#1 Assiduité (92.1%), #1 Lowest % ER visits (1.7%) in CIUSSS Centre-Ouest de L'île-de-Montreal (2023-2024)

Month: May 2017

Sante KildareBlog2017May
By Michael Kalin May 30, 2017 GMF, Health Promotion, Promotion de la santé

Let’s be clear: Kids should NOT smoke marijuana

smoking

This week, the federal government’s tabled Bill C-45 would allow adults to legally possess and use small amounts of recreational marijuana. The bill would make it a criminal offence to sell pot to minors but it would not be crime for youth to possess small amounts of it.
The introduction of the Bill was met with a strongly worded editorial in the Canadian Medical Association Journal:

“Simply put, cannabis should not be used by young people. It is toxic to their cortical neuronal networks, with both functional and structural changes seen in the brains of youth who use cannabis regularly.”
The CMAJ references the Position Statement of the Canadian Pediatric Society. Scientific evidence strongly links marijuana use in youth to:

1. cannabis dependence and other substance use disorders
2. the initiation and maintenance of tobacco smoking
3. an increased presence of mental illness, including depression, anxiety and psychosis
4. impaired neurological development and cognitive decline
5. diminished school performance and lifetime achievement

 
The Canadian Medical Association recommends that the minimum age to buy and use marijuana be set at 21 instead of 18 years.  Furthermore, the CMA stresses that restrictions be imposed on the quantity and potency of marijuana that young people can purchase and use until the age of 25.

 
Dr. Brian Goldman, in his blog “White Coat, Black Art” writes, “I agree that high potency marijuana use in young people is risky.  But I don’t think that legislation is the solution.  Canada has one of the highest rates in the world of young people using marijuana.  As many as 60 per cent of 18 year olds have tried it at least once.  The absence of legislation hasn’t made it that difficult for youth to obtain it. Researchers doubt that bill C-45 or any law for that matter will curb the use of cannabis by young people.  Colorado has had legal marijuana for some time now, and that state has seen no increase or decrease in young people using the drug.”

 
He correctly concludes, “The federal government should stop suggesting that the law is intended to prevent kids from using marijuana, since that kind of message is likely to make the drug more attractive to teens.”

 
As debate Bill C-45 is debated and inches towards legislation, let’s make sure that we put our children’s health first.

 

cannabis

cannabis2

cannabis3

By Michael Kalin May 12, 2017 GMF, Health Promotion, Promotion de la santé, Uncategorized

Screen Time: We Need a Plan

tv

” No child should have a phone in their bedroom unsupervised.”
Dr. Leonard Sax, Pediatrician

 

It is always interesting to see which Facebook posts attract the most attention. An interview with Dr. Leonard Sax in the Wichita Eagle, “Why kids today are out of shape, disrespectful – and in charge,” drew considerable interest – even Facebook commented  “This post is performing better than 90% of other posts on your Page.”
The article, http://www.kansas.com/news/nationworld/national/article56473378.html, describes the “reordering of families.” Dr. Sax argues that families are facing a “crisis of authority” where kids are given too much control and are effectively put in charge. “The parent makes a recommendation, but the child makes the final decision. I know of cases where the kid was clearly making the wrong decision and the parents knew it but nevertheless felt completely powerless to overrule their child. The child is the one who suffers.”
He continues, “The same is true with regard to a cellphone in the bedroom. You now find kids at 10, 12, 14, 16 years of age who have their phone in their bedroom at two (o’clock) in the morning. You take the device at night and you put it in the charger, which stays in the parents’ bedroom. No child should have a phone in their bedroom unsupervised.
That’s not just my opinion. That is the official teaching of the American Academy of Pediatrics (AAP) in guidelines published (in) October 2013. But you would be astonished, or maybe you wouldn’t be, how many parents find that an impossible recommendation. They feel that they have no authority over their child in many domains.”

So, what does the AAP actually say and recommend:

According to a recent study, the average 8- to 10-year-old spends nearly 8 hours a day with a variety of different media, and older children and teenagers spend >11 hours per day.1
Presence of a TV set in a child’s bedroom increases these figures even more, and 71% of children and teenagers report having a TV in their bedroom.1 Young people now spend more time with media than they do in school—it is the leading activity for children and teenagers other than sleeping.1,2
Nearly all children and teenagers have Internet access (84%), often high-speed, and one-third have access in their own bedroom.
In a recent study, two-thirds of children and teenagers report that their parents have “no rules” about time spent with media.1 Many young children see PG-13 and R-rated movies—either online, on TV, or in movie theaters—that contain problematic content and are clearly inappropriate for them. Few parents have rules about cell phone use for their children or adolescents. There is considerable evidence that a bedroom TV increases the risk for obesity, substance use, and exposure to sexual content.1,2-8.
Give, these concerns, the American Academy of Pediatrics recommends:

  • Limit the amount of total entertainment screen time to Discourage screen media exposure for children.
  • Keep the TV set and Internet-connected electronic devices out of the child’s bedroom.
  • Monitor what media their children are using and accessing, including any Web sites they are visiting and social media sites they may be using.
  • Co-view TV, movies, and videos with children and teenagers, and use this as a way of discussing important family values.
  • Model active parenting by establishing a family home use plan for all media. As part of the plan, enforce a mealtime and bedtime “curfew” for media devices, including cell phones. Establish reasonable but firm rules about cell phones, texting, Internet, and social media use.

 

1. Rideout V. Generation M2: Media in the Lives of 8- to 18-Year-Olds. Menlo Park, CA: Kaiser Family Foundation; 2010
2. Strasburger VC. Health effects of media on children and adolescents.Pediatrics. 2010;125(4):756–767pmid:20194281
3. Staiano AE. Television, adiposity, and cardiometabolic risk in children and adolescents. Am J Prev Med. 2013;44(1):40–47pmid:23253648
4. Hanewinkel R. Longitudinal study of exposure to entertainment media and alcohol use among German adolescents. Pediatrics. 2009;123(3):989–995pmid:19255030
5. Jackson C. A TV in the bedroom: implications for viewing habits and risk behaviors during early adolescence. J Broadcast Electron Media. 2008;52(3):349–367
6. Adachi-Mejia AM. Children with a TV in their bedroom at higher risk for being overweight. Int J Obes (Lond).2007;31(4):644–651pmid:16969360
7. Kim JL. Sexual readiness, household policies, and other predictors of adolescents’ exposure to sexual content in mainstream entertainment television. Media Psychol.2006;8(4):449–471
8. Gruber EL.. Private television viewing, parental supervision, and sexual and substance use risk behaviors in adolescents [abstract]. J Adolesc Health.2005;36(2):107

https://www.healthychildren.org/English/news/Pages/Managing-Media-We-Need-a-Plan.aspx
http://pediatrics.aappublications.org/content/132/5/958