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Tobacco, Alcohol, Drugs and Adolescents

What is the best way to talk to my teen about tobacco, alcohol, and and other drugs?

Some of the most common concerns for parents of adolescents are tobacco, alcohol, and drugs. The pressure to experiment with these substances can come from friends and peers. If you suspect your child is using these substances, open a discussion about the dangers involved with using tobacco, alcohol, and drugs. Here are some key points you should try to emphasize:

Smoking and tobacco

Smoking can turn into a lifelong addiction that can be extremely hard to break. Discuss with your adolescent some of the more undesirable effects of smoking, including bad breath, stained teeth, wrinkles, a long-term cough, and decreased athletic performance. Addiction can also lead to serious health problems like emphysema and cancer.

"Chew" or "snuff" can also lead to nicotine addiction and causes the same health problems as smoking cigarettes. Mouth wounds or sores also form and may not heal easily. Smokeless tobacco can also lead to cancer.

If you suspect your teen or preteen is smoking or using smokeless tobacco, talk to your pediatrician. Arrange for your child to visit the pediatrician, who will want to discuss the risks associated with smoking and the best ways to quit before it becomes a lifelong habit. Smokers young and old often are more likely to listen to advice from their doctor than from others.

If you smoke. . .quit

If you or someone else in the household smokes, now is a good time to quit. Watching a parent struggle through the process of quitting can be a powerful message for a teen or preteen who is thinking about starting. It also shows that you care about your health, as well as your child's.

Alcohol

Alcohol is the most socially accepted drug in our society, and also one of the most abused and destructive. Even small amounts of alcohol can impair judgment, provoke risky and violent behavior, and slow down reaction time. An intoxicated teenager (or anyone else) behind the wheel of a car is a lethal weapon. Alcohol-related car crashes are the leading cause of death for young adults, aged 15 to 24 years.

Though it's illegal for people under age 21 to drink, we all know that most teenagers are no strangers to alcohol. Many of them are introduced to alcohol during childhood. If you choose to use alcohol in your home, be aware of the example you set for your teen. The following suggestions may help:

  • Having a drink should never be shown as a way to cope with problems.
  • Don't drink in unsafe conditions — driving the car, mowing the lawn, using the stove, etc.
  • Don't encourage your child to drink or to join you in having a drink.
  • Never make jokes about getting drunk; make sure that your children understand that it is neither funny nor acceptable.
  • Show your children that there are many ways to have fun without alcohol. Happy occasions and special events don't have to include drinking.
  • Do not allow your children to drink alcohol before they reach the legal age and teach them never, ever to drink and drive.
  • Always wear your seatbelt (and ask your children to do the same.)

Drugs

Your child may be interested in using drugs other than tobacco and alcohol, including marijuana and cocaine, to fit in or as a way to deal with the pressures of adolescence. Try to help your adolescent build her self-confidence or self-esteem. This will help your child resist the pressure to use drugs. Encourage your adolescent to "vent" emotions and troubles through conversations and physical activity rather than by getting "high."

Set examples at home. Encourage your adolescent to participate in leisure and outside activities to stay away from the peer pressure of drinking and drugs. Talk with your children about healthy choices.

 

Published online: 9/07

Source: Tips for Parents of Adolescents (Copyright © 1995 American Academy of Pediatrics, Updated 2/00)
Healthcare professionals may order this publication in multi-copy packs.

Parents can find more information on this topic in Caring for Your Teenager. To order a copy of this book visit the AAP Bookstore.


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The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.





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