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S23-702 Challenges for Behavioral and Public Health related to Tobacco/Nicotine Use

Total Credits: 6 including 6 Category I CE

700 Professional Growth & Development |  800 Online
Fernando A. Wagner, PhD |  Ana María Rule, PhD
Course Levels:
7 Hours 30 Minutes



This course is comprised of four modules, which are described in the following phrases.  Module 1, will review the history of tobacco/nicotine use, and why its consumption is hazardous.  Module 2 will review behavioral and public health challenges related to tobacco/nicotine use. Module 3 will be dedicated to the study of electronic nicotine delivery systems (ENDS).  Finally, Module 4 will discuss how different disciplines address these issues.  The course will employ a combination of learner-centered and teacher-led strategies, involving individual and group work. Evaluation will be based on quizzes at the end of each of the module. 



Fernando A. Wagner, PhD Related seminars and products

Dr. Fernando A. Wagner is a professor at the University of Maryland School of Social Work. He isinterested in the development of methods, knowledge, and community-based participatory interventions promoting wellness and public mental health, and has led research in the U.S. and Mexico for over 40 years. Dr. Wagner earned his Master of Public Health and Doctor of Science degrees from the Johns Hopkins School of Public Health, where he also completed a year of postdoctoral training in psychiatric epidemiology. Dr. Wagner served as Principal Investigator of a Community-Based Participatory Research initiative for tobacco control in underserved communities branded through community input as CEASE (Communities Engaged and Advocating for Smoke-free Environments), which developed a successful intervention to help residents of very low-income communities quit smoking, along with other initiatives engaging youth in prevention and advocacy efforts.  CEASE tripled the success rate of the smoking cessation intervention and multiplied by a factor of 12 the annual number of participants recruited for smoking cessation programs in the community.

Ana María Rule, PhD Related seminars and products

My main research goal is the development and evaluation of novel sampling and analysis strategies for the assessment of exposure to biological aerosols, e-cigarette aerosols, and particulate matter. I have worked toward this goal both doing field research as well as laboratory-based controlled studies. The field work has provided tools for understanding the impact of agribusiness in the environment and health of the population, especially how the public is exposed to biological aerosols. These biological agents, in turn, can be vectors of antibiotic resistance, which is emerging as a public health concern to the public in general, but particularly to healthcare and food industry workers, as well as communities living in agricultural settings. My work with electronic cigarettes has established that these devices are important sources of metal exposure. Working closely with epidemiologists, microbiologists and aerosol physicists, we have developed a partnership for the application of air sampling strategies to the detection of aerosols through novel analysis techniques. However, field research requires the support of well controlled laboratory studies in order to characterize new and existing methods, and to develop novel techniques and applications for such methods that can later in turn be applied in field studies. My laboratory work has provided insights into bacterial aerosol viability and the application of analysis techniques traditionally used for water samples. I am currently interested in understanding the scale of exposure to electronic cigarette aerosol, as well as applying air sampling techniques to recognize the scale and evaluate the complexity involved in the assessment of exposure to viruses in agricultural as well as Nosocomial environments.

A second objective of my work is the development of new instrumentation and strategies for the collection of bulk particulate matter that can be used in analytical and toxicological studies. This work involves the study of aerosol particles in close collaboration with chemists and aerosol physicists to advance the development of strategies for improved particle sampling and detailed laboratory characterization.

Agenda & Learning Objectives


8:45 - 9:00 

Registration/Log on 

09:00 - 10:30 


10:30 - 10:45 


10:45 - 12:00 

Lecture Continued 

12:00 - 1:00 


1:00 - 2:30 

Lecture Continued 

2:30 - 2:45 


2:45 - 4:30 

Lecture Continued 


Questions & Adjournment 



Upon the completion of this workshop, participants will be able to:


  1. Present how tobacco/nicotine use become a major health challenge in the world 

  1. Identify five top ways in which tobacco and nicotine consumption affect health 

  1. Summarize the behavioral and public health challenges related to tobacco/nicotine use 

  1. Describe the current situation and trends of ENDS utilization 

  1. Illustrate one approach they can use in their practice to address challenges related to tobacco and nicotine use 

Bibliography & References


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  1. Apata J, Sheikhattari P, Bleich L, Kamangar F, O’Keefe AM, Wagner FA. Addressing Tobacco Use in Underserved Communities Through a Peer-Facilitated Smoking Cessation Program. Journal of Community Health. doi: 10.1007/s10900-019-00635-8 

  1. Cadham CJ, Liber AC, Sánchez-Romero LM, Issabakhsh M, Warner KE, Meza R, LevyDT. The actual and anticipated effects of restrictions on flavoured electronic nicotine delivery systems: a scoping review. BMC Public Health. 2022 Nov 19;22(1):2128. doi: 10.1186/s12889-022-14440-x. PMID: 36402989; PMCID:PMC9675183. 

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  1. Grischott T, Senn O, Frei A, Rosemann T, Neuner-Jehle S. Comparison of Motivational Short Interventions to Improve Smokers' Health Behavior (The COSMOS Study): A Pragmatic Cluster-Randomized Two-Arm Trial in General Practice. Nicotine Tob Res. 2023 Jan 1;25(1):102-110. doi: 10.1093/ntr/ntac159. PMID: 35759949. 

  1. Han G, Son H. A systematic review of socio-ecological factors influencing current e-cigarette use among adolescents and young adults. Addict Behav. 2022 Dec;135:107425. doi: 10.1016/j.addbeh.2022.107425. Epub 2022 Jul 13. PMID: 35908319. 

  1. Harlow AF, Stokes AC, Brooks DR, Benjamin EJ, Leventhal AM, McConnell RS, Barrington-Trimis JL, Ross CS. Prospective association between e-cigarette use frequency patterns and cigarette smoking abstinence among adult cigarette smokers in the United States. Addiction. 2022 Dec;117(12):3129-3139. doi: 10.1111/add.16009. Epub 2022 Aug 12. PMID: 35913015. 

  1. Hassanein ZM, Barker AB, Murray RL, Britton J, Agrawal S, Leonardi-Bee J. Impact of Smoking and Vaping in Films on Smoking and Vaping Uptake in Adolescents: Systematic Review and Meta-Analysis. Health Educ Behav. 2022 Dec;49(6):1004-1013. doi: 10.1177/10901981221086944. Epub 2022 May 3. PMID: 35502561; PMCID: PMC9578073. 

  1. Herbst RS, Hatsukami D, Acton D, Giuliani M, Moushey A, Phillips J, Sherwood S, Toll BA, Viswanath K, Warren NJH, Warren GW, Alberg AJ. Electronic Nicotine Delivery Systems: An Updated Policy Statement from the American Association for Cancer Research and the American Society of Clinical Oncology. Clin Cancer Res. 2022 Nov 14;28(22):4861-4870. doi: 10.1158/1078-0432.CCR-22-2429. PMID: 36287033. 

  1. Jackson SE, Kock L, Kotz D, Brown J. Real-world effectiveness of smoking cessation aids: A population survey in England with 12-month follow-up, 2015-2020. Addict Behav. 2022 Dec;135:107442. doi: 10.1016/j.addbeh.2022.107442. Epub 2022 Jul 25. PMID: 35908322; PMCID: PMC9587352. 

  1. Lee J, Contrera Avila J, Ahluwalia JS. Differences in cessation attempts and cessation methods by race/ethnicity among US adult smokers, 2016-2018. Addict Behav. 2023 Feb;137:107523. doi: 10.1016/j.addbeh.2022.107523. Epub 2022 Oct 14. PMID: 36279711.  

  1. Maldonado Viasús DC, Perdomo GA, García Duran MC, Pulido AC, Hernandez ML, Borrero Roldan E, Botero MC, Moreno SM. ENDS consumption in students of higher education: Phenomenon on the rise during the COVID-19 pandemic. Tob Induc Dis. 2022 Nov 14;20:100. doi: 10.18332/tid/154970. PMID: 36447456; PMCID: PMC9661376. 

  1. Oh H, Cook S, Siegel L, Liber A, Levy DT, Fleischer NL. The longitudinal association between cigarette coupon receipt and short-term smoking cessation among US adults. Nicotine Tob Res. 2022 Nov 15:ntac258. doi: 10.1093/ntr/ntac258. Epub ahead of print. PMID: 36378499. 

  1. Parms TA, Valverde R, Park-Lee E, Graham-Glover BS, Cunningham CS, Sawdey MD, Cullen KA. Symptoms of tobacco dependence among middle and high school tobacco users - Data from the 2019-2020 National Youth Tobacco Survey. Addict Behav. 2023 Feb;137:107537. doi: 10.1016/j.addbeh.2022.107537. Epub 2022 Oct 29. PMID: 36332518; PMCID: PMC9712249. 

  1. Peña S, Ilmarinen K, Kestilä L, Parikka S, Kärkkäinen S, Caspersen IH, Shaaban AN, Magnus P, Galanti MR, Karvonen S. Tobacco use and risk of COVID-19 infection in the Finnish general population. Sci Rep. 2022 Nov 25;12(1):20335. doi: 10.1038/s41598-022-24148-y. PMID: 36434073. 

  1. Rose SW, Annabathula A, Westneat S, van de Venne J, Hrywna M, Ackerman C, Lee JGL, Sesay M, Giovenco DP, Spillane T, Hudson SV, Delnevo CD. Neighborhood distribution of availability of newer tobacco products: A US four-site study, 2021. Prev Med Rep. 2022 Oct 19;30:102028. doi: 10.1016/j.pmedr.2022.102028. PMID: 36325253; PMCID: PMC9619027. 

  1. Slocum E, Xie Y, Colston DC, Emery S, Patrick ME, Thrasher JF, Elliott MR, Fleischer NL. Impact of the Tips From Former Smokers Anti-Smoking Media Campaign on Youth Smoking Behaviors and Anti-Tobacco Attitudes. Nicotine Tob Res. 2022 Nov 12;24(12):1927-1936. doi: 10.1093/ntr/ntac152. PMID: 35749779; PMCID: PMC9653086. 

  1. Sheikhattari P, Apata J, Kamangar F, Schutzman C, O'Keefe A, Buccheri J, Wagner FA. Examining Smoking Cessation in a Community-Based Versus Clinic-Based Intervention Using Community-Based Participatory Research. J Community Health. 2016 Dec;41(6):1146-1152. PubMed PMID: 27688221; PubMed Central PMCID: PMC5083217. 

  1. Svenson MRE, Freeman TP, Maynard OM. The Effect of Conflicting Public Health Guidance on Smokers' and Vapers' E-cigarette Harm Perceptions. Nicotine Tob Res. 2022 Nov 12;24(12):1945-1950. doi: 10.1093/ntr/ntac163. PMID: 35793536; PMCID: PMC9653072. 

  1. Tehrani H, Rajabi A, Ghelichi-Ghojogh M, Nejatian M, Jafari A. The prevalence of electronic cigarettes vaping globally: a systematic review and meta-analysis. Arch Public Health. 2022 Nov 21;80(1):240. doi: 10.1186/s13690-022-00998-w. PMID: 36415010; PMCID: PMC9682677. Travis N, Levy DT, McDaniel PA, Henriksen L. Tobacco retail availability and cigarette and e-cigarette use among youth and adults: a scoping review. Tob Control. 2022 Dec;31(e2):e175-e188. doi: 10.1136/tobaccocontrol-2020-056376. Epub 2021 Jul 22. PMID: 34301839; PMCID: PMC9126034. 

  1. Wagner FA, Sheikhattari P, Buccheri J, Gunning M, Bleich L, Schutzman C. A Community-Based Participatory Research on Smoking Cessation Intervention for Urban Communities. J Health Care Poor Underserved. 2016;27(1):35-50. PubMed PMID: 27763459. 

  1. Wheeler DC, Boyle J, Jeremy Barsell D, Maguire RL, Zhang JJ, Oliver JA, Jones S, Dahman B, Murphy SK, Hoyo C, Baggett CD, McClernon J, Fuemmeler BF. Tobacco Retail Outlets, Neighborhood Deprivation and the Risk of Prenatal Smoke Exposure. Nicotine Tob Res. 2022 Nov 12;24(12):2003-2010. doi: 10.1093/ntr/ntac164. PMID: 35793204; PMCID: PMC9653076. 

  1. Zavala-Arciniega L, Meza R, Hirschtick JL, Fleischer NL. Disparities in cigarette, e-cigarette, cigar, and smokeless tobacco use at the intersection of multiple social identities in the U.S. adult population. Results from the TUS- CPS 2018-2019 survey. Nicotine Tob Res. 2022 Nov 16:ntac261. doi: 10.1093/ntr/ntac261. Epub ahead of print. PMID: 36383443. 

Course Completion & CE Information

Category I Maryland BSWE Requirement

The Office of Continuing Professional Education at the University Of Maryland School Of Social Work is authorized by the Board of Social Work Examiners in Maryland to sponsor social work continuing education programs. This workshop qualifies for {6} Category I Continuing Education Units. The Office of Continuing Professional Education is also authorized by the Maryland Board of Psychologists and the Maryland Board of Professional Counselors to sponsor Category A continuing professional education.

Please refer to the tab "Live Interactive Webinar Policies & FAQs" for UMSSW Office of CPE policies regarding all live interactive webinar related matters.

Target Audience

Social Workers, LCPCs, and Psychologists

All those interested in Topic Welcomed

Late Fees and Refunds

Fee & Registration:

Cost is $130 and includes CE credit. Registering after 5/17/23 will incur an additional $20 late fee.

*Cancellations must be received 24 hours in advance prior to the live interactive webinar to receive a refund or a credit letter.

*All cancellations will be subjected to a $35.00 administration fee

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The Office of Continuing Professional Education hosts Live Interactive Webinars through two platforms: Zoom and WebEx.

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