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Treating Nicotine Dependence in the Pediatric Setting: Adolescents and Caregivers Who Smoke

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Tobacco Dependence

Part of the book series: Respiratory Medicine ((RM))

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Abstract

Pediatric health care providers are charged with optimizing the health and well-being of infants and children. Part of this obligation includes reducing the harms associated with nicotine exposure. In the first part of this chapter, we discuss the unique opportunity and responsibility pediatric health care providers have to manage caregiver smoking. While cessation efforts typically have a goal of improving the cigarette user’s health, in this situation, optimizing child health requires treating the adult caregiver. Counseling and pharmacotherapy should be considered for cessation efforts. This is followed by a discussion on adolescent nicotine exposure. Young people as a group are smoking less combustible cigarettes; however, electronic nicotine delivery devices (ENDS or e-cigarettes) have led to an epidemic of adolescents being exposed to regular and significant quantities of nicotine. While group based behavioral techniques may offer some help, more research is needed to define the optimal approach to cessation in this age group. As this field advances, pediatric health care providers should be comfortable assessing and addressing nicotine exposure in their patients and their patient’s families.

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Authors and Affiliations

  1. Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA

    Sarah E. Bauer

  2. Department of Pediatric Respiratory Medicine, The Hospital for Sick Children, Toronto, ON, Canada

    Jason R. McConnery & Theo J. Moraes

  3. Department of Pediatrics, McMaster University, Hamilton, ON, Canada

    Jason R. McConnery

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  1. Sarah E. Bauer
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  2. Jason R. McConnery
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  3. Theo J. Moraes
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Correspondence to Theo J. Moraes .

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Editors and Affiliations

  1. Division of Pulmonary and Critical Care, Johns Hopkins University, Baltimore, MD, USA

    Michelle N. Eakin

  2. The Pulmonary Center, Boston University School of Medicine, Boston, MA, USA

    Hasmeena Kathuria

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Bauer, S.E., McConnery, J.R., Moraes, T.J. (2023). Treating Nicotine Dependence in the Pediatric Setting: Adolescents and Caregivers Who Smoke. In: Eakin, M.N., Kathuria, H. (eds) Tobacco Dependence. Respiratory Medicine. Humana, Cham. https://doi.org/10.1007/978-3-031-24914-3_7

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