{"id":1203,"date":"2015-03-10T15:44:43","date_gmt":"2015-03-10T19:44:43","guid":{"rendered":"https:\/\/med-fammed.sites.unc.edu\/repeated-exposure-of-children-to-secondhand-smoke-is-child-abuse-goldstein-argues\/"},"modified":"2018-07-21T12:28:38","modified_gmt":"2018-07-21T16:28:38","slug":"repeated-exposure-of-children-to-secondhand-smoke-is-child-abuse-goldstein-argues","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/fammed\/2015\/03\/10\/repeated-exposure-of-children-to-secondhand-smoke-is-child-abuse-goldstein-argues\/","title":{"rendered":"Repeated exposure of children to secondhand smoke is child abuse, Goldstein argues"},"content":{"rendered":"

<\/p>\n

Dr. Adam Goldstein, who is director of the tobacco intervention programs in the UNC School of Medicine, argues his point in an opinion piece published in the March\/April 2015 issue of Annals of Family Medicine.<\/p>\n

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Purposefully and repeatedly exposing children to secondhand smoke \u2014 a known human carcinogen \u2014 is child abuse, according to an opinion piece written by Adam Goldstein, MD, MPH, a professor in the Department of Family Medicine at the University of North Carolina School of Medicine. Drawing from his experience as a family physician caring for families with children who have suffered severe respiratory illness due to secondhand smoke exposure, Dr. Goldstein says it is time for society — including doctors — to do much more. Dr. Goldstein argues his point in an essay published in the Point\/Counterpoint feature<\/a> in the March\/April 2015 issue of Annals of Family Medicine<\/em>.
\n\u201cPurposeful and recurrent exposure of children to secondhand smoke by a parent is as abusive as many other commonly accepted physical and emotional traumas of children, like drunk driving or leaving children in a hot car unattended,\u201d says Dr. Goldstein, who is director of the UNC School of Medicine’s Tobacco Prevention and Evaluation Program (TPEP) and its Tobacco Treatment Program (TTP). \u201cWe have cared for too many children hospitalized with asthma and pneumonia, caused in large part to their repeated exposure to secondhand smoke.\u201d Growing societal sentiment exists that secondhand smoke exposure of children should receive greater attention by providers and policy-makers. Options to intervene include counseling of parents that smoke, legislation, and even court relief at times, according to Dr. Goldstein. Texas, Vermont, Washington, and other states and counties \u2014 as well as other countries \u2014 already prohibit foster parents from smoking around children in cars and homes. \u201cIf this is true for foster families and smoking, shouldn\u2019t it be the case for all parents? Additional legal protection for young children exposed to secondhand smoke makes common sense,\u201d says Dr. Goldstein.
\nGoldstein discusses how petitions to family courts can protect children from ongoing secondhand smoke exposure when the child suffers from chronic lung illness. \u201cSecondhand smoke exposure decreases lung function and has dozens of carcinogens; yet often the most vulnerable children continue to be exposed, and these children often have no voice.\u201d
\nEvidenced-based guidelines for smoking cessation include physician advice to counsel patients that exposure to secondhand smoke causes cancer and heart disease. In addition to helping patients quit smoking, physicians should advise parents that there is no safe level of exposure to secondhand smoke. Several states, including California, Arkansas and Louisiana ban smoking in cars with young children, and many courts are considering parental smoking as an important factor in deciding child custody cases.<\/p>\n

Goldstein proposes that medical professionals take an even more active role in protecting children from secondhand smoke exposure. \u201cIt is time for medical professional organizations, such as the American Medical Association, the American Academy of Pediatrics and the American Academy of Family Physicians to endorse policies classifying purposeful exposure of children to secondhand smoke as child abuse.\u201d
\n\u201cWe must intervene to stop this abuse,\u201d Dr. Goldstein concludes in his essay.<\/p>\n","protected":false},"excerpt":{"rendered":"

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