College of Nursing and Health Professions, Drexel University.
Drexel University College of Medicine.
Curr Opin Pediatr. 2019 Oct;31(5):670-674. doi: 10.1097/MOP.0000000000000810.
The purpose of this review is to highlight the emerging smoking behaviors and varied tobacco products elevating public health concerns related to the exposure of these potentially harmful substances in the adolescent population.
Although adolescent smoking of traditional cigarettes has declined in the last 40 years, the inhalation of other nicotine-containing products using alternative methods and devices, such as smoking electronic cigarettes, using hookahs, vaping, and JUULing are dramatically on the rise in the adolescent population. Regardless of the novel delivery devices or methods, use of nicotine-containing products in any form is hazardous and unsafe.
If adolescent smoking trends continue at the current rate in the United States, 5.6 million of today's American youth under the age of 18 will die early from a smoking-related illness. With the emerging high-risk smoking behaviors resulting in detrimental exposure to nicotine and other harmful substances available to adolescents, pediatric healthcare providers will have an increasing responsibility to screen, to manage, and to educate patients and families to combat this imminent threat to the public health of our next generation.
本综述的目的是强调新兴的吸烟行为和各种烟草产品对青少年人群暴露于这些潜在有害物质的公共卫生问题的影响。
尽管在过去的 40 年中，青少年传统香烟的吸烟率有所下降，但使用电子烟、水烟、蒸气烟和 JUUL 等替代方法和设备吸入其他含尼古丁产品的情况却在青少年人群中急剧上升。无论使用何种新型输送装置或方法，任何形式的含尼古丁产品都是危险和不安全的。
如果美国青少年吸烟趋势继续按照目前的速度发展，那么今天 18 岁以下的 560 万美国青少年将因与吸烟有关的疾病而过早死亡。由于新兴的高风险吸烟行为使青少年接触到尼古丁和其他有害物质，儿科保健提供者将承担越来越大的责任，对患者和家庭进行筛查、管理和教育，以应对下一代公共健康的这一紧迫威胁。
