating others about healthy lifestyle choices, including proper nutrition, exercise, and stress management, can empower them to make positive life changes.

    

    4. Promoting a healthy diet: Sharing recipes, discussing healthy eating habits, organizing cooking classes, and advocating for nutritious foods can encourage healthier dietary choices.

    

    5. Supporting access to healthcare: Being present for others during difficult times is crucial and can significantly improve their lives. Providing transportation to healthcare facilities encourages them to seek professional help when needed, and assisting with paperwork can make access easier.

    

    6. Advocating for policy changes: Supporting policies and initiatives that promote public health, such as mental health services, water regulation, and access to healthcare, can have a broad impact on the well-being of entire communities.

    

    7.Assisting those with chronic illnesses: Offering understanding and support to individuals with chronic health conditions can help them manage their conditions and enhance their quality of life.

    

    Four lifestyle changes to reduce the development of uterine fibroids (UFs)

    Uterine fibroids (UFs) are the most common benign tumors found in women of reproductive age, with a disproportionate impact on women of color. These disparities are believed to be combined with environmental, genetic, and socio-economic factors.

     Some of the lifestyle changes that can help prevent or reduce the development of uterine fibroids are;

    1. Decreasing Alcohol consumption: It’s advised that women decrease their alcohol consumption to reduce the risk of developing uterine fibroids (UFs). Studies have reported an association between alcohol intake and an increased likelihood of UFs (Somayeh Vafaei et al., 2024). Studies believe that alcohol may alter hormone levels and disrupt hormonal balance, contributing to the formation of UFs. It is advisable to consult with a healthcare professional for personalized advice based on unique health occurrences. By being mindful of alcohol consumption and adhering to recommended limits, proactive steps can be taken to lower the risk of UFs.
    2. Engage in at least four hours of vigorous physical activity per week: Research has found a significant association between an increased BMI and the risk of UFs. Obesity is believed to be a contributing factor to UF. Studies believe that women who engage in at least four hours of vigorous physical activity per week are more likely to encounter a decrease in the risk factors of UFs.
    3. Consuming more fruits, Vegetables, and dietary fibers:  High intake of processed and refined foods, unhealthy fats, and sugary drinks, and low consumption of fruits, vegetables, and fiber-rich foods may contribute to hormonal imbalances, inflammation, and oxidative stress, thereby encouraging the growth of UFs as indicated in the research. Additionally, a lack of fruits, vegetables, and fiber-rich foods has been reported to be associated with an elevated risk of UFs. Fruits, vegetables, and fiber-rich food are excellent sources of antioxidants, vitamins, and minerals that help combat oxidative stress and inflammation (Somayeh Vafaei et al., 2024). Specifically, Dietary fiber has been indicated to have protective impacts against UFs by supporting hormonal balance and improving regular bowel movements. Hence, adopting a healthy and balanced diet with whole grains, fruits, vegetables, lean proteins, and healthy fats is essential.
    4. Managing stress:  Studies have found that chronic psychological stress could increase the risk of uterine fibroids and indicated a significant link between chronic psychological stress and an elevated risk of UFs, predominantly among non-Hispanic Black women (Somayeh Vafaei et al., 2024). Eating healthy, exercising regularly, getting enough sleep, relaxing, connecting with friends and family, and practicing mindfulness are some ways to manage stress. https://doi.org/10.3390/nu16060807

    The Importance of Sleep: Effects on Health and Strategies for Improvement

    According to Ramar et al. (2021), sleep is essential for the health and well-being of children, adolescents, and adults. Quality sleep supports emotional well-being, metabolic health, cognitive function, mental health, and cardiovascular and cerebrovascular health. Additionally, getting sufficient, high-quality sleep helps reduce the risk of fatigue-related accidents and injuries, such as motor vehicle accidents and workplace incidents.

    Recommended Sleep Duration

    The American Academy of Sleep Medicine (AASM) and the Sleep Research Society (SRS) recommend that adults aim for at least 7 hours of sleep each night to promote optimal health. Similarly, the National Sleep Foundation (NSF) advises adults to get 7 to 9 hours of sleep per night, with older adults requiring 7 to 8 hours (Ramar et al., 2021).

    Prevalence of Sleep Disorders and Mental Health Impacts

    According to Scott et al. (2021), about one-third of the population experiences insomnia symptoms, such as difficulty falling or staying asleep. Additionally, 4% to 26% of individuals report excessive sleepiness, and 2% to 4% have obstructive sleep apnea (Scott et al., 2021). Insomnia is associated with a significantly increased likelihood of mental health issues; individuals with insomnia are 10 times more likely to experience clinically significant depression and 17 times more likely to experience anxiety compared to those without insomnia. Poor sleep is also linked to post-traumatic stress, eating disorders, and psychosis spectrum experiences, such as delusions and hallucinations (Scott et al., 2021)

    Improving sleep Quality

    Improving sleep quality benefits mental health, and research reports that sleep plays a causal role in mental health challenges. Better sleep positively affects future mental health, even those without clinical symptoms (Scott et al., 2021).

    Strategies for Improving Sleep Quality

    • Creating a relaxing sleep environment
    • Limiting daytime naps
    • Managing stress and worries
    • Being mindful of food and drink choices
    • Sticking to a consistent sleep schedule
    • Incorporating physical activity into daily routines https://doi.org/10.5664/jcsm.9476 https://doi.org/10.1016/j.smrv.2021.101556

    Risk Factors for Uterine Fibroids Among Black Women

    Uterine fibroids (UFs) represent the most prevalent non-cancerous tumors among women of reproductive age. Symptomatic fibroids can lead to significant health issues and are the primary reason for hysterectomies in the United States and globally, contributing to substantial socioeconomic impacts and affecting over 70% of women of reproductive age (Langton et al., 2024). African American women tend to develop fibroids approximately 10 years earlier than White women in the US and bear a disproportionate health burden from these tumors

    Black women experience UFs at higher rates, with an earlier onset, more severe symptoms, and faster disease progression compared to other groups.

    According to Sithembinkosi Ndebele (2024), 85% of participants were non-Hispanic Blacks. Black participants had a higher likelihood of a UF diagnosis, and the following risk factors were reported contributing to the high prevalence of UFs in Black individuals:

    1. Socioeconomic Status: Lower socioeconomic status is reported to increase the rates of UFs.
    2. Adverse Environmental Exposures: Increased exposure to environmental pollutants is associated with a higher prevalence of UFs.
    3. Chronic Stress: Experiences that increase chronic stress are significant contributors.

    Lifestyle and socioeconomic factors, closely tied to neighborhood characteristics, further influence UF prevalence. These factors include:

    1. Body Mass Index (BMI): A higher BMI correlates with a higher risk of UFs.
    2. Alcohol Use: Regular alcohol consumption is positively correlated with UF diagnosis.
    3. Income and Occupation: These factors influence access to healthy food and healthcare.

    References

    Langton, C. R., Harmon, Q. E., & Baird, D. D. (2024). Family History and Uterine Fibroid Development in Black and African American Women. JAMA Network Open, 7(4), e244185–e244185. https://doi.org/10.1001/jamanetworkopen.2024.4185

    Sithembinkosi Ndebele, Turner, T., Liao, C., Briseis Aschebrook-Kilfoy, Randorf, N., Ahsan, H., Kunle Odunsi, & Obianuju Sandra Madueke-Laveaux. (2024). Uterine Fibroid Prevalence in a Predominantly Black, Chicago-Based Cohort. International Journal of Environmental Research and Public Health/International Journal of Environmental Research and Public Health, 21(2), 222–222. https://doi.org/10.3390/ijerph21020222