
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
- Iron deficiency anemia was present in 1.2% of white children,
3.5% of black children, and 5.5% of Mexican-American children.
- The prevalence of iron deficiency anemia was 3.8% among children
bottle fed for 12 months or less, 11.5% among those bottle fed for
13-23 months, and 12.4% among those bottle fed for 24-48 months.
- Among children of Mexican-American ethnicity who were bottle fed
for more than 12 months, the prevalence of iron deficiency anemia was
18.5%, vs. 3.3% among children with neither of these two risk factors.
- Most children were bottle fed for less than 23 months; however,
at 24-48 months, 36.8% of Mexican-American children were still being
bottle fed, compared with 16.9% of white and 13.8% of black children.
- Mexican-American children were three times more likely to have
iron deficiency compared with white children, and children bottle fed
for more than 24 months were almost three times as likely to have iron
deficiency compared with children bottle fed for 12 months or less.
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 concept of flavored cigarettes as a strategy for expanding
the cigarette market has been revisited periodically over many years.
- Internally, the appeal of flavored cigarettes has long been
associated with specific consumer populations, particularly young
smokers and novice smokers.
- Product concepts targeting smokers ages 18-24 include aftertaste,
tobacco satisfaction, and menthol aftertaste and aroma. The product
technologies proposed to address these areas include nonconventional
methods.
- Past research on flavor technology is directly linked to the
development of today's flavored cigarettes.
- A physical examination of the filter confirmed the placement of a
flavor-delivering pellet not visible to the consumer in certain Camel
Exotic Blend cigarettes.
- The review identified few internal evaluations of the new product
technologies used in today's flavored cigarettes.
"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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and
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