The pediatrician and cancer prevention: accepting the present, changing the future

Article Abstract:

Pediatricians may engage in health promotion to reduce children's lifetime risk of cancer. Cancer treatment has improved since the 1950s and scientists in the 1990s have uncovered the biological basis of some cancers. Despite this progress, pediatricians may not be able to prevent the development of childhood cancer. It is unlikely that diagnostic skills can be improved to recognize cancer signs and symptoms. Mass screening tests are inappropriate detection methods for most childhood cancers. Pediatricians may act to reduce children's lifetime risk of cancer by extending adult recommendations for cancer prevention to children. The promotion of smoking cessation may ward off the adverse effects of secondhand cigarette smoke and may reduce yearly cancer deaths in adults by 300,000 to 400,000. Sound dietary practices instilled in childhood are likely to endure throughout the lifetime and may reduce the risk of some adult cancers.

Usage, Health promotion, Cancer in children, Childhood cancer

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The old "ounce of prevention."(Editorial)

Article Abstract:

A pediatrician discusses ways that his colleagues can ask their patients and parents about substance abuse. A 1998 study found that there are certain risk factors for substance abuse and other protective factors that can prevent it. Risk factors include substance abuse by parents, abuse, poor school performance, mental health disorders, poor self-image, lack of a sense of morality, moodiness, and rebelliousness. Protective factors include a strong, supportive family, good academic achievement, positive self-image, and participation in extracurricular activities.

Risk factors, Children, Substance abuse, Drug use

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Youth violence: if we are not active in prevention efforts, who will be?

Article Abstract:

Pediatricians should make a serious effort to dissuade teenagers from participating in violent confrontations. Many pediatricians are unwilling to get involved in teen violence because they believe there is nothing they can do about it. However, they can assess a teenager's tendency toward violence and provide the teen with ways of dealing with a hostile situation. They can teach the teenager about the future consequences of a violent act. This could be done when the teenager comes to the doctor with a wound he or she received in a fight.

Violence in children, Child violence

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