From the category archives:

Tobacco

Fact or fiction: Today’s teenagers are more wild than ever

by Tripp Underwood on February 13, 2012

For decades, teenagers have gotten a pretty bad rap from the generations that came before them. The clothes, hairstyles and music may change, but the age-old notion of teenagers being wilder than ever before predates anyone old enough to have the thought. Complaining about wayward teens may be a parental cliché, but that’s only because it’s true, right?

Not so fast parents: According to a new study at the University of Michigan, today’s kids are actually a little more conservative than many of you were at their age. Full story »

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Marijuana use up among teenagers

by Tripp Underwood on December 16, 2011

Compared to 30 years ago, today’s teenagers are drinking and smoking less. If you’ve got a teenager those kinds of stats are encouraging news, but unfortunately it’s too early to let your guard down completely. According to a new study more kids are using marijuana than before and start smoking at a younger age. The cause of the spike is still unclear, but John R. Knight, MD, director of Children’s Hospital Boston’s Center for Adolescent Substance Abuse Research(CeASAR), says mixed messages about pot’s dangers are likely to play a role.

Troubling Trend: Teen Pot Use: MyFoxBOSTON.com

Have you found drugs in your child’s room and are unsure what to do? Here’s more advice from Dr. Knight.

To learn more about how marijuana’s softening reputation could impact your kids, read this interview with Dr. Knight. If you are concerned about your child’s substance use, contact a member of Dr. Knight’s team for help in scheduling an appointment.

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In today’s busy medical environment, doctors are asked to do a lot in a short amount of time. The average well visit clocks in at somewhere around 12 minutes these days, which means pediatricians need to screen children for several potential problems in a very finite amount of time.

Because of these time restrictions there simply isn’t enough time to do all the screenings recommended as part of general health care. One area that often gets overlooked is substance abuse among adolescent patients.

Data suggests that many physicians do not routinely broach the topic of alcohol and drug use with their teen patients because there isn’t enough time to bring the subject up, or they don’t always know what to do when a screen suggests a patient may have a problem.

To make the process easier on time starved doctors, the National Institute on Alcohol Abuse and Alcohol Addiction (NIAAA) and the American Academy of Pediatricians (AAP) have both released screening and brief intervention guidelines that will help physicians choose valid screening tools and clearly explain when to suggest appropriate interventions for their patients. Full story »

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When care requires more than simple answers

by Childrens Hospital Boston staff on September 19, 2011

When teenagers stonewall adults, there can be many issues leading to the behavior

By Sarah Teasdale, MD, EdM pediatric hospitalist at Children’s Hospital Boston

It was near midnight about a year ago when I noticed a gaunt young man in his early twenties walking toward me in the Emergency Department. It was a young man who, about a decade earlier, had threatened to kill me.

For nearly ten years prior to becoming a physician I was a high school teacher. That particular July, I was teaching English in summer school for students who had failed the class during the regular school year. It was a group of 15 surly teenagers ages 14 to 19, beaten down by a system in which they could not—or chose not—to succeed.

The young man—I’ll call him Andre—was my student that summer. He was a gangly, thin 15-year-old who often wore the same ill-fitting clothes day after day, rarely made eye contact and showed a level of fatigue in the early morning that was extreme, even for a teenager. Whenever I tried to talk to him, he would simply say he was “a’right.” He meant: Stop asking.

So I stopped asking. In doing so, I lost a chance to help him. Full story »

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Tragic stories of teens being bullied and ostracized at school have been saturating media headlines. But while these tales are making news, there’s another story to be told: that of homosexual teens’ estrangement—even banishment—from their families.

According to the recent Massachusetts Youth Risk Behavior Surveys (YRBS), one in four teens who identify themselves as lesbian or gay are homeless, and a study in the American Journal of Public Health (AJPH) says that it’s more likely that these teens are being driven out of their homes by their parents. Supporting this are findings from studies of homeless youth living apart from their families. One such study shows that 73 percent of homeless gay and lesbian teens indicated that they were homeless because their parents disapproved of their sexual orientation. Full story »

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Will new, graphic tobacco health warnings affect kids?

by Childrens Hospital Boston staff on June 28, 2011

The following was written by Lauren Rubenzahl, EdM, program coordinator at Children’s Center on Media and Child Health (CMCH) and David Bickham, PhD, CMCH staff scientist.

Last week, the FDA released new requirements for labels on cigarette packaging, which will take effect next September. The nine new health warning labels portray the health effects of smoking through text and full-color graphics, like one that compares a healthy set of lungs with a diseased set of lungs and reads, “Cigarettes cause fatal lung disease.” According to the FDA, these labels are intended to “increase awareness of the specific health risks associated with smoking”, “encourage smokers to quit”, and “empower youth to say no to tobacco.”

These warnings could have positive results. By placing graphic health warnings so prominently in cigarette advertisements (they must take up 20% of the ad) and packaging (they must take up 50% of the front and back), the changes will reduce kids’ exposure to actual cigarette advertising, which influences their decision to use tobacco. Full story »

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