Why does it matter? "Isn't risky behavior during adolescence normal?" "I did it and I'm fine, what's the big deal?"
Ingesting, inhaling, injecting drugs and alcohol can impact brain development during the adolescent years, a time of rapid brain growth. Even small differences in neurological development can cause lasting problems well into adulthood.
"Altered brain development due to exposure of neurotoxins during adolescence, particularly alcohol, could set the stage for cognitive problems into adulthood, conferring functional consequences throughout life."(3)
It is best if the brain is well protected from birth until age 25. Drugs, alcohol, tobacco (other*) all pose significant risks to healthy brain development.
Below is a list of risk factors for smoking cigarettes. They are similar to the reasons why kids start other unhealthy activities. There are some that are not preventable, like poverty. Kids grow up in the families they grow up in. Don't be re-assured by high and moderate socio-economic status (SES). While low SES is associated with smoking, high SES is associated with alcohol and marijuana* use.
"Young adults with the highest family background SES were most prone to alcohol and marijuana use."
Hold on, wait right there. The literature on marijuana use during adolescence indicates that it is not benign.
"The literature ... provide strong evidence that chronic cannabis abuse causes cognitive impairment and damages the brain, particularly white matter, where cannabinoid 1 receptors abound."
Ages 12 to 25 are the important years. Young people are most likely to start using destructive substances during these years.
" ... by 26 years of age, nearly all people who are going to use tobacco have already begun, so the focus of primary prevention with young people really spans the ages of 12 to 25 years."
- Relatively low SES,
- Relatively high accessibility and availability of tobacco products,
- Perceptions by adolescents that tobacco use is normative, that is, usual or acceptable behavior,
- Use of tobacco by significant others and approval of tobacco use among those persons,
- Lack of parental support,
- Low levels of academic achievement and school involvement,
- Lack of skills required to resist influences to use tobacco,
- Relatively low self-efficacy for refusal,
- Previous tobacco use and intention to use tobacco in the future,
- Relatively low self-image, and
- Belief that tobacco use is functional or serves a purpose.
A well-designed, proactive parenting plan will begin work on preparing children for adolescents beginning at birth, but if you start late, age 8 is good. A pro-active parenting plans lays out the pathway toward the desired outcome for each child.
To get a sense of what this plan might look like, flip each of the risk factors listed above into its positive opposite whenever possible.
- High or Low SES is hard to alter.
- Accessibility and availability? Reduce.
- Perceptions by adolescents? Teach facts: only about 8% of high school students smoke, etc.
- Parents, aunts, uncles, grand parents, etc., stop using and disapprove.
- Increase parental support.
- Support and facilitate academic achievement and school involvement.
- Increase peer-pressure resistance skills ("Go along to get along", compliance and conformity, is not a constructive lesson for children).
- Increase child's belief in their effectiveness in refusing.
- Address faulty ideas supporting intention to use.
- Enhance self-esteem, self-image, self-worth constructively.
- Nurture belief that substance use serves no constructive purpose.
Additional Reading
*Traumatic brain injury
Kenneth H. Little, MA
Achieve Educational Success
603-726-1006
© 2019 Kenneth H. Little. All rights reserved.