Physicians' Counseling of Adolescents Regarding E-Cigarette Use
Physicians' Counseling of Adolescents Regarding E-Cigarette Use
复制标题
DOI：
10.1016/j.jadohealth.2015.06.017
复制
发表时间：
2015-12-01
影响因子：
7.6
通讯作者：
Brewer, Noel T.
中科院分区：
文献类型：
--
作者：
Pepper, Jessica K.;Gilkey, Melissa B.;Brewer, Noel T.
目的：电子烟（e-cigarette）的使用现在超过了美国青少年中传统香烟的使用。鉴于医生在预防青少年危险行为方面的重要作用，我们试图了解医生在为青少年患者及其父母提供咨询时如何就电子烟进行沟通。我们还探讨了医生对旨在阻止青少年使用电子烟的法规的支持。方法：美国全国776名为青少年患者提供初级保健的儿科医生和家庭医学医生的样本在2014年春季完成了一项在线调查。许多医生（41%）如果被问到，会告诉他们的病人，电子烟的危害比香烟小，相当少的人（24%）会建议青少年使用电子烟戒烟。大多数医生报告常规筛查青少年患者吸烟，但很少有常规筛查电子烟使用（86%对14%; p < .001）。避免吸烟的常规咨询同样比避免使用电子烟更常见（79%对18%; p < .001）。对政府监管电子烟的支持率很高，91%的医生赞同防止未成年人购买电子烟的政策。结论：医生很少对青少年患者进行电子烟使用的筛查或咨询，尽管电子烟经常在访问期间出现。医生的额外努力可能有助于防止青少年未来使用。推荐电子烟作为青少年患者的戒烟辅助手段是不可取的，因为缺乏证据表明该人群的有效性。由于联邦对电子烟的监管仍悬而未决，儿科医生和家庭医学医生可以提供强有力的声音，为旨在减少青少年使用的法规提供信息。(C)2015年青少年健康和医学协会。All rights reserved.
Purpose: Electronic cigarette (e-cigarette) use now surpasses the use of conventional cigarettes among U.S. adolescents. Given the important role of physicians in preventing adolescent risk behaviors, we sought to understand how physicians communicate about e-cigarettes when counseling adolescent patients and their parents. We also explored physicians' support for regulations aimed at discouraging adolescents' e-cigarette use.Methods: A national U.S. sample of 776 pediatricians and family medicine physicians who provide primary care to adolescent patients completed an online survey in Spring 2014.Results: Many physicians (41%) would, if asked, tell their patients that e-cigarettes are less harmful than cigarettes, and a substantial minority (24%) would recommend e-cigarettes to adolescents for smoking cessation. Most physicians reported routinely screening adolescent patients for cigarette smoking but few routinely screened for e-cigarette use (86% vs. 14%; p < .001). Routine counseling was similarly more common for avoiding cigarette smoking than for avoiding e-cigarette use (79% vs. 18%; p < .001). Support for government regulation of e-cigarettes was high, with 91% of physicians endorsing policies that prevent minors from buying e-cigarettes.Conclusions: Physicians infrequently screen or counsel their adolescent patients about e-cigarette use, although e-cigarettes often come up during visits. Additional efforts by physicians could help prevent future use by adolescents. Recommending e-cigarettes as a smoking cessation aid to adolescent patients is inadvisable given the lack of evidence for efficacy in that population. As federal regulation of e-cigarettes remains in limbo, pediatricians and family medicine physicians can offer a powerful voice for informing regulations aimed at reducing use by adolescents. (C) 2015 Society for Adolescent Health and Medicine. All rights reserved.