Приложение. Отговорки курящих родителей

Как и для любой химической зависимости, для курения характерны отрицание, оправдания, отговорки. Соответственно, наблюдаются они и у курящих родителей. Рассмотрим некоторые из таких отговорок.

«Я не курю рядом с ребенком»

Исследование, в котором сопоставлялись результаты опроса родителей о курении и данные биохимических индикаторов подверженности детей воздействию табачного дыма, показало, что у детей, чьи родители курят дома, вне дома и не курят вообще, концентрации котинина составили соответственно 137.13, 75.60, и 43.28 нг/мг [70]. Таким образом, если родители считают, что, куря вне дома, они не подвергают своего ребенка воздействию табачного дыма, им можно сообщить, что в крови их ребенка, тем не менее, продуктов метаболизма никотина почти в два раза больше, чем в крови детей некурящих родителей.

«При нашей экологии курение уже не имеет значения»

Однако исследования [14] показывают, что в воздухе наполненной табачным дымом комнаты может содержаться в шесть раз больше загрязняющих воздух веществ, чем на загруженной автостраде. А табачный дым внутри автомобиля может быть еще более токсичным, чем выхлопные газы в часы пик.

«Соседка курит в комнате, а я на балконе, ее дети не болеют, а мои болеют бронхиальной астмой, значит, их астма не связана с моим курением»

Такого рода отговорки весьма характерны для курящих родителей, у которых дети уже страдают какими-то заболеваниями, но признавать свою роль в развитии этих заболеваний родители не хотят. Напомним, что, с одной стороны, для любого заболевания существует множество факторов риска, и курение является одним из них. Поэтому, если у курящей соседки не было семейной предрасположенности к бронхиальной астме, это заболевание могло не возникнуть, но могли развиться другие заболевания. С другой стороны, исследования установили связь бронхиальной астмы с курением матери во время беременности [65]. Курение же родителей после рождения ребенка служит не столько причинным фактором возникновения астмы, сколько фактором возникновения респираторных симптомов у детей, как имеющих астму, так и не имеющих ее [35, 55].

Заключение

Уважаемый читатель!

Мы очень кратко познакомились с тем, что происходит и что можно делать в тех случаях, когда курят родители.

Я надеюсь, что для заинтересованных специалистов эта книга станет первым подспорьем при работе в данном направлении.

Тем, кто считает, что пусть курят родители, лишь бы не курили их дети, я хочу напомнить одну простую истину: дети курят потому, что курят взрослые. Соответственно, если вы хотите оградить детей от курения, стремитесь к тому, чтобы не курили взрослые.

Литература

1. A Six-Year Follow-Up Study of Determinants of Heavy Cigarette Smoking Among High-School Seniors. Kenneth W. Griffin, Gilbert J. Botvin, Margaret M. Doyle, Tracy Diaz, and Jennifer A. Epstein Journal of Behavioral Medicine, Vol. 22, No. 3, 1999

2. Al-Delaimy W, Fraser T, Woodward A. Nicotine in hair of bar and restaurant workers. N Z Med J 2001 Mar 9;114(1127):80-3

3. Al-Delaimy WK, Crane J, Woodward A. Is the hair nicotine level a more accurate biomarker of environmental tobacco smoke exposure than urine cotinine? J Epidemiol Community Health 2002 Jan;56(1):66-71

4. Al-Delaimy WK, Crane J, Woodward A. Passive smoking in children: effect of avoidance strategies, at home as measured by hair nicotine levels. Arch Environ Health 2001 Mar-Apr;56(2):117-22

5. Aligne CA, Moss ME, Auinger P, Weitzman M. Association of pediatric dental caries with passive smoking. JAMA 2003 Mar 12;289(10):1258-64

6. Am J Respir Crit Care Med http://ajrccm.atsjournals.org/cgi/content/abstract/164/6/973

7. Arbes SJ Jr, Agustsdottir H, Slade GD. Environmental tobacco smoke and periodontal disease in the United States. Am J Public Health 2001 Feb;91(2):253-7

8. Baier G, Stopper H, Kopp C, Winkler U, Zwirner-Baier I. [Respiratory diseases and genotoxicity in tobacco smoke exposed children] Laryngorhinootologie 2002 Mar;81(3):217-25

9. Bennett AD. Perinatal substance abuse and the drug-exposed neonate. Adv Nurse Pract 1999 May;7(5):32-6; quiz 37-8

10. Blizzard L, Ponsonby AL, Dwyer T, Venn A, Cochrane JA. Parental smoking and infant respiratory infection: how important is not smoking in the same room with the baby? Am J Public Health 2003 Mar;93(3):482-8

11. Breastfeeding and Smoking http://www.babyzone.com/features/expertsqa/default.asp?expertid=2&qaid=67

12. Brook, J.L.; Brook, D.W.; and Whiteman, M. The influence of maternal smoking during pregnancy on the toddler's negativity. Archives of Pediatric and Adolescence Medicine 154(4):381-385, 2000.

13. Brown ML. The effects of environmental tobacco smoke on children: Information and implications for PNPs. J Pediatr Health Care 2001 Nov-Dec;15(6):280-6

14. Centers for Disease Control and Prevention (1993). It' s Time to Stop Being a Passive Victim.

15. Cluss PA, Moss D. Parent attitudes about pediatricians addressing parental smoking. Ambul Pediatr 2002 Nov-Dec;2(6):485-8 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12437396&dopt=Abstract

16. Committee on Substance Abuse. American Academy of Pediatrics: Tobacco's toll: implications for the pediatrician. Pediatrics 2001 Apr;107(4):794-8

17. Cornelius, M.D.; Leech, S.L.; Goldschmidt, L.; and Day, N.L. Prenatal tobacco exposure: is it a risk factor for early tobacco experimentation? Nicotine and tobacco research 2:45-52, 2000.

18. Daly JB, Wiggers JH, Considine RJ. Infant exposure to environmental tobacco smoke: a prevalence study in Australia. Aust N Z J Public Health 2001 Apr;25(2):132-7

19. DiFranza, J.R. & R.A. Lew, "Morbidity & Mortality in Children Associated with the Use of Tobacco Products By Other People," Pediatrics 97(4): 560-68 (April 1997)

20. Drug abuse and conduct disorder linked to maternal smoking during pregnancy. - NIDA NOTES, Volume 15, Number 5, p.5

21. Forastiere F, Lo Presti E, Agabiti N, Rapiti E, Perucci CA. [Health impact of exposure to environmental tobacco smoke in Italy] [Article in Italian] Epidemiol Prev 2002 Jan-Feb;26(1):18-29

22. Forastiere F, Mallone S, Lo Presti E, Baldacci S, Pistelli F, Simoni M, Scalera A, Pedreschi M, Pistelli R, Corbo G, Rapiti E, Agabiti N, Farchi S, Basso S, Chiaffi L, Matteelli G, Di Pede F, Carrozzi L, Viegi G. Characteristics of nonsmoking women exposed to spouses who smoke: epidemiologic study on environment and health in women from four Italian areas. Environ Health Perspect 2000 Dec;108(12):1171-7

23. Fried PA. Prenatal exposure to marihuana and tobacco during infancy, early and middle childhood: effects and an attempt at synthesis. Arch Toxicol Suppl 1995;17:233-60 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7786162&dopt=Abstract

24. Gaffney KF. Infant exposure to environmental tobacco smoke. J Nurs Scholarsh 2001;33(4):343-7

25. Gergen PJ. Environmental tobacco smoke as a risk factor for respiratory disease in children. Respir Physiol 2001 Oct;128(1):39-46

26. Getting the public to know. Nonsmokers who breathe tobacco smoke, get sick and die like smokers. - American Cancer Society.

27. Gilliland FD, Li YF, Peters JM. Effects of maternal smoking during pregnancy and environmental tobacco smoke on asthma and wheezing in children. Am J Respir Crit Care Med 2001 Feb;163(2):429-36

28. Groner J, Ahijevych K, Grossman L, Rich L. Smoking behaviors of women whose children attend an urban pediatric primary care clinic. Women Health 1998;28(2):19-32

29. Gupta D, Aggarwal AN, Kumar R, Jindal SK. Prevalence of bronchial asthma and association with environmental tobacco smoke exposure in adolescent school children in Chandigarh, north India. J Asthma 2001 Sep;38(6):501-7

30. Haustein KO. [Health consequences of passive smoking][Article in German] Z Arztl Fortbild Qualitatssich 2001 Jun;95(5):377-86

31. Haustein KO. [Health consequences of passive smoking][Article in German] Wien Med Wochenschr 2000;150(11):233-44

32. Hecht SS, Ye M, Carmella SG, Fredrickson A, Adgate JL, Greaves IA, Church TR, Ryan AD, Mongin SJ, Sexton K. Metabolites of a tobacco-specific lung carcinogen in the urine of elementary school-aged children. Cancer Epidemiol Biomarkers Prev 2001 Nov;10(11):1109-16

33. Helgason AR, Lund KE. Environmental tobacco smoke exposure of young children--attitudes and health-risk awareness in the Nordic countries. Nicotine Tob Res 2001 Nov;3(4):341-5

34. Henderson AJ, Sherriff A, Northstone K, Kukla L, Hruba D. Pre- and postnatal parental smoking and wheeze in infancy: cross cultural differences. Avon Study of Parents and Children (ALSPAC) Study Team, European Longitudinal Study of Pregnancy and Childhood (ELSPAC) Co-ordinating Centre. Eur Respir J 2001 Aug;18(2):323-9

35. Hofhuis W, Merkus PJ, de Jongste JC. [Negative effects of passive smoking on the (unborn) child][Article in Dutch] Ned Tijdschr Geneeskd 2002 Feb 23;146(8):356-9

36. Hopper JA, Craig KA. Environmental tobacco smoke exposure among urban children. Pediatrics 2000 Oct;106(4):E47

37. Hruba D, Kachlik P. Influence of maternal active and passive smoking during pregnancy on birthweight in newborns. Cent Eur J Public Health 2000 Nov;8(4):249-52

38. http://cancer.gov

39. http://news.bbc.co.uk/hi/english/health/newsid_1720000/1720128.stm

40. http://www.youth-non-smoking.ru/SocialStudy/ParentsStudy.htm

41. Iribarren C, Friedman GD, Klatsky AL, Eisner MD. Exposure to environmental tobacco smoke: association with personal characteristics and self reported health conditions. J Epidemiol Community Health 2001 Oct;55(10):721-8

42. Jaakkola JJ, Jaakkola MS. Effects of environmental tobacco smoke on the respiratory health of children. Scand J Work Environ Health 2002;28 Suppl 2:71-83

43. Jaakkola JJ, Nafstad P, Magnus P. Environmental tobacco smoke, parental atopy, and childhood asthma. Environ Health Perspect 2001 Jun;109(6):579-82

44. Juchet A, Micheau P, Bremont F, Dutau G. [The consequences of parental smoking in children: pediatricians must act][Article in French] Arch Pediatr 2001 May;8(5):539-44

45. Kallen K. Maternal smoking during pregnancy and infant head circumference at birth. Early Hum Dev 2000 Jun;58(3):197-204

46. Lam TH, Leung GM, Ho LM. The effects of environmental tobacco smoke on health services utilization in the first eighteen months of life. Pediatrics 2001 Jun;107(6):E91

47. Lancaster T, Stead L, Shepperd S. Helping parents to stop smoking: which interventions are effective? Paediatr Respir Rev 2001 Sep;2(3):222-6

48. Landau LI. Parental smoking: asthma and wheezing illnesses in infants and children. Paediatr Respir Rev 2001 Sep;2(3):202-6

49. Larsson ML, Frisk M, Hallstrom J, Kiviloog J, Lundback B. Environmental tobacco smoke exposure during childhood is associated with increased prevalence of asthma in adults. Chest 2001 Sep;120(3):711-7

50. Lieu JE, Feinstein AR. Effect of gestational and passive smoke exposure on ear infections in children. Arch Pediatr Adolesc Med 2002 Feb;156(2):147-54

51. Link Between Smoking and SIDS Confirmed in Prospective Study - Medscape/Reuters. Wisborg K, Kesmodel U, Henriksen TB, Olsen SF, Secher NJ. A prospective study of smoking during pregnancy and SIDS. Arch Dis Child 2000 Sep;83(3):203-6

52. Lodrup Carlsen KC, Carlsen KH. Effects of maternal and early tobacco exposure on the development of asthma and airway hyperreactivity. Curr Opin Allergy Clin Immunol 2001 Apr;1(2):139-43

53. Loke AY, Lam TH, Pan SC, Li SY, Gao XJ, Song YY. Exposure to and actions against passive smoking in non-smoking pregnant women in Guangzhou, China. Acta Obstet Gynecol Scand 2000 Nov;79(11):947-52

54. Mannino DM, Caraballo R, Benowitz N, Repace J. Predictors of cotinine levels in US children: data from the Third National Health and Nutrition Examination Survey. Chest 2001 Sep;120(3):718-24

55. Mannino DM, Moorman JE, Kingsley B, Rose D, Repace J. Health effects related to environmental tobacco smoke exposure in children in the United States: data from the Third National Health and Nutrition Examination Survey. Arch Pediatr Adolesc Med 2001 Jan;155(1):36-41

56. Martinelli AM, Agazio J, Flaherty N, Ephraim PM. Testing a model of exposure to environmental tobacco smoke in military women with children. Mil Med 2002 Feb;167(2):113-20

57. Maternal smoking during pregnancy associated with negative toddler behavior early smoking experimentation. - NIDA NOTES, Volume 16, Number 1, p. 1-5.

58. Maziak W. Smoking in Syria: profile of a developing Arab country. Int J Tuberc Lung Dis 2002 Mar;6(3):183-91

59. Morkjaroenpong V, Rand CS, Butz AM, Huss K, Eggleston P, Malveaux FJ, Bartlett SJ. Environmental tobacco smoke exposure and nocturnal symptoms among inner-city children with asthma. J Allergy Clin Immunol 2002 Jul;110(1):147-53

60. National Cancer Institute, National Institute of Health

61. Okah FA, Choi WS, Okuyemi KS, Ahluwalia JS. Effect of children on home smoking restriction by inner-city smokers. Pediatrics 2002 Feb;109(2):244-9

62. Peat JK, Keena V, Harakeh Z, Marks G. Parental smoking and respiratory tract infections in children. Paediatr Respir Rev 2001 Sep;2(3):207-13

63. Perinatal complications associated with maternal tobacco use - Semin Neonatol/Medline. Andres RL, Day MC, 2000 Aug;5(3):231-241

64. Pirkle, et al. (1996). Journal of American Medicine, 275: 1233-1240.

65. Prenatal Risk Assessment. Keeping Your Unborn Baby Healthy Through Prevention. http://www.w-cpc.org/pregnancy/teratogen.html

66. Scarinci IC, Watson JM, Slawson DL, Klesges RC, Murray DM, Eck-Clemens LH. Socioeconomic status, ethnicity, and environmental tobacco exposure among non-smoking females. Nicotine Tob Res 2000 Nov;2(4):355-61

67. Secondhand Smoke Could Spell Second-Rate Smarts for Kids. May 06, 2002 11:11:29 AM PST, HealthScout News. By Serena Gordon

68. Secondhand smoke linked to tooth decay in children. By ANDRE PICARD. PUBLIC HEALTH REPORTER. Thursday, March 13, 2003 - Page A7 http://www.globeandmail.com/servlet/ArticleNews/TPStory/LAC/20030313/USMOKOQ/Health/Idx Passive smoke 'ruins child teeth'. http://news.bbc.co.uk/2/hi/health/2844703.stm

69. See, e.g., Li, J.S. et al, "Meta-Analysis on the Association Between Environmental Tobacco Smoke (ETS) Exposure and the Prevalence of Lower Respiratory Tract Infection in Early Childhood," Pediatric Pulmonology 27(1): 5-13 (January 1999); DiFranza, J.R. & R.A. Lew, "Morbidity & Mortality in Children Associated with the Use of Tobacco Products By Other People," Pediatrics 97(4): 560-68 (April 1997); Adair-Bischoff, C.E. & R.S. Sauve, "Environmental Tobacco Smoke and Middle Ear Disease in Preschool-Age Children," Archives of Pediatric and Adolescent Medicine 52(2): 127-33 (February 1999); American Academy of Pediatrics Committee on Environmental Health, "Environmental Tobacco Smoke: A Hazard to Children," Pediatrics 99(4): 639-42 (April 1997); Mannino, D.M., et al., "Environmental Tobacco Smoke Exposure and Health Effects in Children," Tobacco Control 5(1): 13-18 (Spring 1996); Anderson H.R. & D.G. Cook, "Passive Smoking and Sudden Infant Death Syndrome: Review of the Epidemiological Evidence," Thorax 52(11): 1003-09 (November 1997); John R. Hall, Jr., The U.S. Smoking-Material Fire Problem Through 1995, National Fire Protection Association (September 1997).

70. Seifert JA, Ross CA, Norris JM. Validation of a five-question survey to assess a child's exposure to environmental tobacco smoke. Ann Epidemiol 2002 May;12(4):273-7

71. State-specific prevalence of current cigarette smoking among adults, and policies and attitudes about secondhand smoke--United States, 2000. MMWR Morb Mortal Wkly Rep 2001 Dec 14;50(49):1101-6

72. State-specific prevalence of current cigarette smoking among adults and the proportion of adults who work in a smoke-free environment--United States, 1999. MMWR Morb Mortal Wkly Rep 2000 Nov 3;49(43):978-82

73. Stein RJ, Haddock CK, O'Byrne KK, Hymowitz N, Schwab J. The pediatrician's role in reducing tobacco exposure in children. Pediatrics 2000 Nov;106(5):E66

74. Strauss RS. Environmental tobacco smoke and serum vitamin C levels in children. Pediatrics 2001 Mar;107(3):540-2

75. Takeda Y, Yamagata Z, Ikeda M, Fujimoto S, Nakamura Y, Kitajima T, Oda S, Higurashi M. [A study of the relation between providing healthcare information and behavior changes of people in Japan. Parental behavior changes after receiving information about the sudden infant death syndrome][Article in Japanese] Nippon Koshu Eisei Zasshi 2001 Dec;48(12):949-62

76. The Womb Should Be a Smoke-Free Environment http://www.babyzone.com/dileo/drugspregnancy/cigarettes.asp

77. Tobacco use among youth: a cross country comparison. The Global Youth Tobacco Survey Collaborative Group. Tobacco Control 2002; 11:252-270.

78. Ulrik CS, Lange P. Cigarette smoking and asthma. Monaldi Arch Chest Dis 2001 Aug;56(4):349-53

79. von Ehrenstein OS, von Mutius E, Maier E, Hirsch T, Carr D, Schaal W, Roscher AA, Olgemoller B, Nicolai T, Weiland SK. Lung function of school children with low levels of alpha1-antitrypsin and tobacco smoke exposure. Eur Respir J 2002 Jun;19(6):1099-106

80. Wakefield M, Banham D, Martin J, Ruffin R, McCaul K, Badcock N. Restrictions on smoking at home and urinary cotinine levels among children with asthma. Am J Prev Med 2000 Oct;19(3):188-92

81. Wilson SR, Yamada EG, Sudhakar R, Roberto L, Mannino D, Mejia C, Huss N. A controlled trial of an environmental tobacco smoke reduction intervention in low-income children with asthma. Chest 2001 Nov;120(5):1709-22

82. Би-Би-Си, 11 июня 2000 года

83. Гастроэзофагеальная рефлюксная болезнь. От патологии к клинике и лечению. Проф. A.B. Калинин. РМЖ, Том 4 № 3, 1996. http://www.rmj.ru/rmj/t4/n3/2.htm

84. Гастро-эзофагеальная рефлюксная болезнь: клинические и фармакологические аспекты. К.м.н. Ю.О. Шульпекова, академик РАМН, профессор В.Т. Ивашкин. ММА имени И.М. Сеченова. http://www.medlinks.ru/art/3195.htm

85. Желудочно-пищеводныи рефлюкс http://agat.aorta.ru/28/280002.htm, http://www.med-lib.ru/spravoch/gastroent/002.shtml

86. Место антацидов в терапии заболеваний верхних отделов желудочно-кишечного тракта. К.м.н. Ю.О. Шульпекова, академик РАМН, профессор В.Т. Ивашкин. ММА имени И.М. Сеченова. РМЖ, Том 10 № 28, 2002. http://www.rmj.ru/rmj/t10/n28/1322.htm

87. Новости ЭЙ-БИ-СИ (Австралия) http://www.abc.net.au/news/politics/2002/08/item20020820165005_1.htm

88. Новые методические рекомендации по лечению рефлюкса: исследование по оказанию помощи при гастроэзофагеальном рефлюксе. E. Николаев. РМЖ, Том 3 № 12, 1996. http://www.rmj.ru/rmj/t3/n12/gastro.htm

89. Сидней, Австралия (АВС, 5 июня 2000)

90. Современные представления о гастро-эзофагальном рефлюксе у детей. Часть II. Гастроэзофагеальная рефлюксная болезнь. А.И.Хавкин, В.Ф.Приворотский. http://www.rusmedserv.com/childgastro/goer1.htm

91. Татьяна Андреева. Помощь курильщикам в прекращении курения. Практическое руководство для работников здравоохранения. - Киев, 2002, 146 стр.

92. Япония (25 февраля 2003 года, Йомиури Симбун). http://www.yomiuri.co.jp/newse/20030225wo21.htm

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