Policies to Prevent Tobacco Use and Exposure in Children, a Global Perspective

Morello, Paola

doi:10.2174/157339611795735639

Cited by 3 publications

(4 citation statements)

References 54 publications

(60 reference statements)

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“…While voluntary community interventions have been shown to reduce children’s exposure to SHS in cars and at home [ 3 , 4 ], policy makers [ 5 ] and landlords [ 6 ] are frequently reluctant to institute outright bans in these microenvironments. Physicians can play a significant role in encouraging protection of children from SHS exposure [ 7 , 8 , 9 , 10 ]. Indeed, among pediatric otolaryngologists, the opportunity exists to intervene with smoking parents to reduce children’s contact with SHS [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Parental Ease in Asking Others Not to Smoke and Respiratory Symptoms and Illness among Children

Spangler

Csákányi

Rogers

et al. 2014

IJERPH

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Objective: Childhood exposure to secondhand tobacco smoke (SHS) increases a child’s burden of respiratory conditions, but parental smoking bans may reduce such morbidity. This study evaluated household smoking bans and their relationship to respiratory illness in an outpatient otolaryngology clinic. Methods: The study was performed at the Heim Pal National Children’s Hospital, Ear, Nose and Throat (ENT) Department (Budapest, Hungary) from July to November, 2010. A consecutive series of children’s caregivers were approached to participate in a survey measuring household smoking bans, upper and lower respiratory tract symptoms and illnesses, and socioeconomic factors. Bivariate and multivariate logistic regression analyses were performed. Results: Of the 215 caregivers recruited for the study, 208 agreed to participate (response rate of 96.7%). More than half of the children were male (54%), and 39% lived in a household with at least one member who smoked. Smoking was frequently banned inside the car (91.3%) and home (85.1%). Respondents felt it easiest to ask friends (97.1%) and family members not living in the household (98.1%) to refrain from smoking inside the home. Respondents also found it easier to ask a stranger (81.7%) or a family member (61.1%) not to smoke around the child. Logistic regression showed that respondents for children with a history of pneumonia found it less difficult to ask visitors in the home not to smoke compared to children without pneumonia (OR = 0.23, 95% CI = 0.06–0.98). Conversely, respondents for children who had had adenoidectomy found it over three times more difficult to ask strangers not to smoke near the child compared to those of children without adenoidectomy (OR = 3.20, 95% CI = 1.43–6.38). Conclusions: In a population of children visiting an outpatient ENT clinic in Budapest, Hungary, we found a high degree of exposure to SHS. The ease with which caregivers felt towards asking others not to smoke predicted specific respiratory conditions. Since the ENT clinic offers a wonderful opportunity for clinicians to counsel parents on tobacco cessation, increased tobacco education of these providers is needed.

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Section: Introductionmentioning

confidence: 99%

Parental Ease in Asking Others Not to Smoke and Respiratory Symptoms and Illness among Children

Spangler

Csákányi

Rogers

et al. 2014

IJERPH

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“…As noted by Morello in her recent review of policies to prevent tobacco use and exposure in children, [ 40 ] the WHO FCTC represents a paradigm shift in developing a regulatory strategy to address addictive substances. It asserts the importance of demand reduction strategies as well as supply issues.…”

Section: Introductionmentioning

confidence: 99%

Cigarette Smoking and Lung Cancer: Pediatric Roots

Hymowitz

2012

Lung Cancer International

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A vast array of data suggests that early age of smoking onset enhances the risk for development of lung cancer in adulthood. Initiation of smoking at a young age may influence the development of lung cancer because of its effect on duration of smoking. Early onset of smoking also may serve as an independent risk factor. It may increase the likelihood that smoking occurs during a critical period of development that enhances susceptibility to the adverse effects of cancer causing agents in cigarette smoke, thereby facilitating the initiation of the carcinogenic process. While evidence for the latter hypothesis derives from a variety of sources, definitive proof has proven elusive. Whether or not early age of smoking serves as an independent risk factor for lung carcinogenesis, the consensus of the public health community is that prevention of smoking onset at a young age and early cessation are keys to stemming the current lung cancer pandemic. Population approaches to tobacco prevention and control, such as measures contained in the World Health Organization Framework Convention Tobacco Control Treaty, offer the best opportunity, on the scale needed, to create a smoke-free world and bring an end to the pandemic of tobacco-related disease.

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confidence: 99%

“…[1][2][3] The genesis of this pandemic starts early in life. [3][4][5] Most adult smokers started smoking at a young age, fetuses are endangered by mothers who smoke, and infants, children, and adolescents are exposed to tobacco smoke in their homes and elsewhere. 2,6 Because of this, cigarette smoking has been called a "pediatric disease," 7,8 and the American Academy of Pediatrics has called upon pediatricians to address tobacco use and smoke exposure in patients and parents.…”

mentioning

confidence: 99%