Position Statements

SPN defines a position statement as a statement that is relevant within the current healthcare environment. It clearly and succinctly states our position on a controversial or debatable topic.

The following position statements provide a well-thought-out starting point for advocacy around that particular issue. Use these statements to serve as a reference to support your policy at your institution.

SPN produced and endorsed position statements are researched, written and reviewed by pediatric nurses with specialized expertise in the area of concern. All position statements go through committee and Board of Director review at a minimum of every two years.

Tobacco Exposure in Children, Adolescents and Families
Topic: SPN Produced Position Statements
Owner: SPN Headquarters
Date: 2020-04-23


Tobacco exposures, that include personal tobacco use, secondhand smoke or third hand smoke exposures, are highly prevalent, and there is clear evidence linking human health consequences with tobacco exposures.  The U.S. Surgeon General reported scientific evidence demonstrating that there are no safe levels of secondhand smoke exposure, and that tobacco smoke as a known human carcinogen is associated with disease and death in nonsmokers (U.S. Department  of Health and Human Services, 2006;  2010a).  Tobacco smoke exposure is linked to adverse health outcomes, particularly cancer, cardiovascular and pulmonary diseases.  Physiological mechanisms underlying smoking-related diseases include DNA damage, inflammation, and oxidative stress (U.S. Department of Health and Human Services, 2006; 2010a).  The primary addictive component of tobacco is nicotine.  Repeated nicotine exposures become associated with daily environmental cues, producing long term changes in dopaminergic signals in the reward/reinforcement brain centers and eventually resulting in addiction (Das, Cherbuin, Anstey, Sachdev, & Easteal, 2012; Siqueira & American Academy of Pediatrics Committee on Substance Use and Prevention, 2017). 

Last Update:4/2020

Reviewed by:

Anne Turner-Henson, PhD, RN, FAAN
SPN Position Statement Task Force 

Approved By:

SPN Board of Directors: 4/22/2020

Download File   SPN Tobacco Exposure Position Statement.pdf




 SPN Endorsed Position Statements