Tag Archives: science

University of Pennsylvania Annenberg Public Policy Center study: Drug testing high school students might not be effective

14 Jan

Moi wrote in Missouri high school to drug test students:
Fox News reported in the story, Missouri high school reportedly to use hair samples for random drug tests:
Beginning in the 2013-2014 school year, students at Rockhurst High School in Kansas City will be mandated to undergo random drug testing by submitting roughly 60 strands of hair to a staff member at the 1,000-student school, KSHB.com reports….
If a student tests positive for any substance, according to the new policy, a guidance counselor will be notified. The counselor will then notify the student’s parents to determine how to best help the child.
The student would then be given 90 days to be drug-free, with no notification sent to administrative personnel. The incident would only be noted in the student’s guidance file, which would later be destroyed upon graduation and will not be sent to colleges or universities. The document would only become public if subpoenaed, the website reports. http://www.foxnews.com/us/2013/01/31/missouri-high-school-reportedly-to-use-hair-samples-for-random-drug-tests/#ixzz2KXRqmSpX
The National Institute on Drug Abuse (Institute) has some great information about drug testing.
In Frequently Asked Questions About Drug Testing in Schools, the Institute discusses drug testing.
Why test teenagers at all?
Teens are especially vulnerable to drug abuse, when the brain and body are still developing. Most teens do not use drugs, but for those who do, it can lead to a wide range of adverse effects on the brain, the body, behavior and health.
Short term: Even a single use of an intoxicating drug can affect a person’s judgment and decisonmaking—resulting in accidents, poor performance in a school or sports activity, unplanned risky behavior, and the risk of overdosing.
Long term: Repeated drug abuse can lead to serious problems, such as poor academic outcomes, mood changes (depending on the drug: depression, anxiety, paranoia, psychosis), and social or family problems caused or worsened by drugs.
Repeated drug use can also lead to the disease of addiction. Studies show that the earlier a teen begins using drugs, the more likely he or she will develop a substance abuse problem or addiction. Conversely, if teens stay away from drugs while in high school, they are less likely to develop a substance abuse problem later in life….
Is random drug testing of students legal?
In June 2002, the U.S. Supreme Court broadened the authority of public schools to test students for illegal drugs. Voting 5 to 4 in Pottawatomie County v. Earls, the court ruled to allow random drug tests for all middle and high school students participating in competitive extracurricular activities. The ruling greatly expanded the scope of school drug testing, which previously had been allowed only for student athletes.
Just because the U.S. Supreme Court said student drug testing for adolescents in competitive extracurricular activities is constitutional, does that mean it is legal in my city or state?
A school or school district that is interested in adopting a student drug testing program should seek legal expertise so that it complies with all federal, state, and local laws. Individual state constitutions may dictate different legal thresholds for allowing student drug testing. Communities interested in starting student drug testing programs should become familiar with the law in their respective states to ensure proper compliance. http://www.drugabuse.gov/related-topics/drug-testing/faq-drug-testing-in-schools
The primary issue is whether students have privacy rights.
Your Debate.com summarizes the pros and cons of School Drug Testing:
PRO 1
The main purpose of random school drug testing is not to catch kids using drugs, it to keep them from ever using them. Once their using drugs its harder for them to break their addiction. With many employers drug testing its very important for a kid’s future not to use drugs. Drug use is responsible for many crimes. Its worth the inconvenience for all our future.
CON 2
One of the fundamental features of our legal system is that we are presumed innocent of any wrongdoing unless and until the government proves otherwise. Random drug testing of student athletes turns this presumption on its head, telling students that we assume they are using drugs until they prove to the contrary with a urine sample.
CON 3
“If school officials have reason to believe that a particular student is using drugs, they already have the power to require that student to submit to a drug test,” said ACLU-NJ Staff Attorney David Rocah.
CON 4
The constitutional prohibition against “unreasonable” searches also embodies the principle that merely belonging to a certain group is not a sufficient reason for a search, even if many members of that group are suspected of illegal activity. Thus, for example, even if it were true that most men with long hair were drug users, the police would not be free to stop all long haired men and search them for drugs.
PRO 5
Peer pressure is the greatest cause of kids trying drugs. If by testing the athletes or other school leaders, we can get them to say no to drugs, it will be easier for other kids to say no.
CON 6
Some also argue that students who aren’t doing anything wrong have nothing to fear. This ignores the fact that what they fear is not getting caught, but the loss of dignity and trust that the drug test represents. And we should all be afraid of government officials who believe that a righteous cause warrants setting aside bedrock constitutional protections. The lesson that our schools should be teaching is respect for the Constitution and for students’ dignity and privacy, not a willingness to treat cherished constitutional principles as mere platitudes. http://www.youdebate.com/DEBATES/school_drug_testing.HTM
See, What Are the Benefits of Drug Testing? http://www.livestrong.com/article/179407-what-are-the-benefits-of-drug-testing/ https://drwilda.com/2013/02/11/missouri-high-school-to-drug-test-students/
Maanvi Singh of NPR reported in the study, Drug Tests Don’t Deter Drug Use, But School Environment Might:
Schools that do random drug testing say it helps students say no to illegal drugs, while critics say it’s an invasion of privacy. But feeling good about school may affect students’ drug use more than the threat of testing.
A survey of high school students found that the possibility that they might face drug testing didn’t really discourage students from alcohol, cigarettes or marijuana. But students who thought their school had a positive environment were less apt to try cigarettes and pot.
Those students were about 20 percent less likely to try smoke pot and 15 percent less likely to light up a cigarette than students who didn’t feel that their school was a positive place, the survey found. And the trend held true, more or less, regardless of demographic or geographic factors.
Researchers from the University of Pennsylvania’s Annenberg Public Policy Center looked at 361 high school students across the country. The students were initially interviewed in 2008 as part of the more general National Annenberg Survey of Youth. A year later, researchers followed up and asked participants whether they had tried alcohol, or smoked cigarettes or marijuana.
The research was published Monday in the Journal of Studies on Alcohol and Drugs. Dan Romer, an author of the study who directs Annenberg’s Adolescent Communication Institute, says he wasn’t surprised by the results. “In a school with a good climate, the kids will respect what the teachers say more,” he tells Shots.
The key, Romer says, is that students need to understand why a school has certain disciplinary policies. “It basically boils down to how much respect everybody feels toward each other,” he says.
Proponents of random drug testing say it can act as a deterrent, or as a way to identify students in need of help. The Supreme Court has upheld the constitutionality of the practice twice, in 1995 and 2002. But the court limited its use to students participating in competitive extracurricular activities.
A school that has a positive climate might also practice drug testing, Romer said – the two aren’t mutually exclusive. But this study suggests that administrators concerned about substance abuse might want to try programs that encourage a more respectful school climate before turning to drug testing.
This study is by no means conclusive. It doesn’t distinguish between schools that implement randomized drug testing and those that only test students suspected of drug use. And it doesn’t look at whether other drug education programs might have influenced the results.
These findings reinforce previous research that casts doubt on the effectiveness of drug testing as a deterrent. A 2010 study from the University of Michigan found that in schools with drug testing, students were more likely to turn from marijuana to other illicit drugs.
One thing that neither a drug policy nor a positive environment seemed to affect was underage drinking. “It suggests to us that alcohol may be so accepted now in high school culture,” Romer says, “that kids think if you’re at a party you should be able to drink.” http://www.npr.org/blogs/health/2014/01/14/262466903/drug-tests-dont-deter-drug-use-but-school-environment-might?utm_medium=Email&utm_source=share&utm_campaign=
See, School drug tests don’t work, but ‘positive climate’ might http://www.health.am/psy/more/school-drug-tests-dont-work/#ixzz2qQ58LUDr
Here is the press release from University of Pennsylvania’s Annenberg Public Policy Center:
School drug tests ineffective but a ‘positive climate’ might work
Monday, January 13th, 2014
A national study of teenagers suggests that school drug testing did not deter them from starting to smoke tobacco or marijuana or drink alcohol. But in high schools that had a “positive school climate,” teens were less likely to start smoke cigarettes or marijuana.
Research published in the January issue of the Journal of Studies on Alcohol and Drugs compared the effectiveness over one year of school policies of student drug testing, which are in place in an estimated 20 percent of U.S. high schools, with a positive school climate.
“The bad news is that a policy of drug testing has no effect on students starting to use alcohol, cigarettes or marijuana,” said study co-author Dan Romer, associate director of the Annenberg Public Policy Center (APPC) at the University of Pennsylvania. “There’s also no effect on escalating the use of those substances.”
The study found, however, that students in schools with a positive school climate reported a lower rate of starting to use cigarettes and marijuana, and a slower escalation of smoking at the one-year follow-up interview. Students in schools with positive climates were 15 percent less likely to start smoking cigarettes and 20 percent less likely to start using marijuana than students at schools without positive climates, the study shows.
Student drug testing “is a relatively ineffective drug-prevention policy,” wrote the researchers, Dan Romer and Sharon R. Sznitman, an APPC Distinguished Research Fellow and a lecturer at the School of Public Health, University of Haifa, Israel. “On the other hand, interventions that improve school climate may have greater efficacy.” The study added that “whole school” health efforts that engage students, faculty and parents, and promote a sense of security and well-being have been found to reduce substance abuse.
Neither drug testing nor school climate affected the start of drinking alcohol.
For the complete news release click here. http://www.annenbergpublicpolicycenter.org/wp-content/uploads/Student-drug-tests-01-13-14.pdf
To read the study click here. http://www.jsad.com/jsad/article/Student_Drug_Testing_and_Positive_School_Climates_Testing_the_Relation_Bet/4893.html
And for APPC’s issue brief on student drug testing, click here. http://www.annenbergpublicpolicycenter.org/issue-brief-drug-prevention-in-schools/
Citation:
Journal of Studies on Alcohol and Drugs
Volume 75, 2014 > Issue 1: January 2014
Download PDF Document

Click to access 5232.pdf

Student Drug Testing and Positive School Climates: Testing the Relation Between Two School Characteristics and Drug Use Behavior in a Longitudinal Study [OPEN ACCESS]
Sharon R. Sznitman, Daniel Romer
Objective: Fostering positive school climates and student drug testing have been separately proposed as strategies to reduce student drug use in high schools. To assess the promise of these strategies, the present research examined whether positive school climates and/or student drug testing successfully predicted changes in youth substance use over a 1-year follow-up. Method: Two waves of panel data from a sample of 361 high school students, assessed 1 year apart, were analyzed. Changes in reported initiation and escalation in frequency of alcohol, cigarette, and marijuana use as a function of perceived student drug testing and positive school climates were analyzed, while we held constant prior substance use. Results: Perceived student drug testing was not associated with changes in substance use, whereas perceived positive school climates were associated with a reduction in cigarette and marijuana initiation and a reduction in escalation of frequency of cigarette use at 1-year follow-up. However, perceived positive school climates were not associated with a reduction in alcohol use. Conclusions: Student drug testing appears to be less associated with substance use than positive school climates. Nevertheless, even favorable school climates may not be able to influence the use of alcohol, which appears to be quite normative in this age group. (J. Stud. Alcohol Drugs, 75, 65–73, 2014)
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If your child has a substance abuse problem, both you and your child will need help. “One day at a time” is a famous recovery affirmation which you and your child will live the meaning. The road to recovery may be long or short, it will have twists and turns with one step forward and two steps back. In order to reach the goal of recovery, both parent and child must persevere.
Related:
University of Washington study: Heroin use among young suburban and rural non-traditional users on the increase https://drwilda.com/2013/10/13/university-of-washington-study-heroin-use-among-young-suburban-and-rural-non-traditional-users-on-the-increase/
Northwestern University study: Young adolescent use of marijuana results in changes to the brain structure https://drwilda.com/2013/12/23/northwestern-university-study-young-adolescent-use-of-marijuana-results-in-changes-to-the-brain-structure/
Resources
Adolescent Substance Abuse Knowledge Base http://www.crchealth.com/troubled-teenagers/teenage-substance-abuse/adolescent-substance-abuse/signs-drug-use/
Warning Signs of Teen Drug Abuse http://parentingteens.about.com/cs/drugsofabuse/a/driug_abuse20.htm?r=et
Is Your Teen Using? http://www.drugfree.org/intervene
Al-Anon and Alateen
http://www.al-anon.alateen.org/
WEBMD: Parenting and Teen Substance Abuse http://www.webmd.com/mental-health/tc/teen-substance-abuse-choosing-a-treatment-program-topic-overview
The U.S. Department of Health and Human Services has a very good booklet for families What is Substance Abuse Treatment? http://store.samhsa.gov/home
The National Institute on Drug Abuse (NIDA) has a web site for teens and parents that teaches about drug abuse NIDA for Teens: The Science Behind Drug Abuse http://teens.drugabuse.gov/
Where information leads to Hope. © Dr. Wilda.com
Dr. Wilda says this about that ©
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Journal of American Medical Association study: Consumption of nuts by pregnant woman may reduce nut allergies in their children

24 Dec

Moi wrote about allergies in Food allergies can be deadly for some children:
If one is not allergic to substances, then you probably don’t pay much attention to food allergies. The parents and children in one Florida classroom are paying a lot of attention to the subject of food allergies because of the severe allergic reaction one child has to peanuts. In the article, Peanut Allergy Stirs Controversy At Florida Schools Reuters reports:

Some public school parents in Edgewater, Florida, want a first-grade girl with life-threatening peanut allergies removed from the classroom and home-schooled, rather than deal with special rules to protect her health, a school official said.
“That was one of the suggestions that kept coming forward from parents, to have her home-schooled. But we’re required by federal law to provide accommodations. That’s just not even an option for us,” said Nancy Wait, spokeswoman for the Volusia County School District.
Wait said the 6-year-old’s peanut allergy is so severe it is considered a disability under the Americans with Disabilities Act.
To protect the girl, students in her class at Edgewater Elementary School are required to wash their hands before entering the classroom in the morning and after lunch, and rinse out their mouths, Wait said, and a peanut-sniffing dog checked out the school during last week’s spring break….
Chris Burr, a father of two older students at the school whose wife has protested at the campus, said a lot of small accommodations have added up to frustration for many parents.
“If I had a daughter who had a problem, I would not ask everyone else to change…. http://www.reuters.com/article/2011/03/22/us-peanut-allergy-idUSTRE72L7AQ20110322

More children seem to have peanut allergies. Researchers are trying to discover the reason for the allergies, but also asking the question of whether the number of nut allergies in children can be reduced.

Michael Pearson of CNN reported in the story, Study: Eating nuts during pregnancy may reduce baby’s allergy risk:

The children of women who regularly ate peanuts or tree nuts during pregnancy appear to be at lower risk for nut allergies than other kids, according to a new study published Monday.
The study, published in the Journal of the American Medical Association, is the first to demonstrate that a mother who eats nuts during pregnancy may help build up a baby’s tolerance to them after birth, its lead author, Dr. Michael Young, told CNN.
The effect seemed to be strongest in women who ate the most peanuts or tree nuts — five or more servings per week, according to the study, which controlled for factors such as family history of nut allergies and other dietary practices.
Peanut and tree nut allergies tend to overlap, according to the researchers.
What food allergies are costing families — and the economy
Earlier studies indicated that nut consumption during pregnancy either didn’t have any effect or actually raised the risk of allergies in children.
However, the authors of the latest study say those studies were based on less reliable data and conflict with more recent research suggesting that early exposure to nuts can reduce the risk of developing allergies to them.
There is currently no formally recognized medical guidance for nut consumption during pregnancy or infancy. http://www.cnn.com/2013/12/23/health/nut-allergy-study/

Citation:

Original Investigation | December 23, 2013 JOURNAL CLUB
Prospective Study of Peripregnancy Consumption of Peanuts or Tree Nuts by Mothers and the Risk of Peanut or Tree Nut Allergy in Their Offspring FREE ONLINE FIRST
A. Lindsay Frazier, MD, ScM1,2; Carlos A. Camargo Jr, MD, DrPH2,3,4; Susan Malspeis, MS2; Walter C. Willett, MD, DrPH4,5,6; Michael C. Young, MD7
[+] Author Affiliations
JAMA Pediatr. Published online December 23, 2013. doi:10.1001/jamapediatrics.2013.4139
Article
Tables
References
Comments
ABSTRACT
ABSTRACT | METHODS | RESULTS | DISCUSSION | CONCLUSIONS | ARTICLE INFORMATION | REFERENCES
Importance The etiology of the increasing childhood prevalence of peanut or tree nut (P/TN) allergy is unknown.
Objective To examine the association between peripregnancy consumption of P/TN by mothers and the risk of P/TN allergy in their offspring.
Design, Setting, and Participants Prospective cohort study. The 10 907 participants in the Growing Up Today Study 2, born between January 1, 1990, and December 31, 1994, are the offspring of women who previously reported their diet during, or shortly before or after, their pregnancy with this child as part of the ongoing Nurses’ Health Study II. In 2006, the offspring reported physician-diagnosed food allergy. Mothers were asked to confirm the diagnosis and to provide available medical records and allergy test results. Two board-certified pediatricians, including a board-certified allergist/immunologist, independently reviewed each potential case and assigned a confirmation code (eg, likely food allergy) to each case. Unadjusted and multivariable logistic regression analyses were used to evaluate associations between peripregnancy consumption of P/TN by mothers and incident P/TN allergy in their offspring.
Exposure Peripregnancy consumption of P/TN.
Main Outcomes and Measures Physician-diagnosed P/TN allergy in offspring.
Results Among 8205 children, we identified 308 cases of food allergy (any food), including 140 cases of P/TN allergy. The incidence of P/TN allergy in the offspring was significantly lower among children of the 8059 nonallergic mothers who consumed more P/TN in their peripregnancy diet (≥5 times vs <1 time per month: odds ratio = 0.31; 95% CI, 0.13-0.75; Ptrend = .004). By contrast, a nonsignificant positive association was observed between maternal peripregnancy P/TN consumption and risk of P/TN allergy in the offspring of 146 P/TN-allergic mothers (Ptrend = .12). The interaction between maternal peripregnancy P/TN consumption and maternal P/TN allergy status was statistically significant (Pinteraction = .004).
Conclusions and Relevance Among mothers without P/TN allergy, higher peripregnancy consumption of P/TN was associated with lower risk of P/TN allergy in their offspring. Our study supports the hypothesis that early allergen exposure increases tolerance and lowers risk of childhood food allergy.
Peanut allergy affects 1% to 2% of the population in most Western countries,1- 3 and in the United States, the prevalence of childhood peanut allergy has more than tripled, from 0.4% in 1997 to 1.4% in 2010.4 Typically, the onset of peanut allergy is in early childhood; 70% of reactions occur during the first known exposure.5 These IgE-mediated hypersensitivity reactions require prior allergen exposure and sensitization, implying that prior exposure to peanut had already occurred in utero or through unknown exposures in the diet or environment, such as through skin or respiratory routes.6 Because of frequent overlap between peanut allergy and tree nut allergy and their similar natural history, with 80% to 90% persistence of the food allergy into adulthood,7 these 2 allergies are often considered together as peanut or tree nut (P/TN) allergy.
For many years, pediatric guidelines have recommended the avoidance of P/TN for at least the first 3 years of life, with some experts also recommending that P/TN be avoided during pregnancy.8 These recommendations were rescinded recently when literature reviews showed little support for them.9,10 For decades, many investigators have posited that modifications of the maternal diet during pregnancy might prevent food allergies.11- 14 However, some studies on maternal avoidance of peanut during pregnancy actually demonstrated an increase in peanut sensitization in the child,15- 17 while other studies found no association.5,14,18,19 In related research, early exposure to allergenic foods in infant diets may decrease sensitization and increase oral tolerance to those foods.20- 24
Given the lack of clarity in the current literature, an important quandary exists: should the pregnant mother include or exclude P/TN in her diet? The goal of our investigation was to clarify the association between peripregnancy consumption of P/TN by mothers and the subsequent development of P/TN allergy in their offspring…. http://archpedi.jamanetwork.com/article.aspx?articleid=1793699

Resources:

Micheal Borella’s Chicago-Kent Law Review article, Food Allergies In Public Schools: Toward A Model Code

Click to access Borella.pdf

USDA’s Accommodating Children With Special Dietary Needs http://www.k12.wa.us/ChildNutrition/pubdocs/SpecialDietaryNeeds.PDF

Child and Teen Checkup Fact Sheet http://www.health.state.mn.us/divs/fh/mch/ctc/factsheets.html
Video: What to Expect From A Child’s Physical Exam
http://on.aol.com/video/what-to-expect-from-a-childs-physical-exam-325661948

Related:
New federal guidelines for schools regarding student allergies

New federal guidelines for schools regarding student allergies

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
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Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

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Northwestern University study: Young adolescent use of marijuana results in changes to the brain structure

23 Dec

Often children who evidence signs of a substance abuse problem come from homes where there is a substance abuse problem. That problem may be generational. eMedicineHealth lists some of the causes of substance abuse:

Substance Abuse Causes
Use and abuse of substances such as cigarettes, alcohol, and illegal drugs may begin in childhood or the teen years. Certain risk factors may increase someone’s likelihood to abuse substances.
Factors within a family that influence a child’s early development have been shown to be related to increased risk of drug abuse.
o Chaotic home environment
o Ineffective parenting
o Lack of nurturing and parental attachment
Factors related to a child’s socialization outside the family may also increase risk of drug abuse.
o Inappropriately aggressive or shy behavior in the classroom
o Poor social coping skills
o Poor school performance
o Association with a deviant peer group
o Perception of approval of drug use behavior
http://www.emedicinehealth.com/substance_abuse/article_em.htm

Substance abuse is often a manifestation of other problems that child has either at home or poor social relations including low self-esteem. Dr. Alan Leshner summarizes the reasons children use drugs in why do Sally and Johnny use drugs? http://archives.drugabuse.gov/Published_Articles/Sally.html

Anahad O’Connor reported in the New York Times article, Increasing Marijuana Use in High School Is Reported:

A new federal report shows that the percentage of American high school students who smoke marijuana is slowly rising, while the use of alcohol and almost every other drug is falling.
The report raises concerns that the relaxation of restrictions on marijuana, which can now be sold legally in 20 states and the District of Columbia, has been influencing use of the drug among teenagers. Health officials are concerned by the steady increase and point to what they say is a growing body of evidence that adolescent brains, which are still developing, are susceptible to subtle changes caused by marijuana.
“The acceptance of medical marijuana in multiple states leads to the sense that if it’s used for medicinal purposes, then it can’t be harmful,” said Dr. Nora D. Volkow, director of the National Institute on Drug Abuse, which issued the report. “This survey has shown very consistently that the greater the number of kids that perceive marijuana as risky, the less that smoke it.” Starting early next year, recreational marijuana use will also be legal in Colorado and Washington.
Experts debate the extent to which heavy marijuana use may cause lasting detriment to the brain. But Dr. Volkow said that one way marijuana might affect cognitive function in adolescents was by disrupting the normal development of white matter through which cells in the brain communicate.
According to the latest federal figures, which were part of an annual survey, Monitoring the Future, more than 12 percent of eighth graders and 36 percent of seniors at public and private schools around the country said they had smoked marijuana in the past year. About 60 percent of high school seniors said they did not view regular marijuana use as harmful, up from about 55 percent last year.
The report looked at a wide variety of drugs and substances. It found, for example, that drinking was steadily declining, with roughly 40 percent of high school seniors reporting having used alcohol in the past month, down from a peak of 53 percent in 1997. Abuse of the prescription painkiller Vicodin is half what it was a decade ago among seniors; cocaine and heroin use are at historic lows in almost every grade.
Cigarette smoking has also fallen precipitously in recent years. For the first time since the survey began, the percentage of students who smoked a cigarette in the past month dropped below 10 percent. Roughly 8.5 percent of seniors smoke cigarettes on a daily basis, compared with 6.5 percent who smoke marijuana daily, a slight increase from 2010.
Studies show that the concentration of THC in marijuana, its psychoactive ingredient, has tripled since the early 1990s, and Dr. Volkow said there was concern that the rising use and increased potency could affect the likelihood of car accidents and could lower school performance.
“What is most worrisome is that we’re seeing high levels of everyday use of marijuana among teenagers,” Dr. Volkow said. “That is the type that’s most likely to have negative effects on brain function and performance.”

Northwestern University researchers studied the effect of early marijuana use on adolescent brains.

Citation:

Cannabis-Related Working Memory Deficits and Associated Subcortical Morphological Differences in Healthy Individuals and Schizophrenia Subjects
Matthew J. Smith*,1,
Derin J. Cobia1,
Lei Wang1,2,
Kathryn I. Alpert1,
Will J. Cronenwett1,
Morris B. Goldman1,
Daniel Mamah3,
Deanna M. Barch3–5,7,
Hans C. Breiter1,6,7 and
John G. Csernansky1,7
+
Author Affiliations
1 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL;
2 Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL;
3 Department of Psychiatry, Washington University, St Louis, MO;
4 Department of Psychology, Washington University, St Louis, MO;
5 Department of Radiology, Washington University, St Louis, MO;
6 Warren Wright Adolescent Center, Northwestern University Feinberg School of Medicine, Chicago, IL
7Denotes shared senior authorship on this article.
↵*To whom correspondence should be addressed; Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 710 N. Lake Shore Drive, 13th Floor, Abbott Hall, Chicago, IL 60611, US; tel: 1-312-503-2542, fax: 1-312-503-0527, e-mail: matthewsmith@northwestern.edu
Abstract
Cannabis use is associated with working memory (WM) impairments; however, the relationship between cannabis use and WM neural circuitry is unclear. We examined whether a cannabis use disorder (CUD) was associated with differences in brain morphology between control subjects with and without a CUD and between schizophrenia subjects with and without a CUD, and whether these differences related to WM and CUD history. Subjects group-matched on demographics included 44 healthy controls, 10 subjects with a CUD history, 28 schizophrenia subjects with no history of substance use disorders, and 15 schizophrenia subjects with a CUD history. Large-deformation high-dimensional brain mapping with magnetic resonance imaging was used to obtain surface-based representations of the striatum, globus pallidus, and thalamus, compared across groups, and correlated with WM and CUD history. Surface maps were generated to visualize morphological differences. There were significant cannabis-related parametric decreases in WM across groups. Similar cannabis-related shape differences were observed in the striatum, globus pallidus, and thalamus in controls and schizophrenia subjects. Cannabis-related striatal and thalamic shape differences correlated with poorer WM and younger age of CUD onset in both groups. Schizophrenia subjects demonstrated cannabis-related neuroanatomical differences that were consistent and exaggerated compared with cannabis-related differences found in controls. The cross-sectional results suggest that both CUD groups were characterized by WM deficits and subcortical neuroanatomical differences. Future longitudinal studies could help determine whether cannabis use contributes to these observed shape differences or whether they are biomarkers of a vulnerability to the effects of cannabis that predate its misuse.
http://schizophreniabulletin.oxfordjournals.org/content/early/2013/12/10/schbul.sbt176.abstract

Here is the press release from Northwestern University:

Marijuana Users Have Abnormal Brain Structure and Poor Memory
Drug abuse appears to foster brain changes that resemble schizophrenia
December 16, 2013 | by Marla Paul
• The younger drug abuse starts, the more abnormal the brain
CHICAGO — Teens who were heavy marijuana users — smoking it daily for about three years — had abnormal changes in their brain structures related to working memory and performed poorly on memory tasks, reports a new Northwestern Medicine® study.
A poor working memory predicts poor academic performance and everyday functioning.
The brain abnormalities and memory problems were observed during the individuals’ early twenties, two years after they stopped smoking marijuana, which could indicate the long-term effects of chronic use. Memory-related structures in their brains appeared to shrink and collapse inward, possibly reflecting a decrease in neurons.
The study also shows the marijuana-related brain abnormalities are correlated with a poor working memory performance and look similar to schizophrenia-related brain abnormalities. Over the past decade, Northwestern scientists, along with scientists at other institutions, have shown that changes in brain structure may lead to changes in the way the brain functions.
This is the first study to target key brain regions in the deep subcortical gray matter of chronic marijuana users with structural MRI and to correlate abnormalities in these regions with an impaired working memory. Working memory is the ability to remember and process information in the moment and — if needed — transfer it to long-term memory. Previous studies have evaluated the effects of marijuana on the cortex, and few have directly compared chronic marijuana use in otherwise healthy individuals and individuals with schizophrenia.
The younger the individuals were when they started chronically using marijuana, the more abnormally their brain regions were shaped, the study reports. The findings suggest that these regions related to memory may be more susceptible to the effects of the drug if abuse starts at an earlier age.
“The study links the chronic use of marijuana to these concerning brain abnormalities that appear to last for at least a few years after people stop using it,” said lead study author Matthew Smith, an assistant research professor in psychiatry and behavioral sciences at Northwestern University Feinberg School of Medicine. “With the movement to decriminalize marijuana, we need more research to understand its effect on the brain.”
The paper was published Dec. 16 in the journal Schizophrenia Bulletin.
In the U.S., marijuana is the most commonly used illicit drug and young adults have the highest — and growing — prevalence of use. Decriminalization of the drug may lead to greater use.
Because the study results examined one point in time, a longitudinal study is needed to definitively show if marijuana is responsible for the brain changes and memory impairment. It is possible that the abnormal brain structures reveal a pre-existing vulnerability to marijuana abuse. But evidence that the younger a subject started using the drug the greater his brain abnormality indicates marijuana may be the cause, Smith said.
The groups in the study started using marijuana daily between 16 to 17 years of age for about three years. At the time of the study, they had been marijuana free for about two years. A total of 97 subjects participated, including matched groups of healthy controls, subjects with a marijuana use disorder, schizophrenia subjects with no history of substance use disorders, and schizophrenia subjects with a marijuana use disorder. The subjects who used marijuana did not abuse any other drugs.
Few studies have examined marijuana’s effect on the deep regions in the brain — the ‘subcortical gray matter’ below the noodle-shaped cortex. The study also is unique in that it looked at the shapes of the striatum, globus pallidus and thalamus, structures in the subcortex that are critical for motivation and working memory.
The Marijuana and Schizophrenia Connection
Chronic use of marijuana may contribute to changes in brain structure that are associated with having schizophrenia, the Northwestern research shows. Of the 15 marijuana smokers who had schizophrenia in the study, 90 percent started heavily using the drug before they developed the mental disorder. Marijuana abuse has been linked to developing schizophrenia in prior research.
“The abuse of popular street drugs, such as marijuana, may have dangerous implications for young people who are developing or have developed mental disorders,” said co-senior study author John Csernansky, M.D., chair of psychiatry and behavioral sciences at Northwestern University Feinberg School of Medicine and Northwestern Memorial Hospital. “This paper is among the first to reveal that the use of marijuana may contribute to the changes in brain structure that have been associated with having schizophrenia.”
Chronic marijuana use could augment the underlying disease process associated with schizophrenia, Smith noted. “If someone has a family history of schizophrenia, they are increasing their risk of developing schizophrenia if they abuse marijuana,” he said.
While chronic marijuana smokers and chronic marijuana smokers with schizophrenia both had brain changes related to the drug, subjects with the mental disorder had greater deterioration in the thalamus. That structure is the communication hub of the brain and is critical for learning, memory and communications between brain regions. The brain regions examined in this study also affect motivation, which is already notably impaired in people with schizophrenia.
“A tremendous amount of addiction research has focused on brain regions traditionally connected with reward/aversion function, and thus motivation,” noted co-senior study author Hans Breiter, M.D., professor of psychiatry and behavioral sciences and director of the Warren Wright Adolescent Center at Feinberg and Northwestern Memorial. “This study very nicely extends the set of regions of concern to include those involved with working memory and higher level cognitive functions necessary for how well you organize your life and can work in society.”
“If you have schizophrenia and you frequently smoke marijuana, you may be at an increased risk for poor working memory, which predicts your everyday functioning,” Smith said.
The research was supported by grants R01 MH056584 and P50 MH071616 from the National Institute of Mental Health and grants P20 DA026002 and RO1 DA027804 from National Institute of Drug Abuse, all of the National Institutes of Health.
– See more at: http://www.northwestern.edu/newscenter/stories/2013/12/marijuana-users-have-abnormal-brain-structure–poor-memory.html#sthash.coRZr6cm.dpuf

What Steps Should a Parent Take?

The Drug Enforcement Agency (DEA) has a series of questions parents should ask http://www.getsmartaboutdrugs.com/content/default.aspx?pud=a8bcb6ee-523a-4909-9d76-928d956f3f91
If you suspect that your child has a substance abuse problem, you will have to seek help of some type. You will need a plan of action. The Partnership for a Drug Free America lists 7 Steps to Take and each step is explained at the site. http://www.drugfree.org/intervene
If your child has a substance abuse problem, both you and your child will need help. “One day at a time” is a famous recovery affirmation which you and your child will live the meaning. The road to recovery may be long or short, it will have twists and turns with one step forward and two steps back. In order to reach the goal of recovery, both parent and child must persevere.

Questions to Ask a Treatment Facility

The U.S. Department of Health and Human Services, Center for Substance Abuse Treatment (Center), lists the questions that should be asked of a treatment center. http://findtreatment.samhsa.gov/faq.htm Assuming you are not one of those ill-advised parents who supply their child with alcohol or drugs like marijuana in an attempt to be hip or cool, suspicions that your child may have a substance abuse problem are a concern. Confirmation that your child has a substance abuse problem can be heartbreaking. Even children whose parents have seemingly done everything right can become involved with drugs. The best defense is knowledge about your child, your child’s friends, and your child’s activities

Related:

University of Washington study: Heroin use among young suburban and rural non-traditional users on the increase https://drwilda.com/2013/10/13/university-of-washington-study-heroin-use-among-young-suburban-and-rural-non-traditional-users-on-the-increase/

Resources

Adolescent Substance Abuse Knowledge Base
http://www.crchealth.com/troubled-teenagers/teenage-substance-abuse/adolescent-substance-abuse/signs-drug-use/

Warning Signs of Teen Drug Abuse http://parentingteens.about.com/cs/drugsofabuse/a/driug_abuse20.htm?r=et

Is Your Teen Using?
http://www.drugfree.org/intervene

Al-Anon and Alateen
http://www.al-anon.alateen.org/

WEBMD: Parenting and Teen Substance Abuse http://www.webmd.com/mental-health/tc/teen-substance-abuse-choosing-a-treatment-program-topic-overview

The U.S. Department of Health and Human Services has a very good booklet for families What is Substance Abuse Treatment? http://store.samhsa.gov/home

The National Institute on Drug Abuse (NIDA) has a web site for teens and parents that teaches about drug abuse NIDA for Teens: The Science Behind Drug Abuse http://teens.drugabuse.gov/

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Michigan State University study: Young children can understand large numbers

21 Dec

Mary Niederberger of the Pittsburgh Post-Gazette writes in the article, Formula written for math success:

Mastery of fractions and early division is a predictor of students’ later success with algebra and other higher-level mathematics, based on a study done by a team of researchers led by a Carnegie Mellon University professor.
That means more effective teaching of the concepts is needed to improve math scores among U.S. high school students, which have remained stagnant for more than 30 years….
The study said a likely reason for U.S. students’ weakness in fractions and division could be linked to their teachers’ “lack of a firm conceptual understanding” of the concepts, citing several other studies in which many American teachers were unable to explain the reasons behind mathematical solutions, while most teachers in Japan and China were able to offer two or three explanations. http://www.post-gazette.com/stories/news/education/formula-written-for-math-success-640962/#ixzz1ym9qos5j

Citation:

Early Predictors of High School Mathematics Achievement
1. Robert S. Siegler1,
2. Greg J. Duncan2,
3. Pamela E. Davis-Kean3,4,
4. Kathryn Duckworth5,
5. Amy Claessens6,
6. Mimi Engel7,
7. Maria Ines Susperreguy3,4 and
8. Meichu Chen4Abstract
Identifying the types of mathematics content knowledge that are most predictive of students’ long-term learning is essential for improving both theories of mathematical development and mathematics education. To identify these types of knowledge, we examined long-term predictors of high school students’ knowledge of algebra and overall mathematics achievement. Analyses of large, nationally representative, longitudinal data sets from the United States and the United Kingdom revealed that elementary school students’ knowledge of fractions and of division uniquely predicts those students’ knowledge of algebra and overall mathematics achievement in high school, 5 or 6 years later, even after statistically controlling for other types of mathematical knowledge, general intellectual ability, working memory, and family income and education. Implications of these findings for understanding and improving mathematics learning are discussed.
1.Published online before print June 14, 2012, doi: 10.1177/0956797612440101 Psychological Science June 14, 2012 0956797612440101

Math is important for a number of reasons.

Michigan State University’s Office of Supportive Services succinctly states why math is important:
Why is math important?

All four year Universities have a math requirement
Math improves your skills:
◦Critical Thinking Skills
◦Deductive Logic and Reasoning Skills
◦Problem Solving Skills
A good knowledge of math and statistics can expand your career options
Physical Sciences – Chemistry, Engineering, Physics
Life and Health Sciences – Biology, Psychology, Pharmacy, Nursing, Optometry
Social Sciences – Anthropology, Communications, Economics, Linquistics, Education, Geography
Technical Sciences – Computer Science, Networking, Software Development
Business and Commerce
Actuarial Sciences
Medicine
http://oss.msu.edu/academic-assistance/why-is-math-important

Young children have the ability to grasp large numbers.

Science Daily reported in the article, Kids Grasp Large Numbers Remarkably Young:

Children as young as 3 understand multi-digit numbers more than previously believed and may be ready for more direct math instruction when they enter school, according to research led by a Michigan State University education scholar.
The study, online in the journal Child Development and funded by the U.S. Department of Education’s Institute of Education Sciences, has implications for U.S. students who continue losing ground internationally in mathematics performance.
“Contrary to the view that young children do not understand place value and multi-digit numbers, we found that they actually know quite a lot about it,” said Kelly Mix, MSU professor of educational psychology and co-author of the study. “They are more ready than we think when they enter kindergarten.”
Understanding place value is the gateway to higher math skills such as addition with carrying, and there is a strong tie between place value skills in early elementary grades and problem-solving ability later on.
“In short, children who fail to master place value face chronic low achievement in mathematics,” the study states.
In several experiments, Mix and Richard Prather and Linda Smith, both from Indiana University, tested children ages 3 to 7 on their ability to identify and compare two- and three-digit numbers.
In one task, for example, children were shown two quantities (such as 128 and 812) and asked to point out which was larger. “There was significant improvement in interpreting place value from age 3 to 7,” Mix said, “but it was remarkable that even the youngest children showed at least some understanding of multi-digit numbers.”
Mix said the surprising findings are likely due to the fact that children in today’s society are bombarded with multi-digit numbers — from phone numbers to street addresses to price tags.
Interestingly, children may be developing partial knowledge of the place value system at least partly from language, she explained. Children often hear multi-digit numbers named while also seeing them in print, such as when parents comment on a calendar, ask their child to push the elevator buttons or look for a room number in an office building.
http://www.sciencedaily.com/releases/2013/12/131218112914.htm#.UrVMao_ZKxU.email

Citation:

Journal Reference:
1.Kelly S. Mix, Richard W. Prather, Linda B. Smith, Jerri DaSha Stockton. Young Children’s Interpretation of Multidigit Number Names: From Emerging Competence to Mastery. Child Development, 2013; DOI: 10.1111/cdev.12197
Michigan State University (2013, December 18). Kids grasp large numbers remarkably young. ScienceDaily. Retrieved December 21, 2013,

Jonathan Cohn reported about an unprecedented experiment which occurred in Romanian orphanages in the New Republic article, The Two Year Window. There are very few experiments involving humans because of ethical considerations.

Drury, Nelson, and their collaborators are still learning about the orphans. But one upshot of their work is already clear. Childhood adversity can damage the brain as surely as inhaling toxic substances or absorbing a blow to the head can. And after the age of two, much of that damage can be difficult to repair, even for children who go on to receive the nurturing they were denied in their early years. This is a revelation with profound implication—and not just for the Romanian orphans.
APPROXIMATELY SEVEN MILLION American infants, toddlers, and preschoolers get care from somebody other than a relative, whether through organized day care centers or more informal arrangements, according to the Census Bureau. And much of that care is not very good. One widely cited study of child care in four states, by researchers in Colorado, found that only 8 percent of infant care centers were of “good” or “excellent” quality, while 40 percent were “poor.” The National Institute of Child Health and Human Development has found that three in four infant caregivers provide only minimal cognitive and language stimulation—and that more than half of young children in non-maternal care receive “only some” or “hardly any” positive caregiving. http://www.tnr.com/article/economy/magazine/97268/the-two-year-window?page=0,0&passthru=YzBlNDJmMmRkZTliNDgwZDY4MDhhYmIwMjYyYzhlMjg

Because the ranks of poor children are growing in the U.S., this study portends some grave challenges not only for particular children, but this society and this country. Adequate early learning opportunities and adequate early parenting is essential for proper development in children. https://drwilda.wordpress.com/2011/12/18/jonathan-cohns-the-two-year-window/

Related:

Study: Gender behavior differences lead to higher grades for girls

Study: Gender behavior differences lead to higher grades for girls

Girls and math phobia https://drwilda.com/2012/01/20/girls-and-math-phobia/

University of Missouri study: Counting ability predicts future math ability of preschoolers

University of Missouri study: Counting ability predicts future math ability of preschoolers

Is an individualized program more effective in math learning?

Is an individualized program more effective in math learning?

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Study: Blue light may affect the sleep habits of students

13 Dec

The goal of this society should be to raise healthy and happy children who will grow into concerned and involved adults who care about their fellow citizens and environment. In order to accomplish this goal, all children must receive a good basic education and in order to achieve that goal, children must arrive at school, ready to learn. One of the mantras of this blog is there should not be a one size fits all approach to education and that there should be a variety of options to achieve the goal of a good basic education for all children.

The University of Illinois Extension has some good advice for helping children with study habits. In Study Habits and Homework he University of Illinois recommends:

Parents can certainly play a major role in providing the encouragement, environment, and materials necessary for successful studying to take place.
Some general things adults can do, include:
Establish a routine for meals, bedtime and study/homework
Provide books, supplies, and a special place for studying
Encourage the child to “ready” himself for studying (refocus attention and relax)
Offer to study with the child periodically (call out spelling words or do flash cards) http://urbanext.illinois.edu/succeed/habits.cfm

Some folks claim they need as few as four hours of sleep. For most folks, that is not healthy and it definitely isn’t healthy for children.

Sarah D. Sparks reported in the Education Week article, ‘Blue Light’ May Impair Students’ Sleep, Studies Say:

Schools may soon face an unintended consequence of more flexible technology and more energy-efficient buildings: sleepier students.
That’s because evidence is mounting that use of artificial light from energy-efficient lamps and computer and mobile-electronics screens later and later in the day can lead to significant sleep problems for adults and, particularly, children.
While lights and electronic devices that mimic daylight can improve students’ attention and alertness if used during normal daytime hours, Dr. Charles A. Czeisler, a professor of sleep medicine at Harvard Medical School, has found exposure in the late afternoon and evening can disrupt sleep cycles as much as six to eight hours—the same amount of “jet lag” caused by a flight from New York City to Honolulu.
“Technology has disconnected us from the natural 24-hour day,” Dr. Czeisler said in a keynote lecture at the Society for Neuroscience meeting held here last month.
That could lead to headaches for school districts across the country that are rolling out take-home electronic devices in an effort to boost student achievement.
Two connected systems determine how people of all ages sleep. The first is pretty straightforward: The longer it’s been since you’ve slept, the sleepier you get. The second system, called the circadian cycle, is more complex and can easily come into conflict with a person’s basic sleep drive.
Human brains regulate circadian sleep through exposure to short-wavelength “blue” light, which makes up the bulk of bright daylight. Short-wavelength light increases cortisol in the brain, which regulates alertness. As blue light during the day fades to the longer-wavelength, redder light of dusk, the brain’s timekeeper, the hypothalamus, suppresses cortisol and releases the sleep-promoting chemical melatonin.
One study released this month in the Journal of Cognitive Neuroscience showed that even those who are functionally blind become more alert and have increased brain activity in response to blue light, suggesting it can have effects even when it can’t be seen.
‘Biologically Potent’
In several studies, Dr. Czeisler has found that light-emitting diodes, or LEDS, which contain a large proportion of blue light, are more “biologically potent”—twice as effective at resetting the brain’s circadian clock as incandescent light. College students exposed to even brief periods of blue light late in the day showed delayed release in melatonin and up to a two-hour delay in sleep time.
Losing Shut-Eye
As students move through school, the gap between the amount of sleep they get on school nights and the amount they get on weekend nights tends to grow.
Blue light is becoming ubiquitous in any device that uses LEDS—including tablet and laptop computers, energy-efficient lamps, and some televisions. The Arlington, Va.-based National Sleep Foundation found this year that more than half of Americans use a computer, laptop, or tablet device in the hour before sleep every night or nearly every night. More than seven in 10 also have televisions in their bedrooms.
In real life, that can create an unhealthy cycle: Students exposed to blue light late in the day feel less sleepy and continue to do homework or play online until very late, exposing themselves to more light and making it harder to feel sleepy, even as their need for sleep grows. In the past 50 years, Americans’ average sleep time has dropped from 8.5 hours a day to only 6.9 hours, Harvard’s Dr. Czeisler said. An analysis of nearly 700,000 school-age children in 20 countries found that they slept on average 75 minutes less a night in 2008 than in 1905, with American children’s sleep shrinking more rapidly than for those in most other countries…..
http://www.edweek.org/ew/articles/2013/12/11/14sleep_ep.h33.html?tkn=XYNFw7hK%2F8TdYrgvqxBY6H%2FjAT%2FMKwiy%2FAaU&cmp=clp-edweek

Citation:

December 2013, Vol. 25, No. 12, Pages 2072-2085
Posted Online October 30, 2013.
(doi:10.1162/jocn_a_00450)
© 2013 Massachusetts Institute of Technology
Blue Light Stimulates Cognitive Brain Activity in Visually Blind Individuals
Gilles Vandewalle1,2*,**, Olivier Collignon3,4*,†, Joseph T. Hull5,6, Véronique Daneault1,2, Geneviève Albouy1, Franco Lepore3, Christophe Phillips7, Julien Doyon1, Charles A. Czeisler5,6, Marie Dumont2, Steven W. Lockley5,6††, and Julie Carrier1,2††
1University of Montréal Geriatric Institute, Québec, Canada
2Hôpital du Sacré-Cœur de Montréal, Québec, Canada
3Université de Montréal, Québec, Canada
4Centre de Recherches CHU Sainte-Justine, Montréal, Québec, Canada
5Brigham and Women’s Hospital, Boston, MA
6Harvard Medical School, Boston, MA
7University of Liège, Belgium
*These authors contributed equally to this work.
**Present address: Cyclotron Research Centre, University of Liège, Belgium.
†Present address: Centre for Mind/Brain Science, University of Trento, Italy.
††These authors are joint senior authors on this work.
Light regulates multiple non-image-forming (or nonvisual) circadian, neuroendocrine, and neurobehavioral functions, via outputs from intrinsically photosensitive retinal ganglion cells (ipRGCs). Exposure to light directly enhances alertness and performance, so light is an important regulator of wakefulness and cognition. The roles of rods, cones, and ipRGCs in the impact of light on cognitive brain functions remain unclear, however. A small percentage of blind individuals retain non-image-forming photoreception and offer a unique opportunity to investigate light impacts in the absence of conscious vision, presumably through ipRGCs. Here, we show that three such patients were able to choose nonrandomly about the presence of light despite their complete lack of sight. Furthermore, 2 sec of blue light modified EEG activity when administered simultaneously to auditory stimulations. fMRI further showed that, during an auditory working memory task, less than a minute of blue light triggered the recruitment of supplemental prefrontal and thalamic brain regions involved in alertness and cognition regulation as well as key areas of the default mode network. These results, which have to be considered as a proof of concept, show that non-image-forming photoreception triggers some awareness for light and can have a more rapid impact on human cognition than previously understood, if brain processing is actively engaged. Furthermore, light stimulates higher cognitive brain activity, independently of vision, and engages supplemental brain areas to perform an ongoing cognitive process. To our knowledge, our results constitute the first indication that ipRGC signaling may rapidly affect fundamental cerebral organization, so that it could potentially participate to the regulation of numerous aspects of human brain function.
Cited by
Vivien Bromundt, Sylvia Frey, Jonas Odermatt, Christian Cajochen. (2013) Extraocular light via the ear canal does not acutely affect human circadian physiology, alertness and psychomotor vigilance performance. Chronobiology International1-6
Online publication date: 13-Nov-2013.
http://www.mitpressjournals.org/doi/abs/10.1162/jocn_a_00450

Education is a partnership between the student, parent(s) or guardian(s), teachers(s), and school. The students must arrive at school ready to learn and that includes being rested. Parent(s) and guardian(s) must ensure their child is properly nourished and rested as well as providing a home environment which is conducive to learning. Teachers must have strong subject matter knowledge and strong pedagogic skills. Schools must enforce discipline and provide safe places to learn. For more information on preparing your child for high school, see the U.S. Department of Education’s Tools for Success http://www2.ed.gov/parents/academic/help/tools-for-success/index.html

Resources:

National Sleep Foundation’s Teens and Sleep
http://www.sleepfoundation.org/article/sleep-topics/teens-and-sleep

Teen Health’s Common Sleep Problems
http://kidshealth.org/teen/your_body/take_care/sleep.html

CBS Morning News’ Sleep Deprived Kids and Their Disturbing Thoughts
http://www.cbsnews.com/2100-500165_162-6052150.html

Psychology Today’s Sleepless in America http://www.psychologytoday.com/blog/sleepless-in-america

National Association of State Board’s of Education Fit, Healthy and Ready to Learn http://eric.ed.gov/?id=ED465734

U.S. Department of Education’s Tools for Success
http://www2.ed.gov/parents/academic/help/tools-for-success/index.html

Related:

Another study: Sleep problems can lead to behavior problems in children https://drwilda.com/2013/03/30/another-study-sleep-problems-can-lead-to-behavior-problems-in-children/

Stony Brook Medicine study: Teens need sleep to function properly and make healthy food choices https://drwilda.com/2013/06/21/stony-brook-medicine-study-teens-need-sleep-to-function-properly-and-make-healthy-food-choices/

University of Massachusetts Amherst study: Preschoolers need naps Does school start too early? https://drwilda.com/tag/too-little-sleep-raises-obesity-risk-in-children/

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Cambridge International Exams trying to make inroads into AP and International Baccalaureate turf

11 Dec

Moi wrote about “advanced placement” or AP courses in Who should take AP classes?
AP courses tend to attract students who are preparing for college and are very goal oriented. So, what if a student either doesn’t want to go to college or may want a career, should they take AP courses? Since the average person, according to Career Information Online will have three to five careers over the course of a life time, the best advice to everyone is prepare for any eventuality. Even if students don’t attend college after high school, they may attend later as part of a career change. Many former automobile workers are now getting college degrees in nursing and other fields, for example.
Huffington Post is reported in the article, AP Exams: Most Students Who Should Be Taking The Tests Aren’t:

More than 60 percent of students considered to have AP potential didn’t take the exam last year, even though their PSAT scores showed they could perform well on one, according to a College Board report released last week. Overall, black, Latino and Native American students were less likely to take AP exams than their white and Asian counterparts….
http://www.huffingtonpost.com/2012/02/13/ap-exams-most-students-wh_n_1273980.html?ref=email_share

The question is not only should a particular student should take AP courses, but whether the choice should be between AP courses or an International Baccalaureate. https://drwilda.com/2012/02/14/who-should-take-ap-classes/

Caralee Adams reported in the Education Week article, Racial and Income Gaps Persist in AP and IB Enrollment:

Each year, about 640,000 low-income students and students of color are “missing” from AP and IB participation—students who could benefit if they merely enrolled at the same rate as other students in their schools, the report says.
It is not just a matter access. About 1 million students do not attend schools that offer AP, and the authors note that only a small percentage of the gaps by race or family income can be accounted for by which schools do and do not offer the classes.
In many cases, students from disadvantaged backgrounds are not enrolling in existing programs…
http://blogs.edweek.org/edweek/college_bound/2013/06/racial_and_income_gaps_persist_in_ap_and_ib_enrollment.html

Education Trust released this information about Finding America’s Missing AP and IB Students. http://www.edtrust.org/sites/edtrust.org/files/Missing_Students.pdf

Caralee J. Adams wrote in the Education Week article, Cambridge Academic Program Makes Inroads in U.S.: Critical thinking, writing are central:

For more than 800 years, the University of Cambridge has been educating students on its stately and historic campus in the heart of England. But the esteemed British institution’s reach goes much farther, and it’s now working aggressively to expand a menu of precollegiate offerings in U.S. schools.
The university owns and operates the Cambridge International Exams, part of a nonprofit division that provides academic courses of study in various subjects with a focus on promoting critical thinking, in-depth analysis, and strong writing skills. It currently serves more than 9,000 schools in 160 countries and students ages 5 to 19.
Cambridge is still a relatively small player in the United States, especially in comparison with the ubiquitous Advanced Placement program. But it has seen rapid growth in recent years. It now provides college-preparatory curricula for about 230 U.S. schools at the elementary and secondary levels in 27 states, up from 80 schools in 2009. This year, 50,000 Cambridge exams were taken by high school students here, a 50 percent increase from 2012…
Analyzing and Synthesizing
While most programs are in public high schools, Cambridge offers curricula for elementary and middle schools, too. At all levels, students are assessed on their progress at year’s end, with high school courses culminating in extensive exams that can translate into college credit.
Michael J. O’Sullivan, who joined Cambridge International Exams last spring as the new chief executive officer, has high hopes for its foray into the U.S. market. He notes that the nation’s decentralized education system and emphasis on school choice make it attractive. And he’s also making the case that the Cambridge program dovetails closely with the Common Core State Standards adopted by all but four states….
The Cambridge approach is designed to be rigorous and deep. In history courses, for example, rather than memorize dates and take multiple-choice tests, students dig into research through primary sources, develop arguments, and present their findings. End-of-course exams require analyzing and synthesizing information in a writing-intensive format.
Math and science instruction is often integrated to allow students to apply what they’ve learned across courses. A math course might include various topics, and, in some courses, teachers can customize the syllabus to choose a combination of pure math, statistics, and mechanics to build a path to the exam, based on the needs and interests of students.
At the elementary and middle school levels, the Cambridge program is focused on English/language arts, math, and science. At high school, however, it offers some 70 courses, including biology, economics, and world literature.
For high school students, the Cambridge exams last six to eight hours over a few days. Multiple-choice questions are limited, with a focus instead on essays, analysis, and even hands-on science labs included in assessments.
Despite the increased Cambridge presence in U.S. schools, it is dwarfed by the AP program, which gave 3.4 million exams to U.S. public high school students last year. And while Cambridge operates in more schools globally than the International Baccalaureate program—which is seen as another competitor—Cambridge falls well short of the nearly 1,500 U.S. high schools now served by the IB. Still, the United States is the fastest-growing market for Cambridge, according to Mr. O’Sullivan, the CEO….
Examine the Claims
To become a Cambridge school, schools must pay a registration fee and annual membership dues to have access to online materials and training. There’s also a charge for each exam. The high-school-level exams typically run between $78 and $86 per student, per subject. The norm is for students to take three or four.
But before outsourcing curriculum, Jack Schneider, an assistant professor of education at the College of the Holy Cross in Worchester, Mass., cautions that school officials closely examine the claims of programs. Cambridge, in particular, has a prestige factor that needs to align with the merits of the program, notes Mr. Schneider, who has researched college-prep curricula.
“It might look better than it really is. What are people really excited about? Are students actually learning more, or are parents excited to have a branded program?” he said.
A 2011 study of the Cambridge program in the United States, published in the College & University Journal, said students generally described the program as motivating and stimulating, and more challenging than other curricula. Teachers said the courses prompted students to form their own opinions and gain real-world application of subject knowledge.
Meanwhile, a 2011 case study focused on the academic achievement of freshmen at Florida State University who had successfully earned a Cambridge diploma credential. The research, published in the Journal of College Admissions, suggests the program may offer some academic benefits later on, but it was not an experimental study.
How schools choose to offer the Cambridge program varies. Some high schools have students take a full schedule of Cambridge courses, while others give students the choice to take a class or two in their areas of strength. If students take a certain number of exams in various subjects, they can earn a Cambridge diploma credential.
http://www.edweek.org/ew/articles/2013/12/04/13cambridge.h33.html?
tkn=ZUVFTvbUkj5IKSx4wQqAO7aagFJga1D9PsNC&cmp=clp-edweek

Here is what Cambridge says about their programs:

About Cambridge
•Cambridge International Examinations is the world’s largest provider of international education programmes and qualifications for 5 to 19 year olds.
•Over 9000 schools in more than 160 countries offer Cambridge programmes and qualifications.
•We are a division of Cambridge Assessment, a not-for-profit organisation and part of the world-renowned University of Cambridge.
•In 2008, we celebrated the 150th anniversary of the formation of our parent organisation Cambridge Assessment, and in 2009 we celebrated the 800th anniversary of the University of Cambridge.
Our programmes and qualifications
•Cambridge Primary is taught in over 650 schools worldwide.
•Every year we receive more than 54000 entries for Cambridge Checkpoint, our tests for 11 to 14 year olds.
•Cambridge IGCSE is the world’s most popular international qualification for 14 to 16 year olds. It is taken in over 140 countries and in more than 3700 schools.
•2013 marks the 25th anniversary of the first Cambridge IGCSE exam.
•Every year we have more than 650 000 subject entries for Cambridge O Level from 80 countries.
•Cambridge International AS and A Levels are taken in more than 125 countries with 350 000 entries each year.
•We developed Cambridge Pre-U, an alternative to A Level for UK schools. It prepares students for university and was first examined in June 2010.
•Cambridge Pre-U is taught in over 150 UK state and independent schools.
•We hold more than 16 000 training days a year providing 6500 teachers from across the globe with the skills and knowledge they need to help their students succeed.
Examinations
•Cambridge examinations are marked by around 9000 highly skilled examiners.
•We produce around 5.7 million question papers each year.
About us http://www.cie.org.uk/about-us/
Who we are http://www.cie.org.uk/about-us/who-we-are/
What we do http://www.cie.org.uk/about-us/what-we-do/
Our regional teams http://www.cie.org.uk/about-us/our-regional-teams/
Our standards http://www.cie.org.uk/about-us/our-standards/
Facts and figures
http://www.cie.org.uk/about-us/facts-and-figures/
http://www.cie.org.uk/

Moi wrote in Race, class, and education in America:
Many educators have long recognized that the impact of social class affects both education achievement and life chances after completion of education. There are two impacts from diversity; one is to broaden the life experience of the privileged and to raise the expectations of the disadvantaged. Social class matters in not only other societies, but this one as well.
A few years back, the New York Times did a series about social class in America. That series is still relevant. Janny Scott and David Leonhardt’s overview, Shadowy Lines That Still Divide http://www.nytimes.com/2005/05/15/national/class/OVERVIEW-FINAL.html?pagewanted=all describes the challenges faced by schools trying to overcome the disparity in education. The complete series can be found at Social Class http://www.nytimes.com/pages/national/class/

Race, class, and education in America

The role economic class plays in college success

Related:

Stanford University report: Advanced placement may not be the cure for education ills https://drwilda.com/2013/04/30/stanford-university-report-advanced-placement-may-not-be-the-cure-for-education-ills/

An interesting critique of the College Board’s AP test report https://drwilda.com/2013/03/10/an-interesting-critique-of-the-college-boards-ap-test-report/

The International Baccalaureate program as a way to save struggling schools https://drwilda.com/2012/04/30/international-baccalaureate/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART© http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews © http://drwildareviews.wordpress.com/

Dr. Wilda © https://drwilda.com/

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School districts looking at ‘zero tolerance’ policies

2 Dec

In 2010 Council of State Governments Justice Center wrote a policy brief, Zero Tolerance Policies:
What are zero tolerance policies?

• Zero tolerance policies, which began as a way to approach drug enforcement, were widely adopted by schools in the 1990s. They mandate certain punishments for infractions regardless of the circumstances.1
• The most common reason for suspensions are fights, yet the majority of infractions are nonviolent, including:
•• Abusive language;
•• Attendance issues, such as tardiness;
•• Disobedience or disrespect; and
•• General classroom disruptions.2
Research is beginning to show there may be disparities in how zero tolerance policies are applied.
• Suspensions for students in kindergarten through the 12th grade have at least doubled since the 1970s for minority students.3
• Black students are more than three times more likely to be suspended than white students.4
• Looking at suspension data from 18 of the largest urban middle schools in 2002 and 2006, the greatest increase was among black females, which increased by more than 5 percent.
•• Black male suspensions increased by 1.7 percent.
•• Suspensions among white and Hispanic males and females either increased by less than half a percent or decreased.5
• In one study, 47 percent of elementary and middle school students, and 73 percent of high school students with emotional disabilities were suspended or expelled from school.6
• A Kansas study found that students with emotional disabilities were 12 times more likely to be suspended or expelled than all other students, including those
with and without disabilities.7
Whether zero tolerance policies improve the school environment and allow increased academic achievement is debatable.
• Studies show there is no evidence that connects student suspensions, which are perceived to improve the learning environment for other students by removing troublemakers, to improved academic outcomes for the school as a whole.8
• Students suspended in the sixth grade are more likely to receive suspensions in the eighth grade, indicating that suspensions are not a deterrent for future behavioral problems.
• A suspension is one of four indicators that point to an increased likelihood a student will not graduate from high school.9 The Council of State governments 1
1Rausch, M. Karega, and Skiba, Russell J. “Discipline, Disability, and Race: Disproportionality in Indiana Schools.” Center for Evaluation & Education Policy. Volume 4, Number 10, Fall 2006.
2Losen, Daniel J. and Skiba, Russell. “Suspended Education: Urban Middle Schools in Crisis.” http://www.splcenter.org/sites/default/files/downloads/publication/Suspended_Education.pdf
3Ibid.
4Ibid.
5Ibid.
6 Center for Evaluation & Education Policy.
7Ibid.
8Rausch, M. Karega, and Skiba, Russell J. “The Academic Cost of Discipline: The Relationship Between Suspension/Expulsion and School Achievement.” Center for Evaluation & Education Policy.
9 American Youth Policy Forum. “Improving the Transition from Middle Grades to High Schools: The Role of Early Warning Indicators.” Jan. 25, 2008. http://www.aypf.org/forumbriefs/2008/fb012508.htm
http://knowledgecenter.csg.org/kc/system/files/CR_FF_Zero_Tolerance_0.pdf

Moi wrote in Inappropriate discipline: The first step on the road to education failure:

Joan Gausted of the University of Oregon has an excellent article in Eric Digest 78, School Discipline:

School discipline has two main goals: (1) ensure the safety of staff and students, and (2) create an environment conducive to learning. Serious student misconduct involving violent or criminal behavior defeats these goals and often makes headlines in the process. However, the commonest discipline problems involve noncriminal student behavior (Moles 1989).

The issue for schools is how to maintain order, yet deal with noncriminal student behavior and keep children in school.

Alan Schwartz wrote a provocative article in the New York Times about a longitudinal study of discipline conducted in Texas. In School Discipline Study Raises Fresh Questions Schwartz reports:

Raising new questions about the effectiveness of school discipline, a report scheduled for release on Tuesday found that 31 percent of Texas students were suspended off campus or expelled at least once during their years in middle and high school — at an average of almost four times apiece. http://www.nytimes.com/2011/07/19/education/19discipline.html?_r=1&hpw

Donna St. George wrote a Washington Post article which elaborates on the Texas study.

In the article, Study shows wide varieties in discipline methods among very similar schools, St. George reports:

The report, released Tuesday, challenges a common misperception that the only way schools can manage behavior is through suspension, said Michael D. Thompson, a co-author of the report, done by the Council of State Governments Justice Center and Texas A&M University’s Public Policy Research Institute. “The bottom line is that schools can get different outcomes with very similar student bodies,” he said. “School administrators and school superintendents and teachers can have a dramatic impact….”
The results showed that suspension or expulsion greatly increased a student’s risk of being held back a grade, dropping out or landing in the juvenile justice system. Such ideas have been probed in other research, but not with such a large population and across a lengthy period, experts said. http://www.washingtonpost.com/local/education/study-exposes-some-some-myths-about-school-discipline/2011/07/18/gIQAV0sZMI_story.html?wpisrc=emailtoafriend

Family First Aid has a good discussion about the types of behavior problems that result in suspension or expulsion. Dore Francis has a guide, which lists what parents should do if their child is suspended. The guide gives detailed instructions to these steps and other steps. Francis also lists what questions to ask after meeting with school officials. https://drwilda.com/2011/12/13/inappropriate-discipline-the-first-step-on-the-road-to-education-failure/

Lizette Alvarez reported in the New York Times article, Seeing the Toll, Schools Revise Zero Tolerance:

Rather than push children out of school, districts like Broward are now doing the opposite: choosing to keep lawbreaking students in school, away from trouble on the streets, and offering them counseling and other assistance aimed at changing behavior.
These alternative efforts are increasingly supported, sometimes even led, by state juvenile justice directors, judges and police officers.
In Broward, which had more than 1,000 arrests in the 2011 school year, the school district entered into a wide-ranging agreement last month with local law enforcement, the juvenile justice department and civil rights groups like the N.A.A.C.P. to overhaul its disciplinary policies and de-emphasize punishment.
Some states, prodded by parents and student groups, are similarly moving to change the laws; in 2009, Florida amended its laws to allow school administrators greater discretion in disciplining students.
“A knee-jerk reaction for minor offenses, suspending and expelling students, this is not the business we should be in,” said Robert W. Runcie, the Broward County Schools superintendent, who took the job in late 2011. “We are not accepting that we need to have hundreds of students getting arrested and getting records that impact their lifelong chances to get a job, go into the military, get financial aid.”
Nationwide, more than 70 percent of students involved in arrests or referrals to court are black or Hispanic, according to federal data.
“What you see is the beginning of a national trend here,” said Michael Thompson, the director of the Council of State Governments Justice Center. “Everybody recognizes right now that if we want to really find ways to close the achievement gap, we are really going to need to look at the huge number of kids being removed from school campuses who are not receiving any classroom time.”
Pressure to change has come from the Obama administration, too. Beginning in 2009, the Department of Justice and the Department of Education aggressively began to encourage schools to think twice before arresting and pushing children out of school. In some cases, as in Meridian, Miss., the federal government has sued to force change in schools.
Some view the shift as politically driven and worry that the pendulum may swing too far in the other direction. Ken Trump, a school security consultant, said that while existing policies are at times misused by school staffs and officers, the policies mostly work well, offering schools the right amount of discretion.
“It’s a political movement by civil rights organizations that have targeted school police,” Mr. Trump said. “If you politicize this on either side, it’s not going to help on the front lines.”
Supporters, though, emphasize the flexibility in these new policies and stress that they do not apply to students who commit felonies or pose a danger….
http://www.nytimes.com/2013/12/03/education/seeing-the-toll-schools-revisit-zero-tolerance.html?ref=education&_r=0

The whole child approach is useful in keeping many children in school.

Moi wrote in The ‘whole child’ approach to education: Many children do not have a positive education experience in the education system for a variety of reasons. Many educators are advocating for the “whole child” approach to increase the number of children who have a positive experience in the education process. https://drwilda.com/2012/02/10/the-whole-child-approach-to-education/

In order to ensure that ALL children have a basic education, we must take a comprehensive approach to learning.

A healthy child in a healthy family who attends a healthy school in a healthy neighborhood ©

See:

Education Law Center http://www.edlawcenter.org/ELCPublic/StudentRights/StudentDiscipline.htm

Discipline In Schools: What Works and What Doesn’t? http://www.eduguide.org/article/discipline-in-school-what-works-and-what-doesnt

Justice for Children and Youth has a pamphlet -I’m being expelled from school – what are my rights? http://www.jfcy.org/pamphlets.html

Related:

Report: Black students more likely to be suspended https://drwilda.com/2012/08/07/report-black-students-more-likely-to-be-suspended/

Johns Hopkins study finds ‘Positive Behavior Intervention’ improves student behavior https://drwilda.com/2012/10/22/johns-hopkins-study-finds-positive-behavior-intervention-improves-student-behavior/

Pre-kindergarten programs help at-risk students prepare for school https://drwilda.com/2012/07/16/pre-kindergarten-programs-help-at-risk-students-prepare-for-school/

A strategy to reduce school suspensions: ‘School Wide Positive Behavior Support’ https://drwilda.com/2012/07/01/a-strategy-to-reduce-school-suspensions-school-wide-positive-behavior-support/

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

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University of California at Berkeley Study: Staying up late hurts teen’s academic achievement

17 Nov

Moi wrote in Teens need sleep: The UK’s Daily Mail reported that not only does lack of sleep result in kids not being ready to learn, but may be an explanation for some mental illnesses. In Online Night Owls ‘Risk Mental Illness’: Sleepless Nights Blamed For Rise in Teen Depression the Daily Mail reports:

Young people who become sleep deprived by using the internet into the small hours are much more likely to become mentally ill in later life, research shows.
Lack of sleep may help explain the puzzling increase in mental illness among young people in recent decades, according to an extensive study.
And regularly staying up late to surf the internet and chat on social networking sites could be one reason young people are sleeping less, according to the research.
The study of about 20,000 young people aged between 17 and 24 found that those who slept fewer than five hours a night were three times more likely than normal sleepers to become psychologically distressed in the next year.
Each hour of sleep lost was linked to a 14 per cent increased risk of distress, according to the results, published in the journal Sleep.
Professor Nicholas Glozier, who led the research, said: ‘Sleep disturbance and in particular insomnia is a predictor of later development of depression and possibly anxiety.’
Less sleep was also associated with longer-term mental health problems – which were the focus of the professor’s study.
A lot of mental ill-health comes and goes, he said. ‘It’s the ones who don’t get better that we are particularly interested in.’ http://www.dailymail.co.uk/health/article-1308182/Online-night-owls-risk-mental-illness-Sleepless-nights-blamed-rise-teen-depression.html

It is important that children get enough sleep.

Vicki Abeles, director of the documentary “Race to Nowhere,”and Abigail A. Baird, associate professor of psychology at Vassar College in Poughkeepsie, NY. Baird’s primary area of research focuses on the neurophysiology of adolescence are reporting in the Washington Post about the effect of sleep deprivation on teens. Abeles and Baird write in the article, Sleep deprivation and teens: ‘Walking zombies’:

Over the past several years we’ve created national guidelines for eating and exercise, shouldn’t we do the same for sleep?
We can also make changes in our schools, like advocating for later high school start times. An adolescent’s brain works on a different circadian rhythm than that of adults — theirs thrives with later wake-up times. After the start time at a high school in Edina, Minnesota, was changed from 7:25 a.m. to 8:30 a.m., verbal SAT scores for the top 10 percent of students increased by several hundred points. The increase could not be attributed to any variable other than later start times.
Schools should also adopt block schedules and bring back study halls, both of which reduce the number of classes students must prepare for each day and give them more in-school time to complete academic assignments rather than requiring them to put in a grueling “second shift” after school.
So as Daylight Savings Time kicks in and we lose our annual hour of sleep, let’s make a pledge to help our children get the sleep they need to be happy, healthy, and successful in school and in their lives.http://www.washingtonpost.com/blogs/answer-sheet/post/sleep-deprivation-and-teens-walking-zombies/2012/03/10/gIQAr0QP3R_blog.html

The National Sleep Foundation (Sleep Foundation) has some great information about teens and sleep. http://www.sleepfoundation.org/article/sleep-topics/teens-and-sleep

Teens need sleep

Huffington Post reported in the article, Teens Who Stay Up Late Could Face Academic, Emotional Problems Later On:

Teens who stay up late on school nights — whether it be due to homework, chatting online with friends or late sports practices — may experience more academic andemotional problems than their peers who are earlier to bed, a new study suggests.
Researchers from the University of California, Berkeley, found that teens who went to bed later than 11:30 p.m. on school nights and 1:30 a.m. in the summer had lower GPAs than teens who got to bed earlier. They were also more susceptible to emotional problems.
“This very important study adds to the already clear evidence that youth who are night owls are at greater risk for adverse outcomes,” study researcher Allison Harvey, a psychologist at UC Berkeley, said in a statement. “Helping teens go to bed earlier may be an important pathway for reducing risk.”
The Journal of Adolescent Health study included 2,700 teens in grades 7 to 12 who were part of the National Longitudinal Study of Adolescent Health. Researchers analyzed their sleep habits and circadian patterns. About 30 percent of the teens said they went to bed later than 11:30 p.m. on school nights and 1:30 a.m. in the summer.
An association was found between going to bed later and getting less sleep (though this association was not found in the summertime, and sleep duration was not associated with changes in educational and emotional outcomes later on). The researchers also found an association between going to bed late during the school year and having worse educational outcomes, as well as higher emotional distress, after six to eight years. Late summertime bedtimes were not linked with academic outcomes, but were linked to higher emotional distress.
“These findings underscore the significance of evaluating and monitoring bedtime in adolescents and the importance of intervention strategies that target bedtimes in an effort to reduce associated functional impairments, and improve academic and emotional outcomes,” the researchers wrote in the study.
The findings add to past research also suggesting an association between late nights and poorer academic performance among teens. One study, presented at the SLEEP meeting in 2007, showed that teens who stay up late during the week and then oversleep on the weekends do worse in school…
http://www.huffingtonpost.com/2013/11/14/teens-stay-up-late-academic-emotional-problems_n_4256298.html?utm_hp_ref=education&ir=Education

Citation:

The Effects of Bedtime and Sleep Duration on Academic and Emotional Outcomes in a Nationally Representative Sample of Adolescents
Lauren D. Asarnow, M.A., Eleanor McGlinchey, Ph.D., Allison G. Harvey, Ph.D.email address
Received 16 April 2013; accepted 9 September 2013. published online 11 November 2013.
Corrected Proof
Abstract Full Text PDF Images References
Abstract
Purpose
The overall aim of this study was to clarify and better characterize the sleep/circadian patterns of adolescents in a nationally representative sample.
Methods
We used three waves of data from the National Longitudinal Study of Adolescent Health to assess sleep/circadian patterns of 2,700 adolescents in grades seven through 12.
Results
Late school year bedtime was associated with shorter total sleep time cross-sectionally, whereas late summertime bedtime was not. Moreover, late school year bedtime was not associated with late summertime bedtime cross-sectionally. Late school year bedtime in Wave I (1994–1995) was associated with worse educational outcomes and emotional distress 6–8 years later. In addition, late summertime bedtime in Wave II (1996) was associated with more emotional distress at Wave III (2001–2002). Short total sleep time was not associated longitudinally with changes in emotional and academic functioning. Across Waves I and II, more than three quarters of adolescents who went to sleep at 11:15 a.m. or later during the school year or 1:30 a.m. or later during the summer reported sleeping fewer than the recommended 9 hours.
Conclusions
These findings underscore the significance of evaluating and monitoring bedtime in adolescents and the importance of intervention strategies that target bedtimes in an effort to reduce associated functional impairments, and improve academic and emotional outcomes.
Keywords: Eveningness, Sleep, Adolescents, Academic outcomes, Emotional outcomes
Disclaimer: The opinions presented in this article reflect those of the authors and do not necessarily reflect those of the granting agencies.
Funding Sources: This project was supported by a Lisa M. Capps Fellowship and a National Science Foundation Graduate Research Fellowship award to L.D.A., a National Institute of Child Health and Human DevelopmentRuth L. Kirschstein National Research Service Award Predoctoral FellowshipF31-HD058411 awarded to E.L.M., and grant 1R01HD071065-01A1 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development awarded to A.G.H. This research used data from Add Health, a program project designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris, and funded by Grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, with cooperative funding from 17 other agencies. This research used data from the Adolescent Health and Academic Achievement study, which was funded by Grant R01 HD040428-02 (PI: Chandra Muller) from the National Institute of Child Health and Human Development, and Grant REC-0126167 (PI: Chandra Muller and Co-PI: Pedro Reyes) from the National Science Foundation. This research was also supported by Grant 5 R24 HD042849, Population Research Center, awarded to the Population Research Center at the University of Texas at Austin by the Eunice Kennedy Shriver National Institute of Health and Child Development. No direct support was received from Grant P01-HD31921 for this analysis.
PII: S1054-139X(13)00486-2
doi:10.1016/j.jadohealth.2013.09.004
© 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Here is the press release from UC Berkeley:

Teen night owls likely to perform worse academically, emotionally
By Yasmin Anwar, Media Relations | November 10, 2013
BERKELEY —
Teenagers who go to bed late during the school year are more prone to academic and emotional difficulties in the long run, compared to their earlier-to-bed counterparts, according to a new study from UC Berkeley.
Berkeley researchers analyzed longitudinal data from a nationally representative cohort of 2,700 U.S. adolescents of whom 30 percent reported bedtimes later than 11:30 p.m. on school days and 1:30 a.m. in the summer in their middle and high school years.
By the time they graduated from high school, the school-year night owls had lower GPA scores, and were more vulnerable to emotional problems than teens with earlier bedtimes, according to the study published online Nov.10 in the Journal of Adolescent Health.
The results present a compelling argument in favor of later middle and high school start times in the face of intense academic, social and technological pressures, researchers said.
“Academic pressures, busy after-school schedules, and the desire to finally have free time at the end of the day to connect with friends on the phone or online make this problem even more challenging,” said Lauren Asarnow, lead author of the study and a graduate student in UC Berkeley’s Golden Bear Sleep and Mood Research Clinic.
On a positive note, she said the findings underscore how a healthy sleep cycle promotes the academic and emotional success of adolescents.
“The good news is that sleep behavior is highly modifiable with the right support,” said Asarnow, citing UC Berkeley’s Teen Sleep Study, a treatment program designed to reset the biological clocks of adolescents who have trouble going to sleep and waking up.
This latest UC Berkeley study used data from the National Longitudinal Study of Adolescent Health, which has tracked the influences and behaviors of adolescents since 1994. Focusing on three time periods – the onset of puberty, a year later and young adulthood – UC Berkeley researchers compared how the sleep habits of 2,700 teenagers aged 13-18 impacted their academic, social and emotional development. They looked at participants’ school transcripts and other education and health data.
While going to bed late in the summer did not appear to impact their academic achievement, including grades, researchers did find a correlation between later summer bedtimes and emotional problems in young adulthood.
Surveys show that many teenagers do not get the recommended nine hours sleep a night, and report having trouble staying awake at school. The human circadian rhythm, which regulates physiological and metabolic functions, typically shifts to a later sleep cycle at the onset of puberty. UC Berkeley researchers theorize that an “evening circadian preference” in adolescence is a confluence of biological factors, as well as parental monitoring, academic and social pressures and the use of electronic gadgetry.
Late-night texting and the use of other electronic gadgetry can disrupt sleep patterns (iStockphoto)
For example, bright lights associated with laptops, smartphones and other electronic devices have been found to suppress melatonin, a hormone that helps regulate the sleep cycle. UC Berkeley’s Teen Sleep Study uses dim lighting and limits technology before bedtime, among other interventions, to help reverse this night-owl tendency.
‘This very important study adds to the already clear evidence that youth who are night owls are at greater risk for adverse outcomes,” said UC Berkeley psychologist Allison Harvey, senior author of the paper. “Helping teens go to bed earlier may be an important pathway for reducing risk. This will not be an easy process. But here at Berkeley, our sleep coaches draw from the science of motivation, habit formation and sleep to help teens achieve earlier bedtimes.”
Categories: Education, Health & medicine, News, Press Release, Science, Social science
Tags: academic performance, adolescent health, sleep, teen health, teenagers, teens

Education is a partnership between the student, parent(s) or guardian(s), teachers(s), and school. The students must arrive at school ready to learn and that includes being rested. Parent(s) and guardian(s) must ensure their child is properly nourished and rested as well as providing a home environment which is conducive to learning. Teachers must have strong subject matter knowledge and strong pedagogic skills. Schools must enforce discipline and provide safe places to learn. For more information on preparing your child for high school, see the U.S. Department of Education’s Tools for Success http://www2.ed.gov/parents/academic/help/tools-for-success/index.html

Resources
1. National Sleep Foundation’s Teens and Sleep
http://www.sleepfoundation.org/article/sleep-topics/teens-and-sleep

2. Teen Health’s Common Sleep Problems http://kidshealth.org/teen/your_body/take_care/sleep.html

3. CBS Morning News’ Sleep Deprived Kids and Their Disturbing Thoughts http://www.cbsnews.com/2100-500165_162-6052150.html

4. Psychology Today’s Sleepless in America http://www.psychologytoday.com/blog/sleepless-in-america

5. National Association of State Board’s of Education Fit, Healthy and Ready to Learn
http://eric.ed.gov/?id=ED465734

6. U.S. Department of Education’s Tools for Success http://www2.ed.gov/parents/academic/help/tools-for-success/index.html

Related:

Another study: Sleep problems can lead to behavior problems in children

Another study: Sleep problems can lead to behavior problems in children

Stony Brook Medicine study: Teens need sleep to function properly and make healthy food choices https://drwilda.com/2013/06/21/stony-brook-medicine-study-teens-need-sleep-to-function-properly-and-make-healthy-food-choices/

University of Massachusetts Amherst study: Preschoolers need naps
Does school start too early?
https://drwilda.com/tag/too-little-sleep-raises-obesity-risk-in-children/

Where Information Leads to Hope © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

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http://drwildareviews.wordpress.com/

Dr. Wilda ©
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Hookah a growing menace for teen health

17 Nov

Peeps, the kids are thinking up new things to get into faster than moi can post. Newest fad hitting many high schools and colleges is hookah. Douglas Quenqua reported in the New York Times article, Putting A Crimp In the Hookah about hookah.

Kevin Shapiro, a 20-year-old math and physics major at the University of Pennsylvania, first tried a hookah at a campus party. He liked the exotic water pipe so much that he chipped in to buy one for his fraternity house, where he says it makes a useful social lubricant at parties.
Like many other students who are embracing hookahs on campuses nationwide, Mr. Shapiro believes that hookah smoke is less dangerous than cigarette smoke because it “is filtered through water, so you get fewer solid particles.”
“Considering I don’t do it that often, once a month if that, I’m not really concerned with the health effects,” he added.
But in fact, hookahs are far from safe. And now, legislators, college administrators and health advocates are taking action against what many of them call the newest front in the ever-shifting war on tobacco. In California, Connecticut and Oregon, state lawmakers have introduced bills that would ban or limit hookah bars, and similar steps have been taken in cities in California and New York. Boston and Maine have already ended exemptions in their indoor-smoking laws that had allowed hookah bars to thrive….
Many young adults are misled by the sweet, aromatic and fruity quality of hookah smoke, which causes them to believe it is less harmful than hot, acrid cigarette smoke. In fact, because a typical hookah session can last up to an hour, with smokers typically taking long, deep breaths, the smoke inhaled can equal 100 cigarettes or more, according to a 2005 study by the World Health Organization.
That study also found that the water in hookahs filters out less than 5 percent of the nicotine. Moreover, hookah smoke contains tar, heavy metals and other cancer-causing chemicals. An additional hazard: the tobacco in hookahs is heated with charcoal, leading to dangerously high levels of carbon monoxide, even for people who spend time in hookah bars without actually smoking, according to a recent University of Florida study. No surprise, then, that several studies have linked hookah use to many of the same diseases associated with cigarette smoking, like lung, oral and bladder cancer, as well as clogged arteries, heart disease and adverse effects during pregnancy. And because hookahs are meant to be smoked communally — hoses attached to the pipe are passed from one smoker to the next — they have been linked with the spread of tuberculosis, herpes and other infections.
“Teens and young adults are initiating tobacco use through these hookahs with the mistaken perception that the products are somehow safer or less harmful than cigarettes,” said Paul G. Billings, a vice president of the American Lung Association. “Clearly that’s not the case.”
Mr. Billings calls the emerging anti-hookah legislation a “top priority” for the lung association. http://www.nytimes.com/2011/05/31/health/31hookah.html?emc=eta1&_r=0

Kids mistakenly think hookah is safe.

Richard D. Hurt, M.D. of the Mayo Clinic has posted the article Hookah Smoking: Is it Safer Than Cigarettes? at the Mayo Clinic site:

Specially made tobacco is heated, and the smoke passes through water and is then drawn through a rubber hose to a mouthpiece. The tobacco is no less toxic in a hookah pipe, and the water in the hookah does not filter out the toxic ingredients in the tobacco smoke. Hookah smokers may actually inhale more tobacco smoke than cigarette smokers do because of the large volume of smoke they inhale in one smoking session, which can last as long as 60 minutes.
While research about hookah smoking is still emerging, evidence shows that it poses many dangers:
• Hookah smoke contains high levels of toxic compounds, including tar, carbon monoxide, heavy metals and cancer-causing chemicals (carcinogens). In fact, hookah smokers are exposed to more carbon monoxide and smoke than are cigarette smokers.
• As with cigarette smoking, hookah smoking is linked to lung and oral cancers, heart disease and other serious illnesses.
• Hookah smoking delivers about the same amount of nicotine as cigarette smoking does, possibly leading to tobacco dependence.
• Hookah smoke poses dangers associated with secondhand smoke.
• Hookah smoking by pregnant women can result in low birth weight babies.
• Hookah pipes used in hookah bars and cafes may not be cleaned properly, risking the spread of infectious diseases. http://www.mayoclinic.com/health/hookah/AN01265

Karen Kaplan reported in in the L.A. Times about Hookah growing allure among teens

In Cigars, e-cigarettes and hookahs increasingly popular among youth, Kaplan reported:

Electronic cigarettes, hookahs and dissolvable tobacco were all more popular in 2012 than in 2011, according to data CDC researchers published this week in the Morbidity and Mortality Weekly Report. Cigar smoking has also become more prevalent among high school students.
Overall, 6.7% of middle schoolers and 23.3% of high schoolers were using tobacco in 2012. In 2011, the corresponding figures were 7.5% and 24.3%.
Those figures are based on surveys of roughly 25,000 students in grades 6 through 12 who participated in the National Youth Tobacco Survey. Students were considered current tobacco users if they had smoked a cigarette, cigar, pipe, hookah, electronic cigarette, bidis (thin, hand-rolled cigarettes) or kreteks (clove cigarettes) or used smokeless tobacco, dissolvable tobacco, or snus (a powdered tobacco) at least once in the last 30 days.
Here’s what the researchers found:
Cigarettes were the most popular form of tobacco or nicotine among middle school students, with 3.5% of kids in grades 6 through 8 saying they had smoked a cigarette in the previous 30 days. That was followed by cigars (2.8% used them), pipes (1.8%), smokeless tobacco (1.7%), hookahs (1.3%), electronic cigarettes (1.1%), snus (0.8%), bidis (0.6%), kreteks (0.5%) and dissolvable tobacco (0.5%).
Cigarettes were also the most popular item among high schoolers, with 14% of students in grades 9 through 12 reporting they had smoked one within the last 30 days. Cigars came in a close second, with 12.6% of students saying they smoked them recently. In addition, 6.4% of high schoolers used smokeless tobacco, 5.4% used hookahs, 4.5% used pipes, 2.8% used electronic cigarettes, 2.5% used snus, 1% used kreteks, 0.9% used bidis and 0.8% used dissolvable tobacco.
Though overall tobacco use was down, the authors of the report flagged the rising popularity of products other than cigarettes that are not regulated by the Food and Drug Administration. In the case of cigars, they noted that some of the items in that category were “similar to cigarettes in terms of appearance, but depending on their weight, can be taxed at lower rates and legally sold with certain flavors that are banned from cigarettes.” The lower prices and option of flavors probably make them especially appealing to teens, they wrote….
http://www.latimes.com/science/sciencenow/la-sci-sn-smoking-tobacco-teens-cdc-20131115,0,6663897.story#axzz2ksth5AXn

Here is the press release from the Centers for Disease Control:

Tobacco Product Use Among Middle and High School Students — United States, 2011 and 2012
Weekly
November 15, 2013 / 62(45);893-897
Nearly 90% of adult smokers in the United States began smoking by age 18 years (1). To assess current tobacco product use among youths, CDC analyzed data from the 2012 National Youth Tobacco Survey (NYTS). This report describes the results of that analysis, which found that, in 2012, the prevalence of current tobacco product use among middle and high school students was 6.7% and 23.3%, respectively. After cigarettes, cigars were the second most commonly used tobacco product, with prevalence of use at 2.8% and 12.6%, respectively. From 2011 to 2012, electronic cigarette use increased significantly among middle school (0.6% to 1.1%) and high school (1.5% to 2.8%) students, and hookah use increased among high school students (4.1% to 5.4%). During the same period, significant decreases occurred in bidi* and kretek† use among middle and high school students, and in dissolvable tobacco use among high school students. A substantial proportion of youth tobacco use occurs with products other than cigarettes, so monitoring and prevention of youth tobacco use needs to incorporate other products, including new and emerging products. Implementing evidence-based interventions can prevent and reduce tobacco use among youths as part of comprehensive tobacco control programs. In addition, implementation of the 2009 Family Smoking Prevention and Tobacco Control Act, which granted the Food and Drug Administration (FDA) the authority to regulate the manufacture, distribution, and marketing of tobacco products (1–3), also is critical to addressing this health risk behavior.
NYTS is a school-based, self-administered, pencil-and-paper questionnaire administered to U.S. middle school (grades 6–8) and high school (grades 9–12) students to collect information on key tobacco control outcome indicators used to monitor the impact of comprehensive tobacco control policies and programs (4) and FDA’s newly granted regulatory authority. NYTS was conducted in 2000, 2002, 2004, 2006, 2009, 2011, and 2012. The 2012 NYTS used a three-stage cluster sampling procedure to generate a cross-sectional, nationally representative sample of students in grades 6–12. This report includes 2011 and 2012 NYTS data to provide an updated definition of current tobacco use, which now also includes hookahs, snus, dissolvable tobacco, and electronic cigarettes, to take into account nonconventional products that are new to the market or are increasing in popularity; data for these four products were first collected in 2011. The previous definition for current tobacco use did not include all of these products, thus yielding slightly lower estimates of current tobacco use. For example, in 2011, the previous definition for overall current tobacco use resulted in estimates of 7.1% for middle school and 23.2% for high school students (5), whereas the new definition resulted in 2011 estimates of 7.5% for middle school and 24.3% for high school students (Table).
Of the 284 schools selected for the 2012 NYTS, 228 (80.3%) participated, resulting in a sample of 24,658 (91.7%) among 26,873 eligible students; the overall response rate was 73.6%. The 2011 NYTS had a comparable overall response rate of 72.7% (5). Respondents were asked about their current use of cigarettes, cigars§ (defined as cigars, cigarillos, or little cigars), smokeless tobacco, pipes, bidis, kreteks, hookahs, snus, dissolvable tobacco, and electronic cigarettes. For each product, current use was defined as using on ≥1 day of the past 30 days.
Data were adjusted for nonresponse and weighted to provide national prevalence estimates with 95% confidence intervals for current tobacco use overall and by product, school level, sex, and race/ethnicity. Point estimate differences between 2011 and 2012 were assessed using a two-tailed t-test for significance (p<0.05).
In 2012, 6.7% of middle students reported current use of any tobacco product (Table). The most commonly used forms of tobacco were cigarettes (3.5%), cigars (2.8%), pipes (1.8%), smokeless tobacco (1.7%), hookahs (1.3%), electronic cigarettes (1.1%), snus (0.8%), bidis (0.6%), kreteks (0.5%), and dissolvable tobacco (0.5%). Among high school students, 23.3% reported current use of any tobacco product. The most commonly used forms of tobacco were cigarettes (14.0%), cigars (12.6%), smokeless tobacco (6.4%), hookahs (5.4%), pipes (4.5%), electronic cigarettes (2.8%), snus (2.5%), kreteks (1.0%), bidis (0.9%), and dissolvable tobacco (0.8%).
During 2011–2012, among middle school students, for current electronic cigarette use, significant increases were observed overall (0.6% to 1.1%) and among females (0.4% to 0.8%), males (0.7% to 1.5%), and Hispanics (0.6% to 2.0%) (Table). For hookahs, a significant increase was observed among Hispanics (1.7% to 3.0%).
During 2011–2012, among high school students, for electronic cigarette use, significant increases were observed overall (1.5% to 2.8%) and among females (0.7% to 1.9%), males (2.3% to 3.7%), non-Hispanic whites (1.8% to 3.4%), and Hispanics (1.3% to 2.7%). For hookahs, significant increases were observed overall (4.1% to 5.4%) and among non-Hispanic whites (4.3% to 6.1%). For cigars, a significant increase in use was observed among non-Hispanic blacks (11.7% to 16.7%).
Reported by
René A. Arrazola, MPH, Shanta R. Dube, PhD, Brian A. King, PhD, Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, CDC. Corresponding contributor: René A. Arrazola, rarrazola@cdc.gov, 770-488-2414.
Editorial Note
The findings in this report indicate that during 2011–2012 significant increases occurred in current use of nonconventional tobacco products, such as electronic cigarettes and hookahs, among middle and high school students; in addition, an increase in cigar use occurred among non-Hispanic black high school students. During this same period, overall current use of some tobacco products, such as bidis and kreteks, significantly decreased. These findings indicate that more efforts are needed to monitor and prevent the use of both conventional and nonconventional tobacco products among youths.
During 2011–2012, cigar use increased significantly among non-Hispanic black high school students to 16.7%, more than doubling the 2009 estimate (6). Further, cigar use among high school males (16.7%) was approximately double that of high school females (8.4%) and similar to cigarette use among high school males (16.3%). Cigars include traditional premium cigars as well as cigarillos and "little cigars," which are similar to cigarettes in terms of appearance, but depending on their weight, can be taxed at lower rates and legally sold with certain flavors that are banned from cigarettes (7). Youths are known to have higher rates of cigar use than adults, which might be related to the lower price of some cigars (e.g., cigarillos and "little cigars") relative to cigarettes, or the marketing of flavored cigars that might appeal to youths (8). Significant increases also were observed in overall use of current electronic cigarettes (9) and hookahs. Current use of electronic cigarettes doubled among middle and high school females, middle school males, and Hispanic high school students. Among non-Hispanic white high school students, this increase was slightly less than double (1.8% to 3.4%), and among high school males, this increase was slightly more than 60% (2.3 to 3.7). For current hookah use, an increase of more than 75% (1.7% to 3.0%) was observed for Hispanic middle school students; among high school students, an overall increase of more than 30% (4.1% to 5.4%) was observed, but for non-Hispanic whites, this increase was more than 40% (4.3% to 6.1%). The increase in use of electronic cigarettes and hookah tobacco could be attributed to low price, an increase in marketing, availability, and visibility of these products, and the perception that these tobacco products might be "safer" alternatives to cigarettes. Cigars, electronic cigarettes, hookah tobacco, and certain other new types of tobacco products are not currently subject to FDA regulation. FDA has stated it intends to issue a proposed rule that would deem products meeting the statutory definition of a "tobacco product" to be subject to the Federal Food, Drug, and Cosmetic Act.¶
The findings in this report are subject to at least six limitations. First, data were only collected from youths who attended either public or private schools and might not be generalizable to all middle and high school-aged youths. Second, data were self-reported; thus, the findings are subject to recall and response bias. Third, current tobacco use was defined by including students who responded to questions about at least one of the 10 tobacco products but might have had missing responses to any of the other tobacco products that were assessed; missing responses were considered as nonuse, which might have resulted in conservative estimates. Fourth, in 2012, the question wording for bidis and kreteks was modified, and cigar brand examples were added to the heading and ever cigar use question of the survey; therefore, any observed changes in prevalence estimates across years might be attributed in part to these wording modifications. Fifth, the NYTS overall response rate of 73.6% in 2012 and 72.7% in 2011 might have resulted in nonresponse bias, even after adjustment for nonresponse. Finally, estimates might differ from those derived from other youth surveillance systems, in part because of differences in survey methodology, survey type and topic, and age and setting of the target population. However, overall relative trends are similar across the various youth surveys (1).
Effective, population-based interventions for preventing tobacco use among youths are outlined in the Surgeon General's report (1) and the World Health Organization's MPOWER package (10). Interventions include increasing the price of all tobacco products, implementing 100% comprehensive smoke-free laws and policies in workplaces and public places, warning about the dangers of all tobacco use with tobacco use prevention media campaigns, increasing access to help quitting, and enforcing restrictions on all tobacco product advertising, promotion, and sponsorship. Interventions are best implemented as part of comprehensive tobacco control programs, which are effective in decreasing tobacco use in the United States (2). Full implementation of comprehensive tobacco control programs at CDC-recommended funding levels, in coordination with FDA regulations of tobacco products, would be expected to result in further reductions in tobacco use and changes in social norms regarding the acceptability of tobacco use among U.S. youths (1,2,10).
References
1. US Department of Health and Human Services. Preventing tobacco use among youth and young adults. Atlanta, GA: US Department of Health and Human Services, CDC; 2012. Available at http://www.cdc.gov/tobacco/data_statistics/sgr/2012/index.htm.
2. CDC. Best practices for comprehensive tobacco control programs—2007. Atlanta, GA: US Department of Health and Human Services, CDC; 2007. Available at http://www.cdc.gov/tobacco/stateandcommunity/best_practices/index.htm.
3. CDC. CDC Grand Rounds: current opportunities in tobacco control. MMWR 2010;59:487–92.
4. CDC. Key outcome indicators for evaluating comprehensive tobacco control programs. Atlanta, GA: US Department of Health and Human Services, CDC; 2005. Available at http://www.cdc.gov/tobacco/tobacco_control_programs/surveillance_evaluation/key_outcome/pdfs/frontmaterial.pdf .
5. CDC. Current tobacco use among middle and high school students—United States, 2011. MMWR 2012;61:581–5.
6. CDC. Tobacco use among middle and high school students—United States, 2000–2009. MMWR 2010;59:1063–8.
7. United States Government Accountability Office. Tobacco taxes: large disparities in rates for smoking products trigger significant market shifts to avoid higher taxes (GAO-12-475). Washington, DC: United States Government Accountability Office; 2012. Available athttp://www.gao.gov/products/gao-12-475 .
8. King B, Tynan M, Dube S, Arrazola R. Flavored-little-cigar and flavored-cigarette use among U.S. middle and high school students. J Adolesc Health 2013 [Epub ahead of print].
9. CDC. Notes from the field: electronic cigarette use among middle and high school students—United States, 2011–2012. MMWR 2013;62:729–30.
10. World Health Organization. WHO report on the global tobacco epidemic, 2008—the MPOWER package. Geneva, Switzerland: World Health Organization; 2008. Available at http://www.who.int/tobacco/mpower/mpower_report_full_2008.pdf .
* The question to assess past 30 day use of bidis changed between 2011 and 2012. In 2011, the bidis question was "In the past 30 days, on how many days did you smoke bidis?" Students selected among "0 days," "1 or 2 days," "3 to 9 days," "10 to 19 days," "20 to 29 days," or "all 30 days." In 2012, the bidis question was "In the past 30 days, which of the following products have you used on at least one day?" Students could select different products, of which "bidis (small brown cigarettes wrapped in a leaf)" was a possible selection. This change might have affected the results for bidis.
† The question to assess past 30 day use of kreteks changed between 2011 and 2012. In 2011, the kreteks question was "In the past 30 days, on how many days did you smoke kreteks?" Students selected among "0 days," "1 or 2 days," "3 to 9 days," "10 to 19 days," "20 to 29 days," or "all 30 days." In 2012, the bidis question was "In the past 30 days, which of the following products have you used on at least one day?" Students could select different products, of which "clove cigarettes (kreteks)" was a possible selection. This change might have affected the results for kreteks.
§ The heading for the cigar section of the questionnaire changed between 2011 and 2012. In 2011, the heading was "Cigars." In 2012, the heading was "Cigars, cigarillos, or little cigars, such as Black and Milds, Swisher Sweets, Dutch Masters, White Owl, or Phillies Blunts," and the question on ever use of cigars also included brand names. This change might have affected the results for cigars.
¶ FDA has expressed its intent to assert jurisdiction over all tobacco products. Additional information available at http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201304&RIN=0910-AG38 .
What is already known on this topic?
Nearly 90% of adult smokers began smoking by age 18 years.
What is added by this report?
Although decreases in the use of certain tobacco products (bidis and kreteks) have been observed, current cigar use has increased among non-Hispanic black high school students (11.7% to 16.7%), and the use of nonconventional products, such as electronic cigarettes, have increased among middle school (0.6% to 1.1%) and high school (1.5% to 2.8%) students.
What are the implications for public health practice?
Current use of cigars and nonconventional tobacco products need to be monitored at local, state, and national levels. This is especially true for nonconventional tobacco products and specific population subgroups. To reduce tobacco use among youths, national and state tobacco control programs can continue to implement evidence-based strategies, including those that will work in coordination with the Food and Drug Administration to regulate the manufacture, distribution, and marketing of tobacco products. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6245a2.htm?s_cid=mm6245a2_w

How to Prevent Your Teen from Smoking

Science Daily reported about a Swedish Study which showed that parents are influential in their child’s decision whether to smoke.

Teenagers are more positive today towards their parents’ attempts to discourage them from smoking, regardless of whether or not they smoked, than in the past. The most effective actions parents could take include dissuading their children from smoking, not smoking themselves and not allowing their children to smoke at home. Younger children were more positive about these approaches than older children. Levels of smoking amongst participants were stable at 8% in 1987 and 1994, but halved in 2003. The decrease in the proportion of teenagers smoking is thought to result from a number of factors, including changes in legislation and the decreasing social acceptability of smoking.
Use of snus, a type of moist snuff, remained relatively constant. Fewer teenagers thought their parents would be concerned about snus use, probably reflecting a general perception that snus is less of a health hazard than smoking. Unsurprisingly, older children were more likely to smoke or use snus than younger children.
The authors of the study concluded that the prevalence of smoking in adolescents in Sweden has fallen and an increasing number of teenagers have never smoked. “The fact that adolescents respond positively to parental attitudes to smoking is encouraging,” says Nilsson. “Parents should be encouraged to intervene with respect to their children’s tobacco use.” http://www.sciencedaily.com/releases/2009/03/090303193956.htm

Another study reported by Reuters came to a similar conclusion that parents influence the decision whether to smoke

Friends and parents have a strong influence over whether teenagers move from experimenting with cigarettes to becoming full-fledged smokers — but so do parents, a new study finds.
The study, which followed 270 teenagers who had become occasional smokers before high school, found that 58 percent made it a daily habit by 12th grade.
But the likelihood of that happening depended partly on friends and parents, according to a study published in the journal Pediatrics.
“We found that parents play an important role in preventing teens’ smoking escalation from experimental to daily smoking,” Dr. Min Jung Kim, of the University of Washington in Seattle, said.
When friends or parents smoked, teens were more likely to become daily smokers. On the other hand, they were less likely to become habitual smokers when their parents had a “positive family management” style — monitoring their comings and goings, doling out reasonable punishments for rule-breaking and rewarding good behavior.
Teens whose parents kept tabs on them and were non-smokers themselves had a 31 percent chance of becoming daily smokers. The odds were 71 percent among teenagers with parents who smoked and were more lax in managing their kids’ behavior. http://www.reuters.com/article/2009/08/26/us-smoking-teens-idUSTRE57P43R20090826

The Mayo Clinic has some excellent tips on preventing your teen from smoking These 10 tips can help.

1. Understand the attraction.
Sometimes teen smoking is a form of rebellion or a way to fit in with a particular group of friends. Some teens light up in an attempt to lose weight or to feel better about themselves. Others smoke to feel cool or independent. ..
2. Say no to teen smoking.
You may feel as if your teen doesn’t hear a word you say, but say it anyway. Tell your teen that smoking isn’t allowed. Your disapproval may have more impact than you think. Teens whose parents set the firmest smoking restrictions tend to smoke less than do teens whose parents don’t set smoking limits. The same goes for teens who feel close to their parents.
3. Set a good example.
Teen smoking is more common among teens whose parents smoke. If you don’t smoke, keep it up. If you do smoke, quit — now. ..
4. Appeal to your teen’s vanity.
Smoking isn’t glamorous. Remind your teen that smoking is a dirty, smelly habit. ..
5. Do the math.
Smoking is expensive. Help your teen calculate the weekly, monthly or yearly cost of a pack-a-day smoking habit. You might compare the cost of smoking with that of electronic gadgets, clothes or other teen essentials.
6. Expect peer pressure.
Friends who smoke can be convincing, but you can give your teen the tools he or she needs to refuse cigarettes. Rehearse how to handle tough social situations. It might be as simple as, “No thanks, I don’t smoke.” The more your teen practices this basic refusal, the more likely he or she will say no at the moment of truth.
7. Take addiction seriously.
Most teens believe they can quit smoking anytime they want. But teens become just as addicted to nicotine as do adults, often quickly and at relatively low doses of nicotine. And once you’re hooked, it’s tough to quit.
8. Predict the future.
Teens tend to assume that bad things only happen to other people. But the long-term consequences of smoking — such as cancer, heart attack and stroke — may be all too real when your teen becomes an adult. Use loved ones, friends or neighbors who’ve been ill as real-life examples.
9. Think beyond cigarettes.
Smokeless tobacco, clove cigarettes (kreteks) and candy-flavored cigarettes (bidis) are sometimes mistaken as less harmful or addictive than are traditional cigarettes. Hookah smoking — smoking tobacco through a water pipe — is another alternative sometimes touted as safe. Don’t let your teen be fooled. Like traditional cigarettes, these products are addictive and can cause cancer and other health problems. Many deliver higher concentrations of nicotine, carbon monoxide and tar than do traditional cigarettes.
10. Get involved.
Take an active stance against teen smoking. Participate in local and school-sponsored anti-smoking campaigns. Support bans on smoking in public places.
If your teen has already started smoking, avoid threats and ultimatums. Instead, be supportive. Find out why your teen is smoking — and then discuss ways to help your teen stop smoking, such as hanging out with friends who don’t smoke or getting involved in new activities. Stopping teen smoking in its tracks is the best thing your teen can do for a lifetime of good health. http://www.mayoclinic.com/health/teen-smoking/HQ00139

As with a many issues adolescents face, it is important for parents and guardians to know what is going on in their children’s lives. You should know who your children’s friends are and how these friends feel about smoking, drugs, and issues like sex. You should also know how the parents of your children’s friends feel about these issues. Do they smoke, for example, or are they permissive in allowing their children to use alcohol and/or other drugs. Are these values in accord with your values?

Resources

1. A History of Tobacco http://archive.tobacco.org/History/Tobacco_History.html

2. American Lung Association’s Smoking and Teens Fact Sheet Women and Tobacco Use
African Americans and Tobacco Use
American Indians/Alaska Natives and Tobacco Use
Hispanics and Tobacco Use
Asian Americans/Pacific Islanders and Tobacco Use
Military and Tobacco Use
Children/Teens and Tobacco Use

Older Adults and Tobacco Use
http://www.lung.org/stop-smoking/about-smoking/facts-figures/specific-populations.html

3. Center for Young Women’s Health A Guide for Teens http://www.youngwomenshealth.org/smokeinfo.html

4. Kroger Resources Teens and Smoking http://kroger.staywellsolutionsonline.com/Wellness/Smoking/Teens/

5. Teens Health’s Smoking http://kidshealth.org/teen/drug_alcohol/tobacco/smoking.html

6. Quit Smoking Support.com
http://www.quitsmokingsupport.com/teens.htm

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