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eLetters: Cigarettes may be pre-empting children's food
In response to: Child hunger in Canada: results of the 1994 National Longitudinal Survey of Children and Youth

Bruce Leistikow
Email: leistikow@oem.ucdavis.edu
Affiliation: Associate Adjunct Professor, Epidemiology and Preventive Medicine, University of California, Davis
Posted on: December 15, 2000


McIntyre's recent article<1> provides overlooked evidence supporting the Philip Morris scientist/tobacco-industry precept that "the cigarette will pre-empt even food in time of scarcity on the smokers' priority list."<2> In fact, McIntyre's article shows that Canada's hungry children are 2.3 (=49*70/(51*30)) times more likely than non-hungry children to have a daily smoking primary caregiver.

Canada's frequently hungry children are up to six (=72.2*70.3/(27.8*29.7)) times more likely than non-hungry children to have a daily smoking parent, if occasional smokers represent few of the smoking primary caregivers with frequently hungry children. This is possible if daily smoking caregivers smoke more than occasional smokers and thereby a) have less money for feeding dependent children and b) become disabled and unable to gain jobs, income, or food for dependent children.<3>

If causal, the above associations may account for large portions of child hunger in Canada. Daily smoking alone may account for 24% of all, and up to 56% of frequent, child hunger in Canada, assuming a 25% prevalence of daily smoking among Canada's primary caregivers.

Thus the tobacco industry and their political, commercial, and stockholder supporters may cause much of child hunger in Canada. Comprehensive tobacco control programs might reduce child hunger. McIntyre could evaluate that by entering occasional and daily smoking into analyses as candidate preventable causes of occasional and frequent child hunger. The analyses should consider that smoking may contribute to child hunger through smoking-attributable caregiver depression,<4> ill-health, and death;<5> child ill-health; and possibly divorce,<6> job-hunting (involuntary job loss<7>), and needs for social assistance due to disability<3> or job loss<7> from smoking.

1. McIntyre L, Connor SK, Warren J. Child hunger in Canada: results of the 1994 National Longitudinal Survey of Children and Youth. CMAJ 2000;163(8):961-5.
2. Davis R, Chapman S. Snippets from industry documents. Tob Control 1998;7:304-9.
3. Nusselder WJ, Looman CWN, Mheen PJM-vd, Mheen Hvd, Mackenbach JP. Smoking and the compression of morbidity. J Epidemiol Community Health 2000;54:566-74.
4. Goodman E, Capitman J. Depressive symptoms and cigarette smoking among teens. Pediatrics 2000;106(4):748-755.
5. Leistikow BN, Martin DC, Milano CE. Estimates of smoking-attributable deaths at ages 15-54, motherless or fatherless youths, and resulting Social Security costs in the United States in 1994. Prev Med 2000;30(5):353-60.
6. Fu H, Goldman N. The association between health-related behaviours and the risk of divorce in the USA. J Biosoc Sci 2000;32(1):63-88.
7. Ryan J, Zwerling C, Orav EJ. Occupational risks associated with cigarette smoking: a prospective study. Am J Public Health 1992;82(1):29-32.

 

 

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