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Tobacco Control and Children Asian and US Collaboration

Tobacco Control and Children Asian and US Collaboration. Fumio Bessho Department of Pediatrics Kyorin University School of Medicine. Fumio Bessho Has documented that he has no financial relationships to disclose. Tobacco Control. To protect children from second-hand tobacco exposure

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Tobacco Control and Children Asian and US Collaboration

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  1. Tobacco Control and ChildrenAsian and US Collaboration Fumio Bessho Department of Pediatrics Kyorin UniversitySchool of Medicine

  2. Fumio BesshoHas documented that he has no financial relationships to disclose.

  3. Tobacco Control • To protect children from second-hand tobacco exposure • To prevent for children to start smoking

  4. We should put target for anti-tobacco on youths • Many adult smokers start their smoking before the age of 18 years old. • The younger the starting age of smoking is, the higher the incidence of adverse effect in their life is. • Youths are good targets of tobacco industries as well as women.

  5. (per 100,000) Standardized mortality rate for male (1966-1982) Age at starting to smoke (years old) (ganjoho.jp)

  6. Youth is a Target of Sales Promotion of Tobacco Industries

  7. ③ JT’s CSR Report 2010 * * Initiative in prevention of minor’s smoking (This activity must be managed not only by tobacco industry but also by community as a whole including nurture at home in order to succeed.) ①Campaign for prevention of minor’s smoking ②Warning on news paper ③Self-controlling of advertise-ment and sales promotion ④Vending machine equipped with apparatus recognizing minor ① ④ ②

  8. Poster of campaign for prevention of minors’ smoking by Japan Tobacco supported by the Ministry of Education, Culture, Sports, Science and Technology and other National Agencies such as the Department of Police I have decided by myself “I don’t smoke (until 20 years old).”

  9. JT sponsors children’s Shogi contest. JT supports NPO’s Activities to promote Children’s sound development. Afforestation by JT With billboard stating “JT’s Forest”

  10. Behavior of Adolescents and Factors Influencing It’s Change (1) • The medical message to youth --- not to start smoking is often either not delivered or not heard. • We, pediatrician are middle class or wealthy, highly educated, and have left childhood far behind. We are speaking to children and families who do not have the benefit of our medical knowledge, are most often less wealthy, and often of different ethnicity. (Gidding SS: J Pediatr 158:527-528, 2011)

  11. Behavior of Adolescents and Factors Influencing It’s Change (2) • Different sources of Information (about sex) were associated with different types of underlying beliefs about having sex. • Using cousins or friends as a source of information was associated with beliefs that having sex in the next 12 months would result in positive outcomes for one’s self and one’s partner. • Getting information from these references led to a higher perception that their peers were having sex---. • Beliefs related mothers and religious leaders were behavioral and those to fathers were normative. (Bleakley A, et al: Am J Health Behav 33:37-48, 2009) • Then, what is doctor’s position?

  12. Wrong Thought: More of my peers smoke. Wrong Recommendation: Smoke after 20 years old! 70% Smokers Addicted Smokers Mind of Adolescent Heavier Smokers Early Smokers Regular Smokers Strum und Drang Smokers Non- Smokers 7% 18-19 years old 20-21 22-35 years old years old

  13. Youth is a Target of Sales Promotion of Tobacco Industries. • Our target should be also Youth. • Educationfor youth not to start smoking • And also treatment of tobacco addiction • 2. Combat against various tobacco industry’s tactics

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