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AAP Substance Abuse & Media Oct. 2010

Profile image of Vic StrasburgerVic Strasburger
https://doi.org/10.1542/PEDS.2010-1635
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Abstract

The causes of adolescent substance use are multifactorial, but the media can play a key role. Tobacco and alcohol represent the 2 most significant drug threats to adolescents. More than $22 billion per year is spent on advertising for tobacco, alcohol, and prescription drugs, and such advertising has been shown to be effective. Digital media are increasingly being used to advertise drugs. In addition, exposure to PG-13-and R-rated movies at an early age may be a major factor in the onset of adolescent tobacco and alcohol use. The American Academy of Pediatrics recommends a ban on all tobacco advertising in all media, limitations on alcohol advertising, avoiding exposure of young children to substance-related (tobacco, alcohol, prescription drugs, illegal drugs) content on television and in PG-13-and R-rated movies, incorporating the topic of advertising and media into all substance abuseprevention programs, and implementing media education programs in the classroom. Pediatrics 2010;126:791-799 ADOLESCENT DRUG USE Although illegal drugs take their toll on American society, 2 legal drugs-alcohol and tobacco-pose perhaps the greatest danger to children and teenagers. Both represent significant gateway drugs and are among the earliest drugs used by children or teenagers. A preadolescent or adolescent who smokes tobacco or drinks alcohol is 65 times more likely to use marijuana, for example, than someone who abstains. 4 The younger the age at which experimentation occurs, the greater the risk of serious health problems. 5 Every year, more than 400 000 Americans die from illnesses directly related to cigarette use-more than from AIDS, car crashes, murder, and suicide combined. 6 More than 100 000 deaths annually can be attributed to exces-THE COUNCIL ON COMMUNICATIONS AND MEDIA KEY WORDS adolescence, substance use, alcohol, tobacco, cigarettes, illicit drugs, TV, movies, Internet This document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors. All authors have filed conflict of interest statements with the American Academy of Pediatrics. Any conflicts have been resolved through a process approved by the Board of Directors. The American Academy of Pediatrics has neither solicited nor accepted any commercial involvement in the development of the content of this publication.

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