Clinical Practice Policy to Protect Children From Tobacco, Nicotine, and Tobacco Smoke

@article{Farber2015ClinicalPP,
  title={Clinical Practice Policy to Protect Children From Tobacco, Nicotine, and Tobacco Smoke},
  author={Harold J. Farber and Susan C Walley and Judith A. Groner and Kevin E Nelson},
  journal={Pediatrics},
  year={2015},
  volume={136},
  pages={1008 - 1017}
}
Tobacco dependence starts in childhood. Tobacco exposure of children is common and causes illness and premature death in children and adults, with adverse effects starting in the womb. There is no safe level of tobacco smoke exposure. Pediatricians should screen for use of tobacco and other nicotine delivery devices and provide anticipatory guidance to prevent smoking initiation and reduce tobacco smoke exposure. Pediatricians need to be aware of the different nicotine delivery systems marketed… Expand
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References

SHOWING 1-10 OF 122 REFERENCES
Protecting Children From Tobacco, Nicotine, and Tobacco Smoke
This technical report serves to provide the evidence base for the American Academy of Pediatrics’ policy statements “Clinical Practice Policy to Protect Children From Tobacco, Nicotine, and TobaccoExpand
State-of-the-Art Office-Based Interventions to Eliminate Youth Tobacco Use: The Past Decade
TLDR
Current practices in addressing tobacco in pediatric primary care settings are reported, increasing understanding of youth nicotine addiction is reviewed, research efforts on intervention in the past decade are summarized, and practical guidelines for pediatric health care providers to integrate tobacco use prevention and treatment into their clinical practice are provided. Expand
Screening for children's exposure to environmental tobacco smoke in a pediatric primary care setting.
  • D. Best
  • Medicine
  • The Journal of pediatrics
  • 2005
TLDR
A simple, specific, and valid screening tool that can be used in pediatric offices to identify children at risk for ETS exposure as defined by a child's hair cotinine level is derived. Expand
The CHICA Smoking Cessation System
TLDR
A parental smoking cessation module for an established pediatric primary care decision support system (CDSS) that runs as a front-end to the Regenstrief Medical Record System that guides the physician through smoking cessation counseling, using stages of change. Expand
Parental Smoking Cessation to Protect Young Children:A Systematic Review and Meta-analysis
TLDR
Interventions to achieve cessation among parents, for the sake of the children, provide a worthwhile addition to the arsenal of cessation approaches, and can help protect vulnerable children from harm due to tobacco smoke exposure. Expand
Secondhand tobacco smoke in children with asthma: sources of and parental perceptions about exposure in children and parental readiness to change.
TLDR
Although the harm of smoke exposure was frequently underestimated, many parents appeared receptive to considering action to reduce their child's exposure and smoking by the primary caregiver and day-care provider are important sources of exposure for children with asthma. Expand
Primary Care Interventions to Prevent Tobacco Use in Children and Adolescents: U.S. Preventive Services Task Force Recommendation Statement*
  • V. Moyer
  • Medicine
  • Annals of Internal Medicine
  • 2013
TLDR
The USPSTF recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use in school-aged children and adolescents. Expand
Implementation of a Parental Tobacco Control Intervention in Pediatric Practice
TLDR
A system-level intervention implemented in 20 outpatient pediatric practices led to 12-fold higher rates of delivering tobacco control assistance to parents in the context of the pediatric office visit. Expand
Efficacy and Tolerability of Pharmacotherapies to Aid Smoking Cessation in Adolescents
TLDR
None of the medications included in this review were efficacious in promoting long-term smoking cessation among adolescent smokers, and future efficacy studies are warranted before recommending pharmacotherapy for adolescent smoking cessation. Expand
Risk factors for adolescent smoking: parental smoking and the mediating role of nicotine dependence.
TLDR
Mother's smoking at baseline was associated with adolescent's smoking frequency at the 48-month follow-up, and its effect was partially mediated by both smoking frequency and nicotine dependence among low-exposure adolescent smokers. Expand
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