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Substance abuse: a pediatric concern.

D R Patel1, D E Greydanus

  • 1Department of Pediatrics and Human Development, Michigan State University, Kalamazoo Center for Medical Studies, Kalamazoo, Michigan, USA. patel@kcms.msu.edu

Indian Journal of Pediatrics
|May 8, 2000
PubMed
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Substance abuse, including alcohol and tobacco, affects children and adolescents globally. Pediatricians can identify risks through screening psychosocial histories for early intervention.

Area of Science:

  • Public Health
  • Pediatrics
  • Adolescent Medicine

Background:

  • Substance use among children and adolescents is a significant global health issue.
  • Historically, alcohol, tobacco, and opiates have been recognized in India, with current widespread alcohol abuse on college campuses.
  • Adolescents are exposed to various substances, including alcohol, cannabis, and tobacco, with specific cultural contexts in India, such as pan masala use.

Purpose of the Study:

  • To highlight the global problem of substance abuse in children and adolescents.
  • To discuss the historical and cultural context of substance use in India.
  • To emphasize the role of pediatricians in identifying and referring cases of substance abuse.

Main Methods:

  • Review of existing literature and data on substance abuse prevalence.

Related Experiment Videos

  • Identification of risk and protective factors associated with adolescent substance use.
  • Emphasis on screening psychosocial history as a key diagnostic tool.
  • Main Results:

    • Substance abuse affects children and adolescents worldwide, with specific prevalence data from the United States.
    • Cultural practices in India involve the use of substances like pan masala, marijuana, and home-brewed alcohol.
    • Pan masala has demonstrated carcinogenic, genotoxic, and clastogenic properties.

    Conclusions:

    • Pediatricians are crucial in recognizing and facilitating early referral for adolescent substance abuse.
    • Screening psychosocial history is vital for identifying potential substance abuse indicators.
    • Understanding cultural contexts is important for addressing substance abuse in diverse populations.