Inactive Teens by Connect with Kids

“Make time for [exercise] because once you get out of it, it’s so hard to get back in.”

– Tori, 16 years old

They run and play and participate in all sorts of sports. But what happens when little kids become teens?

“After a while, you just become like a couch potato,” says Tori, 16.

When she was a cheerleader in middle school, Tori got plenty of exercise. Now she’s 16, and she admits she hasn’t exercised regularly in years.

“I’m not physically fit,” she says. “I mean, I’m skinny, but I guess it’s just because I have a fast metabolism. But physically fit? Noooo!”

A study in the Journal of the American Medical Association followed more than one thousand children aged 9 to 15.

97% were active when they were 9-years-old, but by the time they were 15, only 31% of teens were meeting the recommended sixty minutes of vigorous physical activity during the week. And only 17% met that target on the weekend.

The older they got, the less they exercised!

Experts speculate, for some it’s just laziness, for other, interests change, or they’re simply too busy.

Tori agrees: “School starts to get harder, and you get more homework, and you want to spend more time with your friends and you need more sleep.”

Still, experts warn that teens must find a way to remain active otherwise they risk becoming obese or sick later in life. Parents can help by getting involved in activities with their children.

“Whether it’s running and pulling a kite in the wind or going out throwing a Frisbee or going for a walk with your dog, if you incorporate those things, you’re just gonna have a better quality of life,” says Jon Crosby, an Atlanta-based sports and fitness trainer.

Tori’s advice to fellow teens: “Make time for [exercise] because once you get out of it, it’s so hard to get back in.”

Tips for Parents
Many studies have found similar results to the UC- San Diego study. University of Pittsburgh researchers report that as girls age, they increasingly get less and less exercise. In their study, published in The New England Journal of Medicine, the researchers evaluated the exercise habits of 1,213 black girls and 1,166 white girls for 10 years, beginning at age 9 or 10. By the time the girls were 16 or 17, nearly 56% of the black girls and nearly 31% of the white girls reported no regular exercise participation at all outside of school.

While this study focused on teenage girls, other research shows that participation in physical activity is decreasing among all American children. The National Association for Sport & Physical Education reports that only 25% of all U.S. kids are physically active. And while most parents believe that their children are getting enough exercise during school hours, the President’s Council on Physical Fitness and Sports (PCPFS) says that only 17% of middle or junior high schools and 2% of senior high schools require daily physical activity for all students.

As a result of this physical inactivity, more and more children are becoming obese. According to the Centers for Disease Control and Prevention, 13% of children aged 6 to 11 and 18% of teens aged 12 to 19 are overweight. These same overweight adolescents also have a 70% chance of becoming overweight or obese adults and are at an increased risk for developing health problems, such as heart disease, type 2 diabetes, high blood pressure and some forms of cancer. In fact, the PCPFS reports that physical inactivity contributes to 300,000 preventable deaths a year in the United States.

Besides preventing the onset of certain diseases, regular physical exercise can also help your child in the following ways, according to the Centers for Disease Control and Prevention:

Helps control weight
Helps build and maintain healthy bones, muscles and joints
Improves flexibility
Helps burn off stress
Promotes psychological well-being
Reduces feelings of depression and anxiety
As a parent, you need to emphasize to your child the importance of physical activity. This can often be a difficult task, as you may encounter some resistance from a child who enjoys sedentary activities like watching television and surfing the Internet. The American Council on Exercise (ACE) recommends the following guidelines for easing your child into an active lifestyle:

Don’t just tell your child that exercise is fun; show him or her! Get off the couch and go biking, rock climbing or inline skating with your child. Skip rope or shoot baskets with him or her.
Invite your child to participate in vigorous household tasks, such as tending the garden, washing the car or raking leaves. Demonstrate the value of these chores as quality physical activity.
Plan outings and activities that involve some walking, like a trip to the zoo, a nature hike or even a trip to the mall.
Set an example for your child and treat exercise as something to be done on a regular basis, like brushing your teeth or cleaning your room.
Concentrate on the positive aspects of exercise. It can be a chance for your family to have some fun together. Avoid competition, discipline and embarrassment, which can turn good times into bad times. Praise your child for trying and doing.
Keep in mind that your child is not always naturally limber. His or her muscles may be tight and vulnerable to injury during growth spurts. Be sure to include stretching as part of your child’s fitness activities.
Exercise and nutrition go hand in hand. Instead of high-calorie foods and snacks, turn your child on to fruits and low- or non-fat foods.
If you discover that your teen is having trouble staying motivated to exercise, the American Academy of Family Physicians suggests these strategies:

Choose an activity that your child likes to do. Make sure it suits him or her physically, too.
Encourage your child to get a partner. Exercising with a friend can make it more fun.
Tell your child to vary his or her routine. Your child may be less likely to get bored or injured if he or she changes his or her exercise routine. Your child could walk one day and bicycle the next.
Ensure that your child is active during a comfortable time of day. Don’t allow him or her to work out too soon after eating or when it’s too hot or cold outside. And make sure your child drinks plenty of fluids to stay hydrated during physical activity.
Remind your child not to get discouraged. It can take weeks or months before he or she notices some of the changes from and benefits of exercise.
Tell your child to forget “no pain, no gain.” While a little soreness is normal after your child first starts exercising, pain isn’t. He or she should stop if hurt.
With a little encouragement and help from you, your child will be up and moving in no time!

References
American Academy of Family Physicians
American Council on Exercise
Centers for Disease Control and Prevention
National Association for Sport & Physical Education
Office of the Surgeon General
President’s Council on Physical Fitness and Sports
The New England Journal of Medicine

More Teens Getting Plastic Surgery

By Connect with Kids

“I could not stand to look in the mirror one more day looking at me the way I was. I just couldn’t do it.”

– Ashleigh Giglio, 18 years old

The body changes … the teasing. Our insecurity with our own bodies begins in puberty and can continue throughout life. How should parents respond when teenagers say they hate the way they look?

Ashleigh, 18, recently had plastic surgery on her nose to correct a bump caused by a childhood injury. “After she had it done she’s been a different person,” says her mom, Ridley Giglio. “She’s happy. She’s happy all the time.”

Like Ashleigh, many kids grow up disappointed with the way they look.

In 2007, 11.7 million Americans had cosmetic surgery. More than 200,000 were just teens.

But is cosmetic surgery a good option for younger teenagers? Experts say probably not, unless the anxiety is extreme. “The time that parents really need start getting concerned is when these concerns that a teenager has actually gets in the way of them doing things,” says child psychiatrist Shannon Croft. “They don’t want to go to school because somebody is going to notice how they look. They start avoiding social situations, party’s friends they normally would go to,” he says.

Most of the time, concerns about appearance are normal, and dissipate over time, Croft says. “Usually as people get older they get more comfortable with how they look and their body, and a lot of these concerns will diminish on their own.”

Ashleigh’s younger sister Angela wants cosmetic surgery, too. But her mother has decided that at age 14 she is too young. “Angela, that would be something when she’s older, evaluate it then. I just think right now, she’s got the family nose. And there’s nothing wrong with that,” Ridley Giglio says.

Tips for Parents

For most children, adolescence is time of introspection and self-evaluation. Virtually every facet of their lives is put under a microscope as they try to determine where and how they “fit in’ with their family, their peers, and the world at large. Typically, part of this self-evaluation process is focused upon physical appearance. Unfortunately for some teens, the nature of their evaluation tends to be hypercritical, and not very well based in reality. For example, a teenager may become convinced that her nose is too big, her breasts are too small, his teeth are crooked, her hips are too big, and other common misconceptions. Regardless of whether the perceived flaws are real or imagined, the emotional upset and pain experienced by these teens is very real and very painful to them.

How can parents help their teens deal with body image misperceptions? Dr. Rex Forehand, a psychologist specializing in child and adolescent issues, suggests that parents consider the following ideas in helping their children deal with their negative feelings.

Listen and respond when your child talks about negative perceptions of her or himself.
Don't just "wave it off". The negative perception may not be true, but it is important to your child.

Talk and respond with empathy but don't dwell on the negative perception (don't bring it up).
If the negative perception is false, reassure your child. If there is some truth to the negative perception (your child does have ears that stick out, acne, etc.), "counter argue" by presenting the positives of your child.

Work on building your child's self-esteem by:
limiting negative feedback to your child;
praising his efforts and positive behavior;
spending quality time with your child;
accepting your child by communicating love and affection;
teaching your child to use positive self-talk. That is, encourage your child to say positive things about him or herself whenever they do something positive. Parents can do this through modeling by complimenting themselves whenever they do something positive, and by complimenting their child by using phrases such as "you should be so proud of yourself for..."

References
American Society for Aesthetic Plastic Surgery
Grady Healthcare Systems

Pot in the Summer by Connect with Kids

“During the summer, I went out more. And during the school year, I was focused on my homework and stuff, and the summer was mostly just a time for me to relax and just chill out and go party.”

– Angelique, 18

For most teens, the summer brings sun, swimming and maybe some extra time spent on the skateboard. But for others, the season marks the time when they first try pot.

“Beginning of summer, first day of summer, in fact,” says Sarah, who’s 19.

“It was during the summer because then we could stay out later and a lot of other kids were out of school, too,” 18-year-old Angelique adds.

In fact, studies show 40 percent of teens who smoke marijuana first tried the drug during the summer.

“They have a lot of free time. A lot of kids are bored during the summer. They’ve got nothing to do. So the fact that a lot of kids are starting to get into things they shouldn’t and experiment isn’t surprising at all,” says addiction counselor Dr. Robert Margolis, who serves as executive director of Solutions Counseling in Atlanta.

Experts say for that reason, parents should keep their children busy during the summer break.

“I think they ought to ask themselves do they have any plan going into the summer for their kids. What are their kids going to do? Are they going to get a job? Are they going to maybe go study someplace … are they going to have something that’s structured to do?” Dr. Margolis says.

He says that regardless of their own personal experiences when they were young, parents should explain the dangers of marijuana, especially at the beginning of the summer.

“What parents need to understand is that this is a very harmful, addictive drug that ruins people’s lives. And they better be prepared with facts to discuss this with their kids,” Dr. Margolis says.

Talks with her parents, and her doctor, finally convinced Angelique to stop smoking marijuana.

“Like they’re more dangerous than cigarettes and all that stuff. I didn’t know that,” she says.

Tips for Parents

The summer months often bring more freedom to teens. But many of them abuse this freedom, as evidenced by data released by the National Household Survey on Drug Abuse that shows 40% of teens first try marijuana during the summer. In fact, about 5,800 teens try marijuana for the first time each day in June and July.

According to the C-D-Cs annual Youth Risk Behavior Surveillance report more than 38% of teens report having use marijuana in their life. Nearly 20% admitted to smoking pot within the past 30 days. 8% of kids tried marijuana prior to turning 13 years of age.

According to the National Institute on Drug Abuse (NIDA), the prevalence of drug use can, in part, be attributed to the overall perceptions and attitudes that drug use – particularly that of marijuana – is not harmful and is insignificant. Yet, those who choose to use this substance do risk developing serious health problems. The NIDA says that marijuana is responsible for the following physical effects in a user:

THC – the main chemical in marijuana – changes the way in which sensory information gets into and is acted on by particular systems in the brain. The system most affected is the limbic system, which is crucial for learning, memory and the integration of sensory experiences with emotions and motivations. Investigations have shown that THC suppresses neurons in the information-processing system of the brain.

A person who smokes marijuana regularly may have many of the same respiratory problems that tobacco smokers develop. The individual may have daily cough and phlegm, symptoms of chronic bronchitis and more frequent chest colds. Continuing to smoke marijuana can lead to abnormal functioning of lung tissue injured or destroyed by marijuana smoke.

Regardless of the THC content, the amount of tar inhaled by marijuana smokers and the level of carbon monoxide absorbed are three to five times greater than among tobacco smokers. This may be due to marijuana users inhaling more deeply and holding the smoke in the lungs.
In order for parents to help curb the growing problem of marijuana use among teens, they must first understand the dangers involved in using the drug. The National Youth Anti-Drug Media Campaign cautions parents to be aware of the following points about marijuana use:

Marijuana is the most widely used illicit drug among youth today.

More teens enter treatment for marijuana abuse each year than for all other illicit drugs combined.

Marijuana is addictive.

Marijuana use can lead to a host of significant health, social, learning and behavioral problems at a crucial time in a young person’s development.

Adolescent marijuana users show lower academic achievement compared to non-users.

Even short-term marijuana use has been linked to memory loss and difficulty with problem-solving.

Time and again, kids say that their parents are the single most important influence when it comes to using drugs.

As a parent, how can you determine if your teen is using marijuana? According to the NIDA, you should look for the following symptoms associated with marijuana use:

Appears dizzy and has trouble walking
Seems silly and giggly for no reason
Has very red or blood shot eyes
Has trouble remembering events that have just occurred
Although these symptoms will fade within a few hours of use, other significant behavioral changes – including withdrawl, depression, fatigue, carelessness with grooming, hostility and deteriorating relationships with family members and friends – may signal that your teen is in trouble. If your teen is using drugs, he or she may also experience changes in academic performance, have increased absenteeism, lose interest in sports or other favorite activities and develop different eating or sleeping habits.

Whether or not you suspect your child is using marijuana, it is crucial that you discuss the issue at an early age. The experts at DrugHelp suggest following these steps when discussing tough issues, like drug abuse, with your child:

Create a climate in which your child feels comfortable approaching you and expressing his or her feelings.

Don't shut off communication by responding judgmentally, saying, "You're wrong" or "That's bad."

Give your child an opportunity to talk.
Show your interest by asking appropriate questions.
Listen to what your child has to say before formulating a response.
Focus on what your child has to say, not on language or grammar.
Use probing questions to encourage a shy child to talk.
Identify areas of common experience and agreement.
Leave the door open for future conversations

References
DrugHelp
National Institute on Drug Abuse
National Youth Anti-Drug Media Campaign
Substance Abuse and Mental Health Services Administration
Centers for Disease Control and Prevention

HIV Complacency By Connect with Kids

“The HIV and AIDS education prevention message is not being delivered to youth in a way that motivates them to change behaviors.”

– Edward Gray, Ed.D., commenting on the rise of HIV infection rates among young people

Qaadir has friends who are gay… so does Wesley. But when it comes to HIV, the virus that causes AIDS, many kids don’t seem concerned.

“Most kids my age, they don’t think HIV is a serious problem,” says Wesley, 14.

“There’s medicines for this disease and…for this disease…for that one, and they’re not thinking if they catch this it might be a lifelong thing,” adds 15-year-old Qaadir.

In fact, according to the Centers for Disease Control, after years of decline, the number of AIDS cases among people ages 15 to 24 has risen 15 percent in the last five years.

“It’s a very alarming trend,” says Dr. Edward Gray, professor of counseling.

As medications have allowed people with HIV to live longer, healthier lives, the image kids have of the virus isn’t someone dying, but instead, someone who appearsto be living a healthy, normal life.

“The story now about AIDS is that it’s a trip to the doctor and it’s medication,” says Gray, “Whereas 20 years ago, the story of AIDS was going to funerals.”

Gray says parents need to help their children understand that the AIDS virus is still incurable and deadly, and that those who live with it face a daily struggle.

“Most people don’t want to take needles, and most people don’t want to be regimented that every three hours they’re popping a dozen pills,” says Gray, “I mean people [with AIDS] take cocktails of pills, it’s not just one thing. And just that kind of burden might grab their attention.”

Qaadir agrees. “I mean, you don’t want to wake up every morning and if you cough have to go to the doctor because you might be, you know, ready to pass out from whatever disease.”

Tips for Parents

Recent reports show that nearly half of high school students are or have been sexually active. Unfortunately, with sexual activity comes an increase in Sexually Transmitted Diseases (STDs). That’s why it is extremely important to talk to your kids about being sexually responsible – before they engage in sex. Consider the following statistics provided by The Alan Guttmacher Institute:

Every year three million sexually active teens – about one-in-four – acquire an STD.
A single act of unprotected sex with an infected partner puts a teenage woman at a one percent risk of acquiring HIV, a 30 percent risk of getting genital herpes, and a 50 percent chance of contracting gonorrhea.

Chlamydia is more common among teens than among older men and women. In some testing situations, 10 to 29 percent of sexually active teenage women and 10 percent of teenage men were found to have Chlamydia.

Teens have higher rates of gonorrhea than sexually active men and women aged 20 to 44.
Talking to your child about sex and sexually transmitted diseases may not be something you look forward to, but it could be the most important step in protecting your child from risky sexual behavior. Studies show that teenagers who feel highly connected to their parents are far more likely to delay sexual activity than their peers. Before approaching this sensitive topic, consider the following tips developed by Peer to Peer: Stop, Think, Be Safe!

Start early – Research shows that younger children seek their parent's advice more than adolescents, who tend to depend more on their friends and the media. Take advantage of the opportunity to talk with your young children about sexual health. Discussing dating, relationships, STDs and HIV can make a lasting impression. And it gives you a chance to provide your children with accurate information that reflects your personal values and principles. The quality of parent-child relationships has an important influence on adolescents' sexual behaviors.
Initiate conversations with your child – Don't wait for your children to ask you about sex, HIV or STDs. Although you can hope that your children come to you with their questions and concerns, it may not happen. Use everyday opportunities to talk about issues related sexual health. For example, news stories, music, television shows or movies are great starters for bringing up health topics. If your family is watching a television show where the teenagers are promiscuous or a teen is pregnant, ask your kids what they thought of the program when it’s over. Ask if they agree with the behavior or decisions of the teenagers in the show. Just a few questions can start a valuable conversation.

Talk WITH your child, not AT your child – Make sure you listen to your children the way you want your children to listen to you. Try to ask questions that will encourage them to share specific information about feelings, decisions and actions. Try to understand exactly what your kids are saying. It is important for your kids to feel that they have been heard. Try not to be judgmental. Let your kids know that you value their opinions, even when they differ from your own.

Create an open environment – Research shows that kids who feel their parents speak openly about sex and listen to them carefully are less likely to engage in high-risk behaviors, compared to teenagers who do not feel they can talk with their parents about sex. Adolescents who report a sense of connection to their parents, family and school, and who have a higher grade point average, are more likely than other teens to wait to engage in intercourse. Teens who report previous discussions of sexuality with parents are seven times more likely to feel able to communicate with a partner about HIV/AIDS than those who have not had such discussions. An open family environment not only reduces sexual risk-taking behaviors, it also gives teenagers a safe place to ask questions and get accurate information.

As parents, be available, honest and attentive. Praise your children for coming to you to talk about sex, which will teach them that you are always available for information or advice.

Be prepared and practice – It isn't necessarily easy to talk about sex with your kids. In fact, it can be extremely difficult for some parents. Don't be afraid to practice. You can practice in front of a mirror, with your spouse or partner, or with friends. Your ability to speak comfortably about sexual health will make your children more comfortable asking questions and discussing sensitive issues.

Be honest: It's okay to say, "I don't know" – When your children trust and value your opinion, they will be more likely to come to you with their questions and concerns. It’s also important to know that you do not need to be a sexual health expert. It's okay if you don't know all the answers to all of your children's questions. It’s okay and honest to say, "I don't know." In fact, if you don't know the answer to a question, you can search for the correct information together.

Communicate your values – In addition to talking to your children about the biological facts of sex, it's important that they also learn that sexual relationships involve emotions, caring and responsibility. Parents need to share their values and principles about sex. Although your children may not adopt these values as their own, they are an important source of information as your children develop their own set of values about sexuality.

References
Centers for Disease Control and Prevention
Peer to Peer: Stop, Think, Be Safe!
U.S. Department of Health & Human Services
Campaign for our Children, Inc.

Sexual Harassment by Connect with Kids

By Connect with Kids

“Guys grab my butt… it happens all the time.”

– Louisa, 15 years old

Talk to girls in high schools across the country, and you‘ll hear similar stories about being inappropriately touched in the hallways.

“One of my friends, I mean every single day like guys would hit her butt,” says 14-year-old Jordan.

“Like guys grab my butt, and I just turn around and ‘stop’” adds 15-year-old Louisa.

Apparently there’s a lot of sexual touching and talking going on in school hallways. A new study from U-C Santa Cruz finds that 90 percent of girls report experiencing sexual harassment, including demeaning comments, unwanted attention and physical contact.

But many kids are having trouble with deciding when and how to say no.

“Sometimes you like it when it happens, but sometimes you get confused like should, is this wrong or is this right?” says 12-year-old Zahra.

Experts on the issue suggest the problem is that when it comes to sexual harassment, like other things in a child’s life, they still struggle to separate fantasy from reality.

“They have to differentiate when is it o-k to behave like that, like the movies show, and when is it not o-k. We didn’t have to make that distinction as kids. We knew it was inappropriate,” says counselor Denise Poe.

In and effort to clarify that kind of confusion, expert say both girls and boys should be taught to listen to their own intuition. If a conversation or physical advance feels wrong, it probably is. Kids should understand clearly, that when that happens, it’s not only o-k, but absolutely necessary to say “stop.”

“Let kids know that these behaviors are wrong, that they are harmful, and to let them know what to do if they are faced with that situation. Because maybe dad is telling them boys will be boys and they’re getting other messages from their friends from their family, and we want to tell them no, this will not be tolerated,” says Poe.

Tips for Parents

Sexual harassment in schools is defined as any unwanted, uninvited sexual attention. It may involve remarks, gestures, or actions of a sexual nature that make a person feel unsafe or uncomfortable and that creates an intimidating, hostile or offensive learning environment.

This means that a student is being sexually harassed when someone imposes unwanted and uninvited sexual attention on them. It can occur between people of the same gender, or people of different genders. Sexual harassment can include saying sexual things, making sexual jokes, making sexual gestures, and touching someone in a sexual way.

Here are some examples of student-to-student sexual harassment. To be considered sexual harassment, these behaviors must be unwelcome by the victim.

unwanted, unwelcome physical contact like touching, grabbing or patting;
demeaning nicknames like "chick," "sexy," "stud," or "babe;"
homophobic name calling like "fag", "dyke", "lezzie" or "queer"
cat calls, rating or embarrassing whistles;
insulting remarks about sexual orientation;
sexually insulting remarks about race, gender, ability or class;
bragging about sexual prowess for others to hear;
intimidating hallway behavior;
names written on walls or desks -"for a good time, call ;"
stalking (i.e., following someone)
It is not:

hug between friends;
mutual flirtation.
Although primarily considered an issue affecting adult women in the workplace, there is increasing evidence that student-to-student sexual harassment is growing more prevalent in scholastic environs. Studies have shown that up to 90 percent of the girls and 76 percent of the boys have experienced sexual harassment.

Surveys have also found:

although both girls and boys experience sexual harassment at alarming rates, sexual harassment takes a greater toll on girls
girls who have been harassed are more afraid in school and feel less confident about themselves than boys who have been harassed
sexual harassment in school begins early;
students are harassed by boys and girls;
girls of all races experience more sexual harassment than do boys
Recommendations

According to the U. S. Department of Education, “Sexual harassment can occur at any school activity and can take place in classrooms, halls, cafeterias, dormitories and other areas. Too often, the behavior is allowed to continue simply because students and employees are not informed about what sexual harassment is or how to stop it. Students, parents and school staff must be able to recognize sexual harassment, and understand what they can do to prevent it from occurring and how to stop it if it does occur.

Harassing behavior, if ignored or not reported, is likely to continue and become worse, rather than go away. The impact of sexual harassment on a student's educational progress and attainment of future goals can be significant and should not be underestimated. As a result of sexual harassment, a student may, for example, have trouble learning, drop a class or drop out of school altogether, lose trust in school officials, become isolated, fear for personal safety, or lose self-esteem.

For these reasons, a school should not accept, tolerate or overlook sexual harassment. A school should not excuse the harassment with an attitude of "that's just emerging adolescent sexuality" or "boys will be boys," or ignore it for fear of damaging a professor's reputation. This does nothing to stop the sexual harassment and can even send a message that such conduct is accepted or tolerated by the school. When a school makes it clear that sexual harassment will not be tolerated, trains its staff, and appropriately responds when harassment occurs, students will see the school as a safe place where everyone can learn.”

Sexual harassment involves situations in which the person doing the behavior has more power than the person experiencing the behavior. This means that it can be very difficult for students to solve these problems on their own. Tell your parents or a teacher about the problems you are experiencing.

Here are some things you can do:

It is the responsibility of your school to make the school safe for you. Only do the things recommended below if you are comfortable doing them. If you are not comfortable, then get help from a teacher or counselor.
Be assertive.
Write the harasser a letter.
Document Incidents.
Check with other students.
File a formal complaint.
References
University of California- Santa Cruz
LaMarsh Research Centre: Information And Advice on Student-to-Student Sexual Harassment -
U.S. Department of Education Office of Civil Rights: Sexual Harassment: It’s Not Academic
Hostile Hallways: The AAUW Survey on Sexual Harassment in America's Schools -
Too Many Teens Suffer Sexual Harassment

Teen Smoking Decline Stops

By Connect with Kids

“I don’t know if it’s peer pressure or what, but I do think people are smoking a lot more than they used to.”

– Travis, age 16

After years of dramatic declines in the number of teen smokers, experts say that decline might be reaching a plateau.

“[This change] obviously raises a lot of concern for us,” says Corinne Husten, M.D., the Acting Director with the Office on Smoking and Health at the Centers for Disease Control and Prevention.

A casual survey of teenagers seems to confirm the news.

“Most of my friends smoke,” says 18-year-old Arien.

“More people doing it,” adds Travis, “more people asking you for a cigarette.”

“Everyone I know smokes or whatever,” explains 17-year-old Teri.

In fact, the study finds that 20 percent of teens have smoked a cigarette in the last 30 days. And more than 50 percent have tried smoking.

Experts say a big reason for the change in smoking rates among teenagers is that less money has been spent on anti-smoking campaigns than in recent years – and that many kids aren’t getting that message.

“Right now only four states are funding their tobacco control programs at the minimum level recommended by the CDC,” explains Dr. Husten.

It’s all the more important, she says, that kids hear an anti-smoking message at home.

But often, that’s not the case.

“A lot of time parents I think have a laissez-faire attitude toward tobacco,” says Dr. Husten, “They say ‘well it’s not hard drugs, they’re not drinking and driving’. But actually tobacco is highly addictive; the kids experiment, they’re hooked on it before they even realize that, and then they spend their lives trying to stop.”

She says parents should talk regularly about the dangers of cigarettes, and “reinforcing that by saying we aren’t going to allow smoking in our home, we are going to go to smoke-free restaurants. So it’s not like the parent’s saying, well, this is bad for you but it’s okay for me. It’s saying this is something none of us should be doing.”


Tips for Parents

Research shows that a vast majority of smokers began when they were children or teenagers. While recent legislation has helped reduce smoking, it still remains an important health concern. Consider the following statistics from the U.S. Surgeon General:

Approximately 80 percent of adult smokers started smoking before the age of 18.
More than 5 million children living today will die prematurely because of a decision they make as adolescents – the decision to smoke cigarettes.

An estimated 2.1 million people began smoking on a daily basis in 1997. More than half of these new smokers were younger than 18. This boils down to every day, 3,000 young people under the age of 18 becoming regular smokers.

Nearly all first uses of tobacco occur before high school graduation.

Most young people who smoke are addicted to nicotine and report that they want to quit but are unable to do so.

Tobacco is often the first drug used by young people who use alcohol and illegal drugs.

Among young people, those with poorer grades and lower self-image are most likely to begin using tobacco.

Over the past decade, there has been virtually no decline in smoking rates among the general teen population. Among black adolescents, however, smoking has declined dramatically.
Young people who come from low-income families and have fewer than two adults living in their household are especially at risk for becoming smokers.

Encourage your child to join an anti-smoking group and support him/her in kicking the habit. If you are currently a smoker, you should also try to stop. Children look to their parents for support and strength; taking the anti-smoking journey alongside your child can be a huge benefit. In addition to attending the meetings, The Foundation for a Smoke-Free America offers these suggestions:

Develop deep-breathing techniques. Every time you want a cigarette, do the following three times: Inhale the deepest breath of air you can and then, very slowly, exhale. Purse your lips so that the air must come out slowly. As you exhale, close your eyes, and let your chin gradually drop to your chest. Visualize all the tension leaving your body, slowly draining out of your fingers and toes — just flowing on out. This technique will be your greatest weapon during the strong cravings smokers feel during the first few days of quitting.

During the first week, drink lots of water and healthy fluids to flush out the nicotine and other toxins from your body.

Remember that the urge to smoke only lasts a few minutes, and then it will pass. The urges gradually become further and further apart as the days go by.

Do your very best to stay away from alcohol, sugar and coffee the first week (or longer) as these tend to stimulate the desire for a cigarette. Also, avoid fatty foods, as your metabolism may slow down a bit without the nicotine, and you may gain weight even if you eat the same amount as before quitting. Discipline regarding your diet is extra important now.

Nibble on low calorie foods like celery, apples and carrots. Chew gum or suck on cinnamon sticks.
Stretch out your meals. Eat slowly and pause between bites.

After dinner, instead of a cigarette, treat yourself to a cup of mint tea or a peppermint candy. Keep in mind, however, that in one study, while 25 percent of quitters found that an oral substitute was helpful, another 25 percent didn’t like the idea at all – they wanted a clean break with cigarettes. Find what works for you.

Go to a gym, exercise, and/or sit in the steam of a hot shower. Change your normal routine – take a walk or even jog around the block or in a local park. Get a massage. Pamper yourself.
Ask for support from coworkers, friends and family members. Ask for their tolerance. Let them know you’re quitting, and that you might be edgy or grumpy for a few days. If you don’t ask for support, you certainly won’t get any. If you do, you’ll be surprised how much it can help.
Ask friends and family members not to smoke in your presence. Don’t be afraid to ask. This is more important than you may realize.

On your “quit day,” remove all ashtrays and destroy all your cigarettes, so you have nothing to smoke.

If you need someone to talk to, call the National Cancer Institute’s Smoking Quitline at 1-877-44U-Quit. Proactive counseling services by trained personnel are provided in sessions both before and after quitting smoking.

Find a chat room online, with people trying to quit smoking. It can be a great source of support, much like a Nicotine Anonymous meeting, but online.

Attend your anti-smoking meetings. If there are no meetings in your city, try calling (800) 642-0666, or check the Nicotine Anonymous website link below. There you can also find out how to start your own meeting. It’s truly therapeutic to see how other quitters are doing as they strive to stop smoking.

Write down ten good things about being a nonsmoker and ten bad things about smoking.
Don’t pretend smoking wasn’t enjoyable. Quitting smoking can be like losing a good friend – and it’s okay to grieve the loss. Feel that grief.

Several times a day, quietly repeat to yourself the affirmation, “I am a nonsmoker.” Many quitters see themselves as smokers who are just not smoking for the moment. They have a self-image as smokers who still want a cigarette. Silently repeating the affirmation “I am a nonsmoker” will help you change your view of yourself. Even if it seems silly to you, this is actually useful.

Here is perhaps the most valuable information among these points: During the period that begins a few weeks after quitting, the urge to smoke will subside considerably. However, it’s vital to understand that from time to time, you will still be suddenly overwhelmed with a desire for “just one cigarette.” This will happen unexpectedly, during moments of stress, whether negative stress or positive (at a party, or on vacation). Be prepared to resist this unexpected urge, because succumbing to that “one cigarette” will lead you directly back to smoking. Remember the following secret: during these surprise attacks, do your deep breathing and hold on for five minutes; the urge will pass.

Do not try to go it alone. Get help, and plenty of it.

References
American Cancer Society
Centers for Disease Control and Prevention
Foundation for a Smoke-Free America
Nicotine Anonymous

Parents Behaving Badly

By Connect with Kids

“Parents need to kind of go through a mental checklist to make sure that they are not encouraging sports participation as a way to make up for the lack of participation they themselves might have had during their own childhood.”

– Richard Winer, M.D., Psychiatrist

“Inappropriate gestures and profanity will not be tolerated.” Announcements like that are often heard before high school sporting events these days, but some parents don’t follow those rules.

“Parents (will get) thrown out of the park completely, really getting on ref’s backs,” says father John Economos.

“I’ve seen parents basically berating kids on the ice, you know,” adds father David Dirkse.

And 12-year-old Sean, a club team hockey player, says kids playing the game notice.

“[Parents will] be yelling stuff and you’re in the background just trying to ignore it,” he says. “But when the whole crowd starts doing, it it’s like, ‘Well, I don’t want to deal with them,’ and you feel really bad if it’s [a teammate’s] parents.”

In fact, according to a study by the University of Maryland, 53 percent of parents report getting angry at their child’s game and another 40 percent report yelling at the referee.

Bottom line is- parents are bad sports.

“[The problem is] just loudmouth, overactive parents who are thinking their child will be the next Michael Jordan,” says psychiatrist Richard Winer, M.D.

He says the problem is growing worse as parents envision college scholarships for their kids – or multi-million dollar pro careers.

“So there’s some financial reward that parents often see at the end of the road when it comes to sports participation,” he explains. “Yet the odds are extremely thin that that will happen.”

Instead of a star athlete, he says, overly aggressive parents often end up with a child who is resentful and burned-out.

“They start to feel like, ‘I don’t want to deal with them, so I’ll just quit next year,’” says Sean. “[And] they won’t come back.”

“The parents have to ask directly of the kids, ‘Are you enjoying it’?’” says Winer. “And then say, ‘It’s okay if you don’t enjoy this particular sports activity. Maybe there’s something else you would like better.’ And [parents need] to be very blunt and say, ‘You won’t hurt my feelings if you end up getting away from this particular sport and either try another sport or maybe some non-sports activity.’”

Tips for Parents

The Citizenship Through Sports Alliance is the largest U.S. athletic coalition that focuses on character in sport. CTSA promotes fair play at all levels — from youth leagues to professional sport — reinforcing the value of sport as a test of character. "It's Up to Us," the organization’s program for grass-roots community efforts to teach, learn and practice good sportsmanship and citizenship, suggests eight ways to teach your child these character traits:

Take the opportunity to define what these qualities mean to you. Explain your motivations for involvement in civic organizations. Point out how the entire community benefits when citizens exhibit good character.

Show children examples of good sportsmanship that are recounted in the newspaper or other published materials.

Share stories of how someone has shown sportsmanship to you or someone you and your child know.

Ask children their opinion of professional and/or local athletes who visit hospitals or support charitable foundations. Then ask your child how they feel about those public figures who fail to make these positive gestures.

Sportsmanship and citizenship are virtually synonymous; the same tenets drive each, and helping others is a valuable aspect of both qualities. Illustrate examples of both traits, e.g. an athlete who helps an opponent off the field.

Discuss how you personally practice sportsmanship and the good feelings it gives you.
Explain that sportsmanship is made up of smaller good deeds, no less important than the larger, more visible deeds.

Give examples of other children you both know who exhibit good sportsmanship.

Define expectations regarding sportsmanship to help your child set tangible, realistic goals when practicing good sportsmanship.

As a parent, you must avoid becoming wrapped up in how well your child performs. Don’t lose sight of what's really important and forget that one of the most important goals of youth sports is helping children develop a sense of good sportsmanship. Children practice good sportsmanship when they treat their teammates, opponents, coaches and officials with respect. They learn the basics of sportsmanship from the adults in their lives, especially parents and coaches. Those who see adults behaving in a sportsmanlike way will realize that the real winners in sports — and in life itself — are those who persevere and behave with dignity regardless of whether they win or lose. A child who bullies opponents on the playing field is likely to continue that behavior in the classroom and other social situations. Here are some suggestions to build sportsmanship in your child:

Unless you actually are the coach, remember you’re the parent. Shout encouragement, not directions, from the sidelines.

If you are the coach, don’t expect more out of your own child than you do of his/her teammates. And don’t play favorites, either.

Make only positive comments. Don’t badmouth players, coaches or game officials. If you have a legitimate gripe, discuss it privately with those involved.

Applaud good plays without regard to who makes them.

Set a good example by congratulating parents of the opposing team when they win.

Don’t push your child into a sport you enjoy. Let him/her decide what to play and the commitment to give that sport.

Keep your perspective. Even if your child looses every game of the season, it’s unlikely to ruin the rest of their life.

Talk with your child about the good and bad examples of sportsmanship you see at the college and professional levels.

Always remember to have fun. Even if your child is not the star player, he/she is learning new skills and making friends.

References
The Citizenship Through Sports Alliance
National Federation of State High School Associations
University of Maryland, School of Public Health

Binge Drinking by Connect with Kids

“There’s this idea that drinking, getting drunk, being a part of a group … is somehow a part of our growing up, and everybody’s going to do it.”

– Robert Margolis, Ph.D., clinical psychologist

Binge drinking is considered to be a rite of passage for teenagers across the country. “I drank a liter of tequila in an hour, and I went to this pizza place, and I passed out in the parking lot. I woke up the next morning,” remembers Cleophus Randolph, a 22-year-old college student.

Suzanne Graham had a similar experience: “This summer I went kind of crazy, the summer after senior year, I passed out in someone’s backyard. It was not good, and I was throwing up pretty heavily the next day and all that night.”

The consequences can range from sickness to far worse — “where they don’t get a second chance because they get alcohol poisoning. Their heart rate and their body metabolism slows down and, for whatever reason, they don’t recover from it. If you drink enough alcohol you die,” explains Dr. Robert Margolis, clinical psychologist.

His advice is to set clear boundaries for your children. Tell them what to expect, teach them how to say no, and, most of all, start early. He says middle school is the perfect time. “Those are the years when you really need to start talking about those messages, so you can help them form appropriate expectations about drinking, particularly in regard to important issues like, you can be accepted without having to drink.”

Dr. Margolis empathizes with parents who feel they’re standing alone against a part of the culture that believes teenage drinking is inevitable. “There’s this idea that drinking, getting drunk, being a part of a group, that we’re all gonna go out and get drunk, is somehow a part of our growing up, and everybody’s going to do it.”

And, sadly every year some kids die — an estimated 1,400 students die from alcohol related causes. Another 500,000 suffer serious injuries. In fact, getting “wasted” is so common that some kids even think it’s funny, like 18-year-old Jason Morgan: “I’ve had friends just outside the door, heaving. It wasn’t bad, it was a good time for most, and entertaining for the sober people to laugh at them, so it was pretty fun.”

Tips for Parents

Research defines binge drinking as having five or more drinks in a row. Reasons adolescents give for binge drinking include: to get drunk, the status associated with drinking, the culture of drinking on campus, peer pressure and academic stress. Binge drinkers are 21 times more likely to: miss class, fall behind in schoolwork, damage property, injure themselves, engage in unplanned and/or unprotected sex, get in trouble with the police, and drink and drive.

Young people who binge drink could be risking serious damage to their brains now and increasing memory loss later in adulthood. Adolescents may be even more vulnerable to brain damage from excessive drinking than older drinkers. Consider the following:

The average girl takes her first sip of alcohol at age 13. The average boy takes his first sip of alcohol at age 11.

Underage drinking causes over $53 billion in criminal, social and health problems.

Seventy-seven percent of young drinkers get their liquor at home, with or without permission.

Students who are binge drinkers in high school are three times more likely to binge drink in college.

Nearly 25 percent of college students report frequent binge drinking, that is, they binged three or more times in a two-week period.

Autopsies show that patients with a history of chronic alcohol abuse have smaller, less massive and more shrunken brains.

Alcohol abstinence can lead to functional and structural recovery of alcohol-damaged brains.

Alcohol is America’s biggest drug problem. Make sure your child understands that alcohol is a drug and that it can kill him/her. Binge drinking is far more pervasive and dangerous than boutique pills and other illicit substances in the news. About 1,400 students will die of alcohol-related causes this year. An additional 500,000 will suffer injuries.

A study by the Harvard School of Public Health showed that 51 percent of male college students and 40 percent of female college students engaged in binge drinking in the previous two weeks. Half of these drinkers binged frequently (more than three times per week). College students who binge drink report:

Interruptions in sleep or study habits (71 percent).
Caring for an intoxicated student (57 percent).
Being insulted or humiliated (36 percent).
An unwanted sexual experience (23 percent).
A serious argument (23 percent).
Damaging property (16 percent).
Being pushed, hit or assaulted (11 percent).
Being the victim of a sexual advance assault or date rape (1 percent).

Students must arrive on college campuses with the ability to resist peer pressure and knowing how to say no to alcohol. For many youngsters away from home for the first time, it is difficult to find the courage to resist peer pressure and the strength to answer peer pressure with resounding no. Parents should foster such ability in their child's early years and nurture it throughout adolescence. Today’s youth needs constant care from parents and community support to make the best decisions for their wellbeing.

References
Centers for Disease Control and Prevention
Harvard School of Public Health
National Youth Violence Prevention Center

Web Friends Over Real Friends by Connect with Kids

“All of these kinds of social worlds helps develop their ability to interact with people, and particularly, to do things like post a comment that might be a little controversial for example, and see what kind of reactions they get.”

– Larry Rosen, Ph.D., Professor of Psychology

Like many teens, Matt has tons of friends online. “My buddy list is full. It over 200 people in there. And it’s just all these people that have the same interests as me that I would have never met, if I just, you know, that don’t go to my school. They’re just around the country.”

According to a recent online survey, one in four kids say their internet friendships are equally or more important than friends met in person.

“Yeah, I mean, like. Cause of the internet, I’ve, you know, that’s where I found my social group, and I really kinda found out about myself,” agrees Matt.

But are these relationships healthy?

Experts say, on one hand, they give kids an opportunity to try out different personalities without consequence. “Kids are struggling to find out who they are. And who they are is in a lot of dimensions,” explains Professor of Psychology, Dr. Larry Rosen. “Who they are personally, what their skills are, but mostly it’s who they are in a social context, and that’s why these online social worlds like MySpace, all of these kinds of social worlds helps develop their ability to interact with people, and particularly, to do things like post a comment that might be a little controversial for example, and see what kind of reactions they get.”

But, on the other hand, Rosen says, like most things in life moderation is key.

“Because being in the virtual world, being in front of a screen all day is not sufficient for good teenage socialization. You need to have a combination of a screen life, and a real life,” he explains. “And so a good parent will make some sort of boundaries that say okay, you can have screen time, but after a certain amount of screen time you have to have some real outdoor time. Or some real communication time. And you can’t talk on the phone, it has to be face to face. You have to come talk to me, you have to go outside and hang out with some friends – you have to do something that’s in the real world.”

Tips for Parents

Most adults have an Internet-usage history that dates back no more than ten to fifteen years. But those growing up since the emergence of the Internet potentially could have their entire lives documented online. New parents can post online baby books for under $15 annually. Images once stored on a bookshelf at Grandma’s house can be available to the world without password protection. With Bunk1, the same can be said for memories of summer camp.

It is increasingly common for teens to have their own website. Many of these sites have a “blog”, where the owner can post running thoughts on a daily basis. Although some sites, like MySpace.com and LiveJournal.com, require users to be registered, membership is free and easy to obtain. If your child has a blog, encourage them to protect their blog so that can be read only by the friends and family they approve. Consider the following …

Only 10 percent of families posting their baby’s photos have the site protected with a password.

Many employers and colleges will enter a prospective applicant’s name in an Internet search engine to research their web presence.

Remind your child that not only friends and strangers, but also his or her parents, will be reading the blog.

Regularly monitor your child’s blog and immediately discuss any uncomfortable or inappropriate posts with your child.

It is very important to discuss various aspects of safety with your child, including the Internet and availability of information. Cite modern advances that have changed the world within the child’s lifetime and memory. Explain to your child that while your embarrassing photos and writings might be stored in a closet, an attic or even at Grandma’s home, the electronic versions your child might have will be much more accessible to anyone interested. Also, keep the following in mind:

If you do opt to post family photos online, be sure to place the images on a secure, password-protected site.

Search for names on an Internet search engine with your child to show him/her the possible places his/her information could be found.

Show your child how far e-mails, especially jokes and chain messages, can travel.

Monitor your child’s web usage and posts. An online diary usually does not have the same rights to privacy as a bound, handwritten journal because the online version is accessible to members of the public outside your home.

Know what posts, if any, you are able to delete from your child’s blog.

References

A Parent’s Guide to Internet Safety
Pew Internet and American Life Project
Kids Help Phone

Gun Violence

By Connect with Kids

“One thing about him—he thought no one would hurt him. He thought, ‘no enemies.’”

– Mickye McGuire-Rush, Gregory’s Mother

Mickye McGuire-Rush sits in her living room and remembers her only son, Gregory. “One thing about him—he thought no one would hurt him. He thought, ‘no enemies,’” she says.

Gregory had no enemies and no protection from random violence. At age 15, he was shot to death by another kid didn’t even know.

“Mistaken identity—Gregory lost his life over something he didn’t even know was going on,” Mickye says.

Violence is killing our kids. Murder is the second leading cause of death among teenagers.

“I saw my friend in the hospital die with a nine millimeter, with a bible over it and we had a prayer before he died. Things change from that,” says one teen.

Changing the violence is exactly what a group of fourth and fifth graders are hoping to do. Some of the girls are step dancing for peace.

“We want the world to be a safe place to live,” says Ebony.

They’re part of a program at school that teaches non-violence as a way of life.

Experts say parents may not be able to prevent their children from becoming victims of violence, but they can teach kids how to handle disagreements peacefully in their own lives.

“It has to do with what you control and what you do not control. You control your own behavior. You control what you do inside that relationship with the people inside that household,” says Dr. John Jenson, psychologist.

“Clearly something is not working and I think to conclude that it’s the kids that aren’t working is inappropriate. We first must look at the environment that we have created as adults for kids to live in,” says Dr. Stephen Thomas, psychologist.

An environment that, so far, has claimed too many lives, including Gregory.

Mickye McGuire-Rush says, “He was my best friend.”

Tips for Parents

After a decade of decline, the number of children killed by gun fire has increased, according to the report Protect Children, Not Guns. This report from the Children’s Defense Fund, used data from the Center for Disease Control and Prevention, to compile this list of statistics:

3,006 children and teens died from gunfire in the United States in 2005—one child or teen every three hours, eight every day, 58 children and teens every week.
1,972 were homicide victims
822 committed suicide
212 died in accidental or undetermined circumstances
2,654 were boys
352 were girls
404 were under age 15
131 were under age 10
69 were under age 5
1,624 were White
1,271 were Black
614 were Latino*
60 were Asian or Pacific Islander
51 were American Indian or Alaska Native


The number of children and teens in America killed by guns in 2005 would fill 120 public school classrooms of 25 students each.

In 2005, 69 preschoolers were killed by firearms compared to 53 law enforcement officers killed in the line of duty.

Since 1979, gun violence has snuffed out the lives of 104,419 children and teens in America. Sixty percent of them were White; 37 percent were Black.

The number of Black children and teens killed by gunfire since 1979 is more than 10 times the number of Black citizens of all ages lynched in American history.

The number of children and teens killed by guns since 1979 would fill 4,177 public school classrooms of 25 students each.

More than five times as many children and teens suffered non-fatal gun injuries.

181 more children and teens died from firearms in 2005 than in 2004—the first annual increase since 1994.

68 more children and teens died from homicide in 2005 than in 2004.

56 more White, 122 more Black, 40 more Hispanic, and 9 more Asian and Pacific Islander children and teens died in 2005 than in 2004.

More 10- to 19-year-olds die from gunshot wounds than from any other cause except motor vehicle accidents.

Almost 90 percent of the children and teens killed by firearms in 2005 were boys.
Black children and teens are more likely to be victims of firearm homicide. White children and teens are more likely to commit suicide.

The firearm death rate for Black males ages 15 to 19 is more than four times that of comparable White males.

A Black male has a 1 in 72 chance of being killed by a firearm before his 30th birthday; a White male has a 1 in 344 chance.

Eight times as many White children and teens committed suicide by gun as Black children and teens.

Males ages 15 to 19 are almost eight times as likely as females that age to commit suicide with a firearm.

The following behaviors and actions may be viewed as risk factors indicative of the potential for the initiation of violence by a child or adolescent:


Has a history of tantrums or uncontrollable angry outbursts
Uses abusive language or calls people names
Makes violent threats when angry
Has brought a weapon to school
Has serious disciplinary problems at school or in the community
Abuses drugs, alcohol or other substances
Has few or no close friends
Is preoccupied with weapons or explosives
Has been suspended or expelled from school
Is cruel to animals
Has little or no supervision and support from parents or a caring adult
Has witnessed or been a victim of abuse or neglect
Has been bullied and/or bullies or intimidates other kids
Prefers TV shows, movies or music with violent themes
Is involved with a gang or an antisocial group
Is depressed or has significant mood swings
Has threatened or attempted suicide

What Parents Can Do

The following are suggestions of ways to help your child or adolescent deal with feelings and/or situations that might lead them to participate in violent behaviors:

Give your children consistent love and attention. Every child needs a strong, loving, relationship with a parent or other adult to feel safe and secure and to develop a sense of trust.
Children learn by example, so show your children appropriate behavior by the way you act. Settle arguments with calm words, not with yelling, hitting, slapping, or spanking. If you punish children by hitting, slapping, or spanking them, you are showing them that it is okay to hit others.

Talk with your children about the violence they see on TV, in video games, at school, at home, or in the neighborhood. Discuss why violence exists in these contexts and what the consequences of this violence are.

Try to keep your children from seeing too much violence: limit their TV time, and screen the programs they watch. Seeing a lot of violence can lead children to behave aggressively.
Make sure your children do not have access to guns. If you own firearms or other weapons, unload them and lock them up separately from the bullets. Never store firearms where children can find them, even if unloaded. Also, talk with your children about how dangerous weapons can be.

Involve your children in setting rules for appropriate behavior at home; this will help them understand why the rules should be followed. Also ask your children what they think an appropriate punishment would be if a rule were broken.

Teach your children nonaggressive ways to solve problems by discussing problems with them, asking them to consider what might happen if they use violence to solve problems, and talking about what might happen if they solve problems without violence.

Listen to your children and respect them. They will be more likely to listen and respect others if they are listened to and treated with respect.

Note any disturbing behaviors in your child such as angry outbursts, excessive fighting, cruelty to animals, fire setting, lack of friends, or alcohol/drug use. These can be signs of serious problems.

Don't be afraid to get help for your child if such behaviors exist, and talk with a trusted professional in the community.

References
National Center for Injury Prevention and Control
National Safety Council
SafeUSA - National Center for Injury Prevention and Control
Centers for Disease Control and Prevention
Children’s Defense Fund

Prescription Drugs with Kids by Connect with Kids

“I know a couple people … the first thing they ever tried, you know, going to their parents’ medicine cabinet and just looking in there and finding what they could get high off of.”

– Marie Bokemeyer, 17

According to the Federal Drug Enforcement Administration, 7 million Americans abuse prescription drugs. And many are just teens.

“Percosets, Valium, Xanax … pretty much anything I could get my hands on,” 17-year-old Mururi Wangu says.

In fact, the abuse of prescription drugs has risen 80 percent in the past 6 years. Experts say, aside from marijuana, teens are abusing these drugs more than all other illicit drugs combined.

Experts say that one reason for such a dramatic jump in abuse numbers is the availability of prescription drugs.

“This is the age of medication,” says Dr. Steven Jaffe, an adolescent psychologist. “I think there’s tremendous amounts of all sorts of medicine out there that are readily available in the bathrooms, in the cabinets at home, as well as on the black market.”

Moreover, since the U.S. Food and Drug Administration approves prescription drugs, teens mistakenly believe that using these drugs – even if they don’t have a prescription – is safe.

“For a while, I thought prescription drugs aren’t as bad because why would the doctor prescribe them if they were dangerous,” 17-year-old Marie Bokemeyer says.

Experts say that’s why parents should start early with a strong, clear message that abusing any kind of drug is wrong. They should also get to know their teens’ friends, limit unsupervised time, keep close track of medications in their homes and don’t assume it can’t happen to their teens.

“I have a thousand parents who say, ‘I didn’t know how much my child was in to.’ And it’s not just denial – teenagers are experts at hiding it,” Dr. Jaffe says.

Adds 17-year-old Kat Peterson: “I didn’t care about the danger of it; that had no effect on me. It was just the convenience of it.”

Tips for Parents

The abuse of prescription drugs has become a major health concern. More teens than ever are turning to their medicine cabinets to get high. Experts say one reason is accessibility. The majority of teens who abuse prescription drugs say they get them for free from their friends or relatives. Another reason these drugs have become so popular is, because the drugs are approved by the FDA, many teens consider them to be safe.

Consider these statistics:

In 2005, 2.1 million teens abused prescription drugs.

Three percent, or 840,000 teens ages 12-17, reported current abuse of prescription drugs in 2005, making this illegal drug category the second most abused next to marijuana (7%).

For the first time, there are just as many new abusers (12 and older) of prescription drugs as there are for marijuana.

One-third of all new abusers of prescription drugs in 2005 were 12-17-year-olds.
Teens ages 12-17 have the second-highest annual rates of prescription drug abuse after young adults (18-25).

Nearly one in five teens (19% or 4.5 million) report abusing prescription medications that were not prescribed to them.

Teens admit to abusing prescription medicine for reasons other than getting high, including to relieve pain or anxiety, to sleep better, to experiment, to help with concentration or to increase alertness.

More than one-third of teens say they feel some pressure to abuse prescription drugs, and nine percent say using prescription drugs to get high is an important part of fitting in with their friends.

Nearly three out of 10 teens (29% or 6.8 million) believe prescription pain relievers—even if not prescribed by a doctor—are not addictive.

In 2004, more than 29 percent of teens in treatment were dependent on tranquilizers, sedatives, amphetamines and other stimulants.

As a parent, it is important to understand that teens may be involved with legal and illegal drugs in various ways. The American Academy of Child & Adolescent Psychiatry (AACAP) reports that many teens begin using drugs to satisfy their curiosity, to make themselves feel good, to reduce stress, to feel grown up or to “fit in.” While it is difficult to know which teens will experiment and stop and which will develop serious problems, the National Institute of Drug Abuse says the following types of teens are at greatest risk of becoming addicted:

Those who have a family history of substance abuse
Those who are depressed
Those who have low self-esteem
Those who feel like they don’t “fit in” or are out of the mainstream

Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. The Center for Drug Evaluation and Research cites the following most commonly abused prescription drugs:

Opioids: Also known as narcotic analgesics, opioids are used to treat pain. Examples of this type of drug include morphine, codeine, OxyContin (oxycodone), Vicodin (hydrocodone) and Demerol (meperidine). In the short term, these drugs block pain messages and cause drowsiness. A large, single dose can cause severe respiratory depression and death. Long-term use leads to physical dependence and, in some cases, addiction.

Central nervous system (CNS) depressants: These drugs are commonly used to treat anxiety, panic attacks and sleep disorders. Examples include Nembutal (pentobarbital sodium), Valium (diazepam) and Xanax (alprazolam). CNS depressants slow down normal brain function and can cause a sleepy, uncoordinated feeling in the beginning of treatment. Long-term use can lead to physical dependence and addiction.

Stimulants: These drugs are commonly used to treat the sleeping disorder narcolepsy and attention-deficit hyperactivity disorder. Examples include Ritalin (methylphenidate) and Dexedrine (dextroamphetamine). Stimulants, which can be addictive, enhance brain activity and increase alertness and energy. They elevate blood pressure, heart rate and respiration. Very high doses can lead to irregular heartbeat and high body temperature

How can you determine if your teen is abusing drugs? The AACAP suggests looking for the following warning signs and symptoms in your teen:

Physical: Fatigue, repeated health complaints, red and glazed eyes and a lasting cough
Emotional: Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest

Familial: Starting arguments, breaking rules or withdrawing from the family
School-related: Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems

Social: having new friends who are less interested in standard home and school activities, problems with the law and changes to less conventional styles in dress and music

If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs. The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen. You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.

Encourage your teen to get involved in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.

Help your teen develop tools he can use to get out of drug-related situations. Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”
Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your teen away from any friends who use drugs.

Call teens’ parents if their home is to be used for a party. Make sure that the party will be drug-free and supervised by adults.

Set curfews and enforce them. Let your teen know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.

Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.

Get – and stay – involved in your teen’s life.

References
American Academy of Child & Adolescent Psychiatry
American Academy of Family Physicians
Center for Drug Evaluation and Research
Drug Abuse Warning Network
National Institute on Drug Abuse
Partnership for a Drug-Free America
Substance Abuse & Mental Human Services Administration
U.S. Food and Drug Administration