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Updated August 15, 2001
When kids start smoking

Ask Dr. Bill

Dear Dr. Bill,
My son will be eleven years old and entering middle school this September. Several times this summer, I have smelled tobacco on his clothing and occasionally on his breath. (I don't smoke myself. I hate the smell of it.) When I faced him with this, he has denied that he was smoking, telling me that some of his friends have started and, because he is with them a lot, the smell must have gotten on his clothes. Isn't this awfully young?

Rutherford Mom

Dear Rutherford Mom,
According to a November 2000 article by the National Center for Tobacco-Free Kids, the peak years for first trying to smoke appear to be in the sixth and seventh grades, or between the ages of 11 and 12, with a considerable number starting even earlier. Yes, eleven years old is awfully young; but not too young to be lured into addiction by the killer tobacco industry.

Lifetime smoking and other tobacco use almost always begins before high school. Young kids' naïve experimentation frequently develops into regular smoking, which typically turns into a strong addiction -- well before the age of 18-- that can overpower the most well-intentioned efforts to quit. Accordingly, any efforts to decrease future smoking levels among high school students, college-aged youths, or adults need to include a focus on reducing experimentation and regular smoking among teenagers and even pre-teens, as well. Delaying the age when kids first experiment with cigarettes can also reduce the risk that they become regular or daily smokers and increase their chances of successfully quitting if they do begin regular smoking.

Over a third of all kids who ever try smoking a cigarette become regular, daily smokers before leaving high school. The addiction rate for smoking (the percentage of experimenters who ultimately become habitual users) is higher than the addiction rates for marijuana, alcohol, or cocaine. Moreover, a September 2000 study found that symptoms of addiction -- such as having strong urges to smoke, feeling anxious or irritable, or having unsuccessfully tried to not smoke -- can appear in young kids within weeks or only days after occasional smoking first begins, and well before daily smoking has even started.

This addictive power of cigarettes explains the findings of a Monitoring the Future survey reporting that approximately nine percent of eighth graders and 18 percent of tenth graders had already become regular daily smokers -- and four percent of the eighth graders had become regular daily smokers before leaving the sixth grade. In the twelfth grade, over a third of all students have smoked in the past 30 days, and about a quarter are regular, daily smokers. Smoking rates among kids who drop out of high school are even higher. To look at it another way, every day more than 6,000 kids under 18 try smoking for the first time, and another 3,000 kids who have already experimented with cigarettes become new regular daily smokers. Overall, more than 80 percent of all adult smokers first become regular smokers before the age of 18 and almost 90 percent do so before leaving their teens. Although some kids who become regular smokers quit before leaving high school, almost three out of every four regular smokers in high school have already tried to quit but failed. At any given time, fewer than one in seven high school smokers have even been able to successfully stop smoking for just 30 days or more. While only three percent of daily smokers in high school think that they will still be smoking at all in five years, over 60 percent are still regular daily smokers seven to nine years later.

Rutherford Mom, I suggest that you find out who your son's friends are... have him bring them to your home to introduce them to you....get to know them. And, absolutely forbid him to smoke.. smell his clothes, smell his breath....whatever. While you still have the clout, use it!!


Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family.

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Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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