117. Tobacco and Nicotine Use in teens: Screening and Intervention

Dr. Susan Walley was born to work with kids. She was hooked from the beginning. Recognizing that repertory issues are the #1 cause of hospitalization and realizing that parents don’t realize the impact on their own kids, gave her the inspiration to dive into the work of tobacco/nicotine/vaping addiction. Dr. Lia Gaggino asks the questions that you’ve been wondering about. But first, let’s look at some stats:

Results from the Annual National Youth Tobacco Survey (22 findings)

Almost 1 Million Youths use 2 or more tobacco products

E-Cigarettes are the most commonly used tobacco products

About 1 Million youths use any combustible tobacco products

  • 11.3% (3.08 million) middle & high school students reported current use (past 30 days) of any tobacco product 
  • Approximately 3.7% (1.00 million) of all students reported currently smoking any combustible tobacco product
  • 3.5% (960,000) reported current use of multiple (≥2) tobacco products 

 

[00:32 -14:38] Opening Segment

  • Dr. Gaggino introduces us to Dr. Susan Chu Walley
  • Dr. Walley was born to take care of kids
  • Just how dangerous is second-hand smoke?
  • Vaping is a Youth epidemic
  • The tobacco companies are taking advantage of a loop hole in the law in order to market to kids 

[14:39 – 27:07]  The Teen brain is more sensitive to nicotine

  • Tobacco/Nicotine can cause irreversible brain cell damage and long term behavioral damage.  
  • Usually, the gateway to future drug use
  • Data is still developing regarding vaping because it’s only been around for a fairly short time
  • There are currently around 15,000 vape flavorings 

[27:08 -50:54] Messaging:  What Works?

  • It’s difficult for clinicians to give their recommendations without sounding judgmental
  • Motivational interviewing and offering help in quitting is shown to be accepted
  • The money is being spent in advertising vs education of the dangers of tobacco/nicotine/E-cigarettes

[50:55 – 58:11]  Closing segment Takeaway

 

You can reach Dr. Susan Walley

 

Resources:

 

Other episodes you may like:

Episode #20 Talking to Teens about Sex, Drugs & Rock n Roll

 

Episode #5 Substance Use Disorders and Childhood Exposures

 

Mentioned in the Episode

EVALI stands for E-cigarette or Vaping use-Associated Lung Injury

ACT stands for  Ask / Council / Treat

 

Resources:

  1. MMWR Tobacco Product Use in US Middle and High School Students 11.11.2022. https://www.cdc.gov/mmwr/volumes/71/wr/mm7145a1.htm
  1. 1-800-QUIT-NOW 
  2. THIS IS QUITTING  https://truthinitiative.org/thisisquitting texting DITCH VAPE to 88709
  1. HONC (hooked on nicotine checklist) for youth – 10 question to help determine severity. Resource https://cancercontrol.cancer.gov/sites/default/files/2020-06/honc_questionnaire.pdf
  1. Substance use screener CRAFFT 2.1 N https://crafft.org/wp-content/uploads/2021/07/CRAFFT_2.1N-HONC_Clinician_2021-07-03.pdf

Key quotes for Twitter:

“In terms specifically for vaping: texting DITCH VAPE to 88709…” Dr. Susan Walley on helping people quit vaping.

 

“If you are able to keep your patient from using tobacco and be a non-user until 21 years of age, the chance of them picking it up at that point is very very low…”.  Dr. Susan Walley on educating kids on tobacco

 

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Dr Lia Gaggino

Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

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Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

Recent Episodes

  • All Post
  • ADHD
  • Advocacy
  • Aggression and Disruptive Behaviors
  • Anxiety
  • Autism
  • Building Better Workflows
  • Depression
  • Genetics
  • healthcare disparities and inequalities
  • LGBTQIA+
  • Medications
  • Mental Health
  • OCD
  • Other
  • Pain
  • Parent/child
  • Physician Well-Being
  • Schizophrenia
  • Sexual Trauma
  • Sleep
  • Social Media
  • Substance Abuse
  • Suicide Prevention
  • Trauma

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