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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 - PowerPoint PPT Presentation
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Tobacco Control and ChildrenAsian and US Collaboration
Fumio BesshoDepartment 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
• To prevent for children to start smoking
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.
0
100
200
300
400
500
600
700
-19 20-24 25-29 30-34 35 non-smoker
Lung Cancer
Whole cancer
Age at starting to smoke (years old)
(per 100,000)
Sta
nd
ard
ized
mo
rtal
ity
rate
fo
r m
ale
(196
6-19
82)
(ganjoho.jp)
Youth is a Target of Sales Promotion of
Tobacco Industries
* 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
②
③
④
JT’s CSR Report 2010
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).”
JT sponsors children’sShogi contest.
JT supports NPO’s Activities to promoteChildren’s sound development.
Afforestation by JTWith billboard stating“JT’s Forest”
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)
• 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?
Behavior of Adolescents and Factors Influencing It’s Change (2)
Non-Smokers
Smokers
EarlySmokers
Strum und Drang
Addicted Smokers
Smokers
Regular Smokers
70%
7%
HeavierSmokers
18-19 years old 20-21 22-35 years old years old
Wrong Recommendation: Smoke after 20 years old!
Wrong Thought:More of my peers smoke.
Mind of Adolescent
Youth is a Target of Sales Promotion of
Tobacco Industries.
Our target should be also Youth.
1. Education for youth not to start smoking And also treatment of tobacco addiction
2. Combat against various tobacco industry’s tactics
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