Tobacco Literacy Module
Teacher’s Instructional Guide
Created by: Javier Vazquez, Florida State University MPH intern
Table of Contents
This instructional guide is intended for use with the foto-novela Pedro’s Examination.
After the foto-novela has been read, at the instructor’s discretion, the following activities
can be photocopied and distributed to the students. The purpose of these activities is to
ensure that the students understand the health material in the foto-novela and to provide
practice with the vocabulary introduced.
x
Overview of Tobacco Smoking and Diabetes
x
Review of Vocabulary Words
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Comprehension Questions
x
Word Search
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Crossword Puzzle
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Discussion on Tobacco Smoking, Diabetes, and Quitting
x
Social Identification
x
Information on Tobacco Smoking, Diabetes, and Quitting
x
Additional Resources for Instructors
Overview of Tobacco Smoking and Diabetes
Tobacco use is the single greatest cause of preventable disease and death in the United States.
Tobacco use causes more deaths than AIDS, alcohol, motor vehicles fatalities, homicides, either
illicit or illegal drugs, and suicide combined.
About 7.8% of the United States population (23.6 million) has diabetes (sugar in the blood). In
2007, diabetes was the sixth leading cause of death. Diabetes-related complications include
heart disease, stroke, high blood pressure, blindness, kidney disease, nervous system disease
(neuropathy), and amputations.
More than 10 percent of Hispanics ages 20 years or older have been diagnosed with diabetes.
Current research indicates that Hispanics tend to go undiagnosed with diabetes well into their
middle-ages so the overall number may actually be much higher. This means that the majority of
Hispanics with diabetes do not know they have it until later on in life. They can live,
unknowingly, with the disease and may not know until something tragic occurs as it did to Lucia
in the story. It is important for Hispanics to understand that they need to get themselves
examined for diabetes. Source: http://www.ndep.nih.gov/media/FS_HispLatino_Eng.pdf?redirect=true
People who smoke and have diabetes are:
1) more likely to get nerve damage and kidney disease
2) three times more likely than nonsmokers to die of cardiovascular disease
3) more likely to have elevated blood sugar levels, making it harder to!control diabetes. This
teacher’s instructional guide contains useful, practical and fun activities that can be used to
further educate students about the damaging effects of tobacco and diabetes.
Learning Objectives
After completing the activities, the students will be able to:
x
x
x
x
x
Identify the negative effects that smoking has on diabetes.
Identify new health vocabulary words.
Identify resources to assist themselves and/or others in quitting smoking.
Identify people within their social environment who either have diabetes or smoke.
Demonstrate basic literacy skills by identifying key events and main characters in the
story.
Vocabulary words are included to help students learn important health information while they
are mastering basic literacy skills.
Amputate
Cigarette
Circulation
Disease
Examination Patient
Control
Dangerous
Diabetes
Risk
Smoke
Stress
Sources: http://americanheart.org/print_presenter.jhtml?identifier=4559
http://www.omhrc.gov/templates/content.aspx?lvl=2&1v1ID=51&ID=3017
Review of Vocabulary Words
Directions:
Review the following words with the students to help enhance their
understanding of the words and the story.
x
Amputate (Amputar) - to cut off from the body
x
Cigarette (Cigarillo) - a slender roll of cut tobacco enclosed in paper and meant to be
smoked
x
Circulation (Circulación) - the movement of blood through the vessels of the body
induced by the pumping action of the heart
x
Control (Controlar) - to have power over
x
Dangerous (Peligroso) - likely to inflict injury
x
Diabetes (Diabetes) – a disease caused by high levels of glucose (sugar) in the body
that can lead to other health complications
x
Disease (Enfermedad) - a condition of the living animal or plant body or of one of its
parts that impairs normal functioning and is typically manifested by distinguishing
signs and symptoms
x
Examination (Examen) - an examination of the bodily functions and condition of an
individual
x
Patient (Paciente) - an individual awaiting or under medical care and treatment
x
Risk (Riesgo) - possibility of loss or injury
x
Smoke (Fumar) - to inhale and exhale the fumes of burning plant material and
especially tobacco
x
Stress (Estrés) - a physical, chemical, or emotional factor that causes bodily or mental
tension and may be a factor in disease causation
Source: http://www.merriam-webster.com/dictionary
Comprehension Questions
Directions: Complete the sentences based on the story using the vocabulary words in the
box below.
- Stress - Examination
- Diabetes - Control
x
Pedro smokes cigarettes because he feels _______.
x
Pedro goes to the doctor to get an _____________.
x
The doctor tells Pedro he has a disease called ________.
Comprehension Questions
Directions: Complete the sentences based on the story using the vocabulary words in the
box below.
- Stress - Examination
- Diabetes - Control
x
Pedro smokes cigarettes because he feels stress.
x
Pedro goes to the doctor to get an examination.
x
The doctor tells Pedro he has a disease called diabetes.
Word Search
Directions: Find and circle the words listed in the box. Words may be vertical (up and
down) or horizontal (sideways).
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Source: http://tools.atozteacherstuff.com/word-search-maker/wordsearch.php
- AMPUTATE
- CIGARETTE
- CIRCULATION
- CONTROL
- DANGEROUS
- DIABETES
- DISEASE
- EXAMINATION
- PATIENT
- RISK
- SMOKE
- STRESS
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Word Search
Directions: Find and circle the words listed in the box. Words may be vertical (up and
down) or horizontal (sideways).
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X
I
A
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A
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Source: http://tools.atozteacherstuff.com/word-search-maker/wordsearch.php
- AMPUTATE
- CIGARETTE
- CIRCULATION
- CONTROL
- DANGEROUS
- DIABETES
- DISEASE
- EXAMINATION
- PATIENT
- RISK
- SMOKE
- STRESS
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Crossword Puzzle
Directions: Read the clues and fill in the spaces with the correct words listed in the box.
- AMPUTATE
- CIGARETTE
- CIRCULATION
- CONTROL
- DANGEROUS
- DIABETES
- DISEASE
- EXAMINATION
- PATIENT
- RISK
- SMOKE
- STRESS
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Source: http://variety-games.com/CW
Down
Across
1. Lucia is Dr. Martinez’s ______.
2. Diabetes is a ________.
3. Diabetes and cigarette smoke are
________.
5. Pedro gets an ________ when he
goes to the doctor.
7. The doctor had to ______ Lucia’s
leg.
9. Pedro went outside to _______ a
cigarette.
4. What disease does Lucia have?
6. Diabetes affects blood ________.
8. Pedro smokes a cigarette because he
felt a lot of _____.
10. _______ smoke is dangerous to the
body.
11. Pedro and Daniella are at _____ for
diabetes.
12. You can ______ the disease if you
take care of yourself.
Crossword Puzzle
Directions: Read the clues and fill in the spaces with the correct words.
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Source: http://variety-games.com/CW
Down
Across
1. Lucia is Dr. Martinez’s ______.
2. Diabetes is a ________.
3. Diabetes and cigarette smoke are
________.
5. Pedro gets an ________ when he
goes to the doctor.
7. The doctor had to ______ Lucia’s
leg.
9. Pedro went outside to _______ a
cigarette.
4. What disease does Lucia have?
6. Diabetes affects blood ________.
8. Pedro smokes a cigarette because he
felt a lot of _____.
10. _______ smoke is dangerous to the
body.
11. Pedro and Daniella are at _____ for
diabetes.
12. You can ______ the disease if you
take care of yourself.
Discussion on Smoking, Diabetes, and Quitting
Directions: The questions in this section can be used to initiate discussions between the students
the instructor. The discussion can be integrated with the social identification activites.
x
x
x
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How many of you know someone who has diabetes? (Integrate with social identification
activity)
How many of you know someone who smokes? (Integrate with social identification
activity)
How do you feel about smoking?
Have you ever shared with someone the harmful effects of smoking?
If you were a smoker and decided to quit smoking, would you go for help?
If you or someone you know decides to quit smoking, do you know where to go for help?
Did you Know?
People who get help
quitting are twice as
likely to quit.
Social Identification (FOR INSTRUCTOR ONLY)
The social identification activity is designed to assist the students in identifying people within
their social environment who either have diabetes or smoke.
Directions: Write your name in the center circle. Fill in the other circles with words that
identify different people you know who smoke OR have diabetes. Choose the social connection
from the list provided. You may use the connection more than once, if necessary.
Identify those who SMOKE
"
Aunt
(Tia)
"
Classmate
(Compañero de
clase)
"
Cousin
(Primo/a)
"
Coworker
(Compañero de
trabajo)
"
Friend
(Amigo/a)
"
Neighbor
(Vecino/a)
"
Uncle
(Tio)
"
Other
(Otro/a)
Classmate
Classmate
Friend
!
!
!
Friend
Cousin
ME
!
!
Other
Uncle
!
!
Coworker
!
!
!
Social Identification (Part I)
Directions: Write your name in the center circle. Fill in the other circles with words that
identify different people you know who smoke OR have diabetes. Choose the social connection
from the list provided. You may use the connection more than once, if necessary.
Identify those who SMOKE
!
!
!
!
Aunt
(Tia)
"
Classmate
(Compañero de
clase)
"
Cousin
(Primo/a)
"
Coworker
(Compañero de
trabajo)
"
Friend
(Amigo/a)
"
Neighbor
(Vecino/a)
"
Uncle
(Tio)
"
Other
(Otro/a)
!
ME
!
!
"
!
!
Social Identification (Part II)
Identify those who have DIABETES
!
!
!
"
Aunt
(Tia)
"
Classmate
(Compañero de
clase)
"
Cousin
(Primo/a)
"
Coworker
(Compañero de
trabajo)
"
Friend
(Amigo/a)
"
Neighbor
(Vecino/a)
"
Uncle
(Tio)
"
Other
(Otro/a)
!
ME
!
!
!
!
!
Information on Smoking, Diabetes, and Quitting
Directions: Share the following basic information on smoking and diabetes with the class. Links
and additional information can be found under the “Additional Resources for Instructors”
section that you may use to setup your lesson plan.
!
!
!
!
People who are diabetic are two to four times more likely to suffer a
heart attack or stroke. If that person is a smoker, that risk is
multiplied. People who have diabetes and are smokers are more
likely to develop nerve damage and kidney disease. They are three
times more likely than nonsmokers to die of cardiovascular disease.
They are also more likely to have higher levels of blood sugar,
which will make it harder to control their diabetes.
!
Tips to Quit Smoking!
x
! x
Keep busy doing things that make it hard to smoke, like working in the yard, washing
dishes
! and being more active.
Fight the urge by going to places where smoking isn't allowed and staying around
people who don't smoke.
x
Avoid situations that tempt you to smoke, like drinking coffee or alcohol.
x
Find a substitute for smoking a cigarette. Try a sugarless hard candy or gum. Drink
water.
x
Remind yourself that you're likely to feel better if you stop smoking.
x
Tell family members and friends that you need to quit smoking and need their
support. If your husband, wife, son or daughter smokes, ask them to quit with you.
"#$%&'(!)**+(,,---./0'%1&/2)'/%*.#%3,+%'4'2*'%.5)*06718'2*191'%:;<==>>?!
!
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!
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!
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Additional Resources for Instructors
Listed are additional supplemental resources that can be used to gather more information about
smoking and diabetes.
x
American Diabetes Association
http://www.diabetes.org
x
American Heart Association
http://www.americanheart.org
x
American Lung Association
http://www.lungusa.org!
!
x
Florida Literacy Coalition
http://www.floridaliteracy.org!
!
x
Florida Healthy Kids
https://www.healthykids.org
x
Nemours
http://nemours.org
x
The Office of Minority Health
http://minorityhealth.hhs.gov
x
Florida QuitLine
http://www.doh.state.fl.us/tobacco/quitline.html
Community health centers provide medical care to all members of a community, regardless of
ability to pay. To find a community health center in your local area, go to The Florida
Association of Community Health Center website at www.fachc.org, or phone (800) 456-8263.
In addition, The Florida Department of Health (DOH) strives to promote, protect and improve
the health of all people in Florida. Local County health departments provide local health
services. To find a local health department in your area you can call (850) 245-4330 or go to
www.doh.state.fl.us.
!