Cigarettes

■ Linked to lung cancer and CAD

■ Most common factor in chronic obstructive pulmonary disease

■ Endocrine effects: Smokers reach menopause earlier and have increased risk of osteoporosis.

■ Obstetric effects: Reduced fertility, increased rates of spontaneous abortion, premature delivery, low-birth-weight infants, reduced head circumferences

■ Children who grow up exposed to secondhand smoke have higher rates of respiratory and middle ear illness.

SEAT BELT USE

■ Deaths due to accidents are greatest in women ages 13 through 39.

■ Accidents cause more deaths than infectious diseases, pulmonary diseases, diabetes, and liver and kidney disease.

■ Motor vehicle accidents account for 50,000 deaths per year and > 4 to 5 million injuries per year.

■ Seat belts decrease chance of death and serious injury by > 50%.

SAFER SEX PRACTICES

Improved and successful prevention of pregnancy and STDs by more adolescents requires counseling that includes:

■ Encouragement to postpone sexual involvement

■ Provision of information about contraceptive options, including emergency contraception and side effects of various contraceptive methods

Lung cancer is the most common cause of cancer death in women. Related to 400,000 deaths per year

FEMALE SEXUAL RESPONSE AND SEXUAL EXPRESSION

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