MCH Alert


Maternal and Child Health Library

This and past issues of the MCH Alert are available at http://www.mchlibrary.info/alert/archives.html.


November 23, 2005

1. Surgeon General Releases Web-Based Family Health History Tool
2. Authors Investigate Associations Between Iron Deficiency Anemia, Prolonged Bottle Feeding, and Race/Ethnicity in Young Children
3. Study Examines Research and Patents on New Cigarettes with Flavors that Appeal to Youth

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1. SURGEON GENERAL RELEASES WEB-BASED FAMILY HEALTH HISTORY TOOL

My Family Health Portrait is a Web-based tool designed to help families gather and share their health information. The tool, released as part of the U.S. Surgeon General's Family Health Initiative, organizes information into a printout that an individual can use, in partnership with a health professional, to determine whether he or she is at increased risk for six common diseases with a known genetic contribution, and for other conditions that may run in families. Users can highlight certain diseases, such as heart disease or diabetes, and produce personalized diagrams or charts for each family member that can then be used to develop individualized diagnosis, treatment, and prevention plans. The tool is intended for use by individuals, families, and health professionals in understanding the importance of collecting a family health history and in making the process of gathering the information easier and more efficient. The tool is available in both English and Spanish at https://familyhistory.hhs.gov.

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2. AUTHORS INVESTIGATE ASSOCIATIONS BETWEEN IRON DEFICIENCY ANEMIA, PROLONGED BOTTLE FEEDING, AND RACE/ETHNICITY IN YOUNG CHILDREN

"Both prolonged bottle-feeding and Mexican American ethnicity are associated with iron deficiency," state the authors of an article published in the November 2005 issue of Archives of Pediatric & Adolescent Medicine. Iron deficiency anemia in infancy and early childhood is associated with behavioral and cognitive delays and is the most common nutritional deficiency in early childhood. The objective of the study described in this article was to examine the association between prolonged bottle feeding and iron deficiency anemia among children ages 1-3.

The data source used for the study was the NHANES III, a large-scale national survey conducted by the National Center for Health Statistics. The prevalence of iron deficiency anemia and the duration of bottle feeding were determined for children (ages 1-3) from three major racial/ethnic groups (black, white, and Mexican American). Analyses were performed to determine the association between bottle feeding duration and iron deficiency anemia.

The authors found that
The mechanism through which prolonged bottle feeding is associated with iron deficiency may be the consumption of large volumes of non-iron-fortified cow's milk or juices resulting in the displacement of iron-rich foods from the diet. The authors conclude that "screening and counseling practices should be modified to address the increased risk of iron deficiency among children with prolonged bottle feeding." They continue, "Clinicians . . . should be aware of the high prevalence of both prolonged bottled feeding and iron deficiency among Mexican American toddlers."

Brotanek JM, Halterman JS, Auinger P, et al. 2005. Iron deficiency, prolonged bottle feeding, and racial/ethnic disparities in young children. Archives of Pediatric & Adolescent Medicine 159(11):1038-1042. Abstract available at http://archpedi.ama-assn.org/cgi/content/abstract/159/11/1038.

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3. STUDY EXAMINES RESEARCH AND PATENTS ON NEW CIGARETTES WITH FLAVORS THAT APPEAL TO YOUTH

"Increased restrictions may be prompting manufacturers to turn to product innovations to attract new smokers. Little is known regarding the delivery characteristics or possible health risks associated with these products," state the authors of an article published in the November/December 2005 issue of Health Affairs. The article presents findings from a review of tobacco industry research on differences in flavor preferences among youth (ages 18-24) and product design and marketing strategies. Information on internal industry research and U.S. patents on new and unconventional flavor delivery systems in cigarettes, as well as on the incorporation of new technology in recent products, is presented, along with policy implications.

The researchers reviewed internal tobacco industry documents via a Web-based search of collections made publicly available through the 1998 Master Settlement Agreement between the state attorneys general and major U.S. tobacco manufacturers (N=120 documents, dated 1969-2001). The U.S. Patent and Trademark Office Web site was used to obtain issued patent awards and published patent applications. The researchers physically examined the filters of various Camel Exotic Blend cigarettes to identify the presence of a flavor-delivery pellet described in internal documents and patents.

The authors found that
"The potential influence of flavored cigarettes initiation might go unrecognized without efforts to increase awareness," state the authors. They conclude that "coordinated public education and community action are needed to inform youth . . . and confront the tobacco industry, especially in the absence of governmental regulation."

Carpenter CM, Wayne GF, Pauly JL, et al. 2005. New cigarette brands with flavors that appeal to youth: Tobacco marketing strategies. Health Affairs 24(6):1601-1610. Abstract available at http://content.healthaffairs.org/cgi/content/full/24/6/1601.

Readers: Information about smoking and tobacco use prevention is available from the MCH Library's annotated bibliography at http://www.mchlibrary.info/action.lasso?-database=Biblio&-layout=Web&-response=/databases/BibLists/bib_smokingprev.html&-MaxRecords=all&-DoScript=auto_search_smokingprev&-search.

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