December 2012 Family Update

Drug type: Tobacco Tobacco use increased by 34 percent per movie last year in films targeted at children and teens, according to a new study. Researchers said the dramatic rise in smoking scenes in top-grossing U.S. movies with a G, PG, or PG-13 rating ends five years of steady decline in onscreen tobacco use. The biggest increase in onscreen tobacco use was in movies aimed at the youngest audiences. The average number of tobacco incidents per movie rated G and PG rose by 311 percent in 2011, up from less than one smoking scene per movie to more than three. Secondhand smoke (SHS) exposure causes heart disease and lung cancer in nonsmoking adults and several health conditions in children (1). Only completely eliminating smoking in indoor spaces fully protects nonsmokers from SHS (1). State and local laws can provide this protection in enclosed workplaces and public places by completely eliminating smoking in these settings (1). CDC considers a smoke-free law to be comprehensive if it prohibits smoking in all indoor areas of private workplaces, restaurants, and bars, with no exceptions (2). In response to growing evidence on the health effects of SHS, communities and states have increasingly adopted comprehensive smoke-free (CSF) laws in recent years. The first CSF laws in a state often are enacted by smaller communities (1,3). The successful implementation of smoke-free laws in smaller communities lays the groundwork for the adoption of similar laws by larger cities and, ultimately, at the state level (1–3). Regardless of whether they are implemented at the local or state level, smoke-free laws have been shown to receive high levels of public support and compliance, reduce SHS exposure, and improve health outcomes (1,4). The education and debate that

accompany adoption of these laws generally result in increased public awareness of the law and its rationale (1,3,5–7). This education and debate, as well as the experience of living under the law, often lead to changes in social norms that result in increasing public support for the law (1,4,5). Many Smartphone Apps Promote Pro-Smoking Messages, Study Finds Many smartphone applications promote a pro-smoking message, a new study concludes. Some programs allow the user to simulate smoking or collect points for buying cigarettes, while others offer images of cigarettes that can be set as the phone’s “wallpaper.” The researchers also found apps that provide advice on how to hand-roll tobacco, or allow users to pass a cigarette to on-screen characters. Researchers at the University of Sydney in Australia evaluated apps available in the Apple App Store and the Android Market, and found 107 tobacco-friendly programs, AFP reports. They note 42 were from the Android Market and were downloaded by more than six million users. Smokers’ Addiction Leaves Mark in DNA, Study Suggests Smokers leave a chemical marker of their addiction in their DNA, a new study finds. These markers could help measure smokers’ risk of cancer, according to Medical News Today. Researchers found sites in the DNA of blood that were chemically tagged as a result of smoking. The tags can be detected in lung tissue, and could be used to measure increased risk of cancers of the lung, breast and bowel, they said. Drug type: Tobacco An analysis of 45 studies covering 33 laws in the United States, New Zealand, Uruguay, and Germany found that laws against smoking in public places have been linked to lower hospitalizations for heart attacks, strokes and respiratory diseases such as asthma and emphysema. The findings were published Monday in the American Heart

Association’s journal Circulation. Heart attack hospitalizations fell an average of 15 percent after communities passed laws banning smoking in areas such as restaurants, bars and workplaces. Stroke hospitalizations fell 16 percent, while hospitalizations for respiratory diseases 24 percent, according to the study. Secondhand smoke exposure causes death and disease among nonsmoking adults and children.Adopting policies that completely prohibit smoking in all indoor areas is the only effective way to eliminate involuntary SHS exposure. One environment strategy

was reported in the Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report. The results of this assessment determined that the average level of RSPs in the smoking-permitted areas of these five airports was 16 times the average level in nonsmoking areas (boarding gate seating sections) and 23 times the average level of RSPs in the smoke-free airports. The average RSP level in areas adjacent to the smoking-permitted areas was four times the average level in nonsmoking areas of the five airports with designated smoking areas and five times the average level in smoke-free airports. Smoke-free policies at the state, local, or airport authority levels can eliminate involuntary exposure to SHS inside airports and protect employees and travelers of all ages from SHS. HHS/CDC Report Suggests Many Teen Hookah Smokers Don’t Recognize Health Risk Many teenage hookah smokers do not recognize that the practice carries serious health risks, suggests a new report by the Centers for Disease Control and Prevention (CDC). An estimated 18.5 percent of 12th graders said they used a hookah in the previous year. Drinking and Driving The U.S. Department of Health and Human Service’s Centers for Disease Control and Prevention (CDC) recently reported that the percentage of teens in high school (16 years or older) who drove when they had been drinking alcohol decreased by 54% between 1991 and 2011. For the Vital Signs report, researchers analyzed data from the 1991-2011 national Youth Risk Behavior Surveys (YRBS). For YRBS, binge drinking means five or more drinks during a short period of time. Teens were responsible for approximately 2.4 million episodes of drinking and driving a month in 2011; some engaged in the dangerous behavior more than once a month. -High school boys 18 years and older were most likely to drink and drive (18% of male high school students aged 18 years and older reported driving when they had been drinking alcohol), while 16-year-old high school girls were least likely (6%). -85% of teens in high school who reported drinking and driving in the past month also reported binge drinking. CDC Vital Signs provides timely, high impact, and data-driven prevention information, linking science, policy, and communications to create a call-to-action. Get a full report and past issues of Vital Signs. 60% of High School Students Report Drugs Are Used, Kept, or Sold in Their Schools For the sixth year in a row, 60% or more of high school students report that drugs are used, kept, or sold on their school grounds, according to a telephone survey of U.S. youth ages 12 to 17. While the percentage of students reporting that there are drugs in their school has decreased from the high of 66% in 2010 to 60% in 2012, the current percentage remains higher than a decade ago (44%; see figure below). The survey also found that 36% of high school students believe that it is fairly or very easy for students to smoke, drink or use drugs during the day at their school without getting caught and more than half (52%) say that there is a place on school grounds or near their school where students go to smoke, drink, or use drugs during the school day. Teens in Northwest Develop Kidney Failure From Synthetic Marijuana Six young men—five of them teenagers—developed kidney failure after using synthetic marijuana in recent months, health officials in Oregon and Washington report. The cases have occurred since May. All of the young men were hospitalized, and one was admitted to intensive care to undergo emergency dialysis because his kidneys shut down, according to The Oregonian. The young men have recovered with treatment, the article notes. The long-term damage to their kidneys is not yet known. Injecting Painkiller Opana Can Lead to Serious Blood Disorder, FDA Warns Injecting Opana can cause thrombotic thrombocytopenic purpura, which causes clots to form in small blood vessels throughout the body. These clots limit or block blood flow to the organs, the article explains. Opana ER is a pill meant to be taken orally. It causes the blood clotting disorder only when it is abused by being crushed and injected intravenously, according to the FDA. The pill has an extended-release design, but crushing it releases the drug all at once. New resource from the NEA Health Information Network focuses on Prescription Drug Abuse and Misuse The Food and Drug Administration (FDA) has received reports of 13 deaths over the last four years that may have involved the highly caffeinated drink 5-Hour Energy, The New York Times reports. Last month, the FDA said it was investigating reports that five people have died since 2009 after they consumed Monster energy drinks. The investigation was announced after parents of 14-year-old Anais Fournier sued the company in connection with their daughter’s death. According to the newspaper, since 2009, the FDA has received incident reports of more than 30 cases of serious or life-threatening injuries such as heart attacks and convulsions, which mentioned 5-Hour Energy. 5-Hour Energy is sold in a two-ounce bottle called a shot. According to an analysis by Consumer Reports, the product contains about 215 milligrams of caffeine. An eight-ounce cup of coffee generally contains between 100 to 150 milligrams. Last year, the Substance Abuse and Mental Health Services Administration issued a report that found a sharp rise in the number of emergency department visits linked with the use of non-alcohol energy drinks, from 1,128 visits in 2005, to 13,114 in 2009. ED and U.S. Department of Justice Revise Parent’s Guide to Drug Prevention Growing up Drug-Free: A Parent’s Guide to Prevention (2012) has been released! The U.S. Department of Justice partnered with the U.S. Department of Education to revise this publication that was originally published in 1998. The 55-page booklet is organized

in 6 major sections: 1) How This Book Will Help You? 2) What Substances Do Kids Use? 3) Why Do Kids Use Drugs? 4) How Do I Teach My Child About Drugs? 5) What If I Think My Child is Using Drugs? 6) Resources. Parents and caregivers will find this publication a user-friendly and valuable guide for what to do and how to communicate about the harmful effects of illicit drugs and alcohol to children from elementary through high school. This publication, and other related resources is online in the publications section of: Get Smart About Drugs. RX for Understanding The National Education Association Health Information Network has released a new teaching resource, Rx for Understanding, focused on the growing problem of prescription drug abuse and misuse. The resource includes 10 cross-curricular lessons for middle school students. Aligned with the National Health Education Standards and Common Core State Standards, the lessons aim to equip students with the understanding and decision-making skills they need to recognize and avoid the dangers of misusing and abusing prescription drugs. The materials were developed with the support of an educational grant from Purdue Pharma L.P. SPRC updates customized information sheets for high school teachers and school mental health providers CADCA is proud to announce the launching of its first online course on over-the-counter (OTC) and prescription drug (Rx) abuse prevention. “Applying the Strategic Prevention Framework to Prescription Drug Abuse Prevention” will address Rx and OTC medicine misuse, abuse and addiction, an epidemic that CADCA’s coalitions are addressing in their communities every day. Individuals and other concerned health advocates can access the courses at CADCA. The Role of High School Teachers in Preventing Suicide and The Role of High School Mental Health Providers in Preventing Suicide are part of a series of fact sheets created by the Suicide Prevention Resource Center (SPRC) and customized to specific settings and roles. These revised fact sheets include updated data and resources and clear steps school professionals can take to respond to students at risk for suicide. Key components of a comprehensive school-based program to encourage staff to become more involved in suicide prevention are also listed. Click here for more information Toolkit Helps To Prevent Suicide Among High School Students

SAMHSA has released Preventing Suicide: A Toolkit for High Schools. This toolkit represents the est available evidence and expert opinion on preventing suicide among high school students. DownloadPreventing Suicide: A Toolkit for High Schools Now the National Suicide Prevention Lifeline is also available to provide 24-hour, toll-free, confidential crisis counseling.

If you or someone you know is in an emotional distress or suicidal crisis, please call the Lifeline at 1-800-273-TALK (8255). HHS Study Says Most Suicidal Teens Don’t Get Professional Help Most teens who are thinking of suicide or have already attempted suicide are not receiving appropriate mental health services, according to a recent analysis of nationally representative survey data. Between half and three-quarters of those surveyed who reported suicidal ideation had recent contact with a health provider, but most had three or fewer visits, and the majority did not receive specialized mental health care. Among youth surveyed, suicidal behavior was associated not only with major depression but also with other mental health problems such as anxiety, substance use, eating and behavior disorders, and physical health problems. The researchers emphasize the importance of incorporating a suicide risk assessment into regular physical and mental health care for teens, and suggest that teens should continue to be monitored for suicidal ideation and behaviors even while in treatment. Read the abstract of “Twelve-month suicidal symptoms and use of services among adolescents: Results from the National Comorbidity Survey.” The Role of High School Teachers in Preventing Suicide and The Role of High School Mental Health Providers in Preventing Suicide are part of a series of fact sheets created by the Suicide Prevention Resource Center (SPRC) and customized to specific settings and roles. These revised fact sheets include updated data and resources and clear steps school professionals can take to respond to students at risk for suicide. Key components of a comprehensive school-based program to encourage staff to become more involved in suicide prevention are also listed. Click here for more information Gambling and Youth Curriculum pack for grades 3-8 includes an Educator’s Guide, an 11-minute DVD, Andy’s Story, a Wanna Bet? Resource Guide, overhead masters, plus a bibliography and resource list. This easy-to-use curriculum also includes a gambling fact sheet, a brief history of gambling, and a parent letter, all of which are copier ready. NATI is a partner with SAMHSA’s Partners for Substance Abuse Prevention.

Bridge to Hope is a support organization only and does not offer medical or psychological advice and is an outreach program the Passavant Hospital Foundation. Web design by Creative Courtney.

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