Tobacco Use: An Introduction

It can be difficult talking to your kids about risk behaviors like tobacco use, and it’s easy to feel as if your words don’t make a difference. But, in fact, you are a very influential factor in your children’s decision-making process—sometimes even more so than their friends. That’s why it’s so important to start talking about tobacco use while your kids are young, to tailor your approach to their stage of development, and to continue the conversation throughout their adolescence.

Did You Know?

  • Smoking is the leading cause of preventable death and disease in the United States.1 In fact, it has been estimated that more Americans die from cigarette-related illnesses than from alcohol, car accidents, suicide, AIDS, homicide, and illegal drugs combined.2
  • Nearly 23 percent of high school students report having smoked a cigarette in the last month.
  • Almost one in six high school students say they smoked a cigarette before the age of 13.3
  • Each day, more than 2,000 adolescents become smokers.4
  • Teens who talk to their parents first when they have serious problems are less likely to become regular smokers.5

While it can be tough to start the conversation, open communication is the key to making sure your children make smart choices about tobacco use and other risk behaviors. By starting early, you can help lay the foundation that will help your child develop the resistance skills needed for staying smoke-free.

Frequent Questions and Concerns about Tobacco Use

Find answers to frequent questions and concerns about underage tobacco use.

Talking to Your Kids about Smoking

Bringing up the topic of smoking can be tough, especially for parents who smoke.

If Your Child Smokes

It can be very upsetting finding out that your child has been smoking, and you may be tempted to confront your son or daughter angrily.

Peer Pressure and Tobacco Use

No matter how old your children are, peer pressure is an important factor in their decision-making process.

The Effects of Smoking

Although the negative effects of smoking are well documented, many people are not aware of them.

Stay Involved and Informed

One of the most important things you can do to help your children be tobacco-free is to stay involved in their lives.

For Parents Who Smoke

It can be especially difficult to talk to your kids about smoking if you smoke—you may feel like you’re being hypocritical or that your words won’t be effective at all. But don’t let that stop you.

Tobacco Use: Summary and Next Steps

Whether or not you are a smoker, you want to keep your kids from using tobacco.

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1. National Center for Health Statistics, Health, United States, 2004 (DHHS Publication No. 2004-1232) (Hyattsville, MD, 2004).

2. Ali Mokhad and others, “Actual Causes of Death in the United States 2000,” JAMA 291 no. 10 (2004): 1238-1245.

3. Centers for Disease Control and Prevention, 2005 Youth Risk Behavior Survey Results (2005).

4. Substance Abuse and Mental Health Services Administration, Results from the 2002 National Survey on Drug Use and Health: National Findings (DHHS Publication No. SMA 03–3836) (Rockville, MD: Substance Abuse and Mental Health Services Administration, 2003).

5. Janet Distefan and others, “Parental Influences Predict Adolescent Smoking in the United States, 1989-1993,” Journal of Adolescent Health 22, no. 6 (1998): 466-474.

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This is great information.