Tobacco Documents Online

March 1992, Vol. 82, No. 3 Established 1911 Editorials 341 Wanting Children C.A. Miller 343 Preterm Birth, Intrauterine Growth Retardation, and Perinatal Mortality J. L. Kie~ and M. Susser Public Health Forum 346 to Define "Op lic Policy Decisions E. L. Wynder, J. H. Web, burger., and S. I( Ng ~~ Commentary 351 Snuffing Tobacco Out of Sport G:" N. Connolly, C. T. Orleans, and Ao Blum and Adolescents' 354 Prevalence of Obesity among at Two Major Medical Centers C. M. Tiwary and A. H. Holguin 358 Body Fatness and Risk for Elevated Blood Pressure, Total Cholesterol, and Serum Lipoprotein Ratios in Children and Adolescents D. P. Wi/1/ams, S. B. Going, T. G. Lohman, D. W. Harsha, S. R. Srinivasan, L. S. Webber, and G. S. Berenson 364 Childhood Chronic Illness: Prevalence, Severity, and Impact P. W. Newacheck and W. R. Taylor ~ 372 Reductions in HIV Risk-Associated Sexual Behaviors among Black Male Adolescents: Effects of an AIDS Prevention Intervention J. B. Jemmott III, L. S. Jemmott, and G. T. Fong 378 Birth Weight and Perinatal Mortality: The Effect of Gestational Age A. J. W'dcox and IL Skjcerven z~22 Morbidity among Pediatric Motor Vehicle Crash Victims: The Effectiveness of Seat Belts J. S. Osberg and C. Di Scala 426 Pediatric Gonococeal Infection, Florida, 1984 to 1988 J.-C. A. Desenclos, D. Garrity, and Y. Wroten 429 Evaluation of an Intervention to Reduce Playground Hazards in Atlanta Child-Care Centers J. J. Sacks, 34. D. Brantley, P. Holmgreen, and t~ W. Rochat 432 Air Quality during the Winter in Qu6bec Day-Care Centers S. Daneault, M. Beausolei~ and I<L Messing 435 Infant Mortality, Per Capita Income, and Adult Illiteracy: An Ecological Approach R. Tresserras, J. Canela, J. Alvare~ Y. Sen#s, and L. Salleras 438 Which Newboms in New York City Are at Risk for Special Education Placement? D. Goldberg, M. McLaughlin, M. Gross~ A. Tytun, and S. Blum 44i The Lowest Birth-Weight Infants and the US Infant Mortality Rate: NCHS 1983 Linked Birth/Infant Death Data M. D. Overpeck, H. J. Hoffman, and K. Prager 445 An Epidemiological Comparison of Mexican-American and White Non-Hispanic 8th- and 12th-Grade Students' Substance Use E. L. Chavez and t~ C. Swaim (continued page 331)

Co entary Snuffing colleagues report on ~e use of oral smokeless tobacco (i;e.~ Snuff or che~dng Theauthors found that use may not seri- ously increase risks *i~rcardiovasculardis- ease, at least not in the short run and not among physically N professiowal athletes, many of whom chew o~ly while in uni- form. Other smaller studies suggeN that the use of smokeless tobacco ~rries arisk Of deve cardiovascular dippers and chewers. (and role models} use smokeless tobacco, most of them the moist sm~ff cancer causing chemicals saminesY This is unprecedented in tory of basebal| and the nation° this cohorL No ptayer should consider cer risks. Babe Rmh smoked cigars~ chewed t0bacvo, and consumed a}cohol during most of his illustrious career. He ived addict~om more ting than.players who ~is sNft m ad~ tobacc 98O mond. ~is custom started a century ago when players chewed tobacco to keep Pitcher Nolan Ryan e.sfimams that when he ioined the major leagues 20 years ago perhaps a third of the players smoked cig- areues, a l?w on each ~eam still chewed tobacco, but none dipped snufl:J ~ During the 1980s smoking amonglhe p~ayers dra- matically declined, as did the use of chew- win free samples of dip coming , the clubhouse,~" Ryan says. ~ ~ Of major concern is the fact that the greatest cancer risks amd most severe oral pathology (oral leukopl~a and gum re- cession) o~ur ~ong sn~ @~ rather than toba~ chewem2 Caner risks r:Ne when ~uff dipping is combine~ wit~ by carefu!!y seUs Depar*mem of P~b/ic Healtl~. 150 Tre momStre~t. Bostom MA02111. Edi~taS Nate~ See rdated article by Siege~ el aL on page ~7 of INs issue.

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a Dead Omaha and ars. the Amer- pubr~c education campaigns. At a mini- mum they should not use tobacc~ pub- the American Acad- the American Public and the American should to the sponsorship of sporting events. Free s~plmg, the spono : use of smokeless Physicians. as recorded by.. -3 use of illic tO public heal~ commmnity has a of against the back- drop and thfiI! of athletic victory. AAI of this must end. C] o{ Moore the com~