Editorial |

The Old "Ounce of Prevention"

Richard B. Heyman, MD
Arch Pediatr Adolesc Med. 1998;152(10):943-944. doi:10.1001/archpedi.152.10.943.
Text Size: A A A
Published online


THE ARTICLE by Belcher and Shinitzky in this month's ARCHIVES is important if for no other reason than that it occupies a prominent place in a prominent pediatric journal. It validates the position taken by the American Academy of Pediatrics that pediatricians have an important role to play in the prevention, identification, and treatment of substance abuse in childhood and adolescence.

Richard Heyman, MD

The authors make important points regarding risk factors in assessing a young person's likelihood of using tobacco, alcohol, and other drugs. They correctly point out the well-validated theory of the clustering of risk behaviors and note that school failure, trouble with the law, premature sexual activity and parenthood, and mental health disorders go hand in glove with the decision to take up the drug-using lifestyle. They allude to other risk factors including poor self-esteem, lack of religious commitment, and family dysfunction and abuse, and note that certain temperaments (such as moodiness, rebelliousness, and negativity) are associated with the choice to use tobacco, alcohol, and other drugs.

Figures in this Article



Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption

Richard Heyman, MD

Graphic Jump Location




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles