米国における小児のタバコ規制対策の重要論文です_Tobacco Use: A Pediatric Disease

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2011年01月07日(Fri) 11:49

PEDIATRICS Vol. 124 No. 5 November 2009, pp. 1474-1487 (doi:10.1542/peds.2009-2114)
POLICY STATEMENT
Tobacco Use: A Pediatric Disease

Committee on Environmental Health, Committee on Substance Abuse, Committee on Adolescence,
and Committee on Native American Child Health

Tobacco use and secondhand tobacco-smoke (SHS) exposure are major national and international
health concerns. Pediatricians and other clinicians who care for children are uniquely
positioned to assist patients and families with tobacco-use prevention and treatment.
Understanding the nature and extent of tobacco use and SHS exposure is an essential first
step toward the goal of eliminating tobacco use and its consequences in the pediatric
population. The next steps include counseling patients and family members to avoid SHS
exposures or cease tobacco use; advocacy for policies that protect children from SHS exposure;
and elimination of tobacco use in the media, public places, and homes. Three overarching
principles of this policy can be identified: (1) there is no safe way to use tobacco;
(2) there is no safe level or duration of exposure to SHS; and (3) the financial and
political power of individuals, organizations, and government should be used to support
tobacco control. Pediatricians are advised not to smoke or use tobacco; to make their homes,
cars, and workplaces tobacco free; to consider tobacco control when making personal and
professional decisions; to support and advocate for comprehensive tobacco control; and
to advise parents and patients not to start using tobacco or to quit if they are already
using tobacco. Prohibiting both tobacco advertising and the use of tobacco products in
the media is recommended. Recommendations for eliminating SHS exposure and reducing tobacco
use include attaining universal (1) smoke-free home, car, school, work, and play environments,
both inside and outside, (2) treatment of tobacco use and dependence through employer,
insurance, state, and federal supports, (3) implementation and enforcement of evidence-based
tobacco-control measures in local, state, national, and international jurisdictions, and
(4) financial and systems support for training in and research of effective ways to prevent
and treat tobacco use and SHS exposure. Pediatricians, their staff and colleagues, and the
American Academy of Pediatrics have key responsibilities in tobacco control to promote the
health of children, adolescents, and young adults.

Key Words: tobacco • smoke • cigarette • environmental tobacco • nicotine • secondhand •
smoke free • cigar • smokeless

Abbreviations: SHS—secondhand tobacco smoke • AAP—American Academy of Pediatrics •
DoD—Department of Defense

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