Showing posts with label tobacco. Show all posts
Showing posts with label tobacco. Show all posts

Tuesday, February 3, 2015

Tobacco Product Use by Teens: Concerning Information

By: Lewis First, MD, MS; Editor-in-Chief  

          Despite the efforts being made to curb conventional cigarette smoking in teens, it seems that more and more tobacco options are being marketed to teens and young adults—and one wonders what it is doing to smoking patterns practice by adolescents today. 
Well wonder no more. Based on a study being released this week by Lee et al. (doi: 10.1542/peds.2014-3202) that used data from the National Youth Tobacco Survey involving almost 25,000 teens in grades 6-12.  The bottom line may surprise you in that nowadays, teens who smoke are twice as likely to use at least two or more different tobacco products as those who smoke tobacco cigarettes alone. 
What is contributing to the uptick in poly-tobacco use makes for an interesting read as the authors discuss the importance of flavored products, e-cigarettes, and media marketing of such products as contributing to the increasing prevalence of tobacco usage.
There is much to be learned in this study regarding the smoking habits of our teen patients—information that we should share with our patients as well.  If you want to smoke out why teens are continuing to smoke and what risk factors may be enhancing their desire to do so, read this study to learn more.

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Tuesday, August 26, 2014

Asthma, Eczema & Allergic Rhinitis from Pre-, Postnatal Second Hand Smoke Exposure?

By: Lewis First, MD, MS; Editor-in-Chief 
Photo by Javier Ignacio Acuna Ditzel

We certainly suspect an association exists between second-hand smoke exposure and allergic disease, but has it ever been confirmed in peer-reviewed scientific literature? Not as well as Thacher et al. (doi: 10.1542/peds.2014-0427) have done in an early release article we are sharing this week.

Their study involved more than 4,000 children followed for 16 years prospectively, while information was gathered on parental smoking habits, and symptoms of asthma, eczema and allergic rhinitis.

The results are fascinating and itching for your perusal. For example, second-hand smoke exposure in infancy seems to result in increased risk for asthma and allergic rhinitis, while exposure later in life seems to increase the risk of eczema.

These findings just scratch the surface of what awaits your own review of this study—so read on and learn more!

Related Reading:

Thursday, August 21, 2014

Think Teen Tobacco Use, Quitting Advice Are Discussed at Health Maintenance Visits? Think Again!

By: Lewis First, MD, MS; Editor-in-Chief 

Photo by Debora Cartagena
for the US Centers for Disease Control and Prevention
Do you pride yourself in counseling your adolescent patients who smoke on the need to quit?

Count yourself in the minority according to data shared this week by Schaeuer et al. (doi: 10.1542/ peds.2014-0458) who analyzed data from more than 18,000 teens in grades 6 to 12 via the National Youth Tobacco Survey.

The good news is that the overall prevalence of teen smokers is less than 20 percent, although the bad news is that less than a third of teens are even asked by their health care professional if they smoked, let alone wanted to quit. So why is this happening and what can we do to improve our adolescent anti-tobacco counseling efforts?

American Academy of Pediatrics Associate Executive Director Dr. Jonathan Klein (doi: 10.1542/peds.2014-1925) clears the air on this issue with a commentary on this important study that is also well worth your consideration.

So how good is your practice at inquiring about smoking and offering quit options for teens who want to stop? Have you discovered any “tricks” or methods to get an honest disclosure, and how successful have you been with getting teens to quit?

We welcome your feedback on this study by sharing your thoughts with us via this blog, Facebook, Twitter or by sending an eLetter to us about the study we urge you to read—and we’re not just blowing smoke about its importance!

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Monday, March 24, 2014

Secondhand Smoke Exposure Reduction by Parents: Does It Work?

Photo by blizniak via Pixabay
When parents try to cut back on their smoking or find other ways to reduce second-hand smoke exposure to children are their efforts successful?

Rosen et al. (doi: 10.1542/peds.2013-0958) light up our journal this week with a meta-analysis of
studies showing the effectiveness (or lack thereof) of parental interventions designed to reduce child tobacco smoke exposure.

Before you breathe a sigh of relief that parent-reported smoke reduction efforts work, read this study and think again. While there may be some benefits, as you will see, there is more that needs to be done—perhaps more at the population than individual child level—but see what you think by checking out this interesting review of the literature on this important topic.

Related Reading:

Thursday, October 3, 2013

Tobacco Marketing and Its Effect on Children: More Than Just a National Concern!

We are certainly aware of the effects of tobacco advertising on children and teenagers in this country based on studies we and other journals have published on this topic. Yet, the United States is not the only country where this issue continues to be a problem. Internationally, tobacco marketing can affect young children and their attitudes and behaviors regarding smoking and as shown this week by Borzekowski and Cohen (doi: 10.1542/peds.2013-1150) in a study examining tobacco marketing to 5 and 6 year olds in six low- and middle-income countries. The children in the study were asked to match logos to products that included logos for cigarette brands in their countries. Suffice it to say, the greater the media exposure for a child, the more likely a young child could identify at least one cigarette brand logo. The authors share much more information about other factors that further enhance this recognition and call for better measures to restrict tobacco marketing internationally.

If your local school district is not working on curriculum to alert students to the influence of what current marketing can do to influence behavior (even years later), then this study should light up your desire to advocate for such a curriculum and other preventive measures to curtail as much tobacco marketing to minors as possible.