Smoking cessation and counseling: A mixed methods study of pediatricians and parents.
Smoking cessation and counseling: A mixed methods study of pediatricians and parents.
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DOI：
10.1371/journal.pone.0246231
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Cloutier MM
中科院分区：
文献类型：
--
作者：
Simoneau T;Hollenbach JP;Langton CR;Kuo CL;Cloutier MM
儿科提供者在父母和青少年戒烟方面发挥着重要作用。本研究旨在了解家长戒烟的态度，以及儿科医生提供戒烟辅导的行为、信心与自我效能。从2016年4月至2017年1月，在康涅狄格州使用调查和焦点小组对家庭（n = 1，549）和儿科初级保健临床医生（n = 95）的便利样本进行了混合方法研究。所有受访家庭的吸烟率（香烟或电子烟）为21%。戒烟的兴趣很高（71%），并且没有基于吸烟量，持续时间，居住社区类型（城市，农村等）或种族/民族的差异。例如，与吸烟<10年的参与者相比，吸烟≥20年的参与者对戒烟的兴趣相似（OR = 1.12; 95% CI：0.85-1.48）。90%的受访临床医生至少每年向父母询问他们的吸烟行为，但36%的人没有提供戒烟咨询服务或转介。临床医生几乎总是报告咨询青少年尼古丁和烟草使用的危险（99%），对咨询青少年比父母更有信心（p<0.01），并报告父母和青少年戒烟和预防咨询的自我效能低。93%的临床医生认为电子烟与香烟一样或更危险，但34%的人从未向年轻人提供电子烟的危险性。临床医生经常筛查父母的吸烟行为，但很少提供戒烟咨询，并表示对这项活动的信心不足。临床医生比父母更有信心辅导青少年。临床医生也认识到电子烟的危险，但他们很少就这些危险向年轻人提供咨询。
Pediatric providers play an important role in parental and youth smoking cessation. The goal of this study was to understand smoking cessation attitudes of parents and the behaviors, confidence and self-efficacy of pediatricians related to providing smoking cessation counseling to parents and youth. A mixed methods study was conducted in a convenience sample of families (n = 1,549) and pediatric primary care clinicians (n = 95) in Connecticut using surveys and focus groups from April, 2016 to January, 2017. The smoking rate (cigarettes or electronic cigarettes) among all households surveyed was 21%. Interest in quitting smoking was high (71%) and did not differ based on smoking amount, duration, type of community of residence (urban, rural, etc), or race/ethnicity. For example, compared to participants who smoked for <10 years, those who smoked ≥20 years had a similar interest in quitting (OR = 1.12; 95% CI: 0.85–1.48). Ninety percent of clinicians surveyed asked parents about their smoking behavior at least annually but 36% offered no smoking cessation counseling services or referral. Clinicians almost always reported counseling youth about the dangers of nicotine and tobacco use (99%), were more confident about counseling youth than parents (p<0.01) and reported low self-efficacy about smoking cessation and prevention counseling of parents and youth. Ninety-three percent of clinicians opined that electronic cigarettes were equally or more dangerous than cigarettes but 34% never counseled youth about the dangers of electronic cigarettes. Clinicians frequently screen parents about their smoking behaviors, but rarely provide smoking cessation counseling and express low confidence in this activity. Clinicians are more confident counseling youth than parents. Clinicians also recognize the dangers of electronic cigarettes, yet they infrequently counsel youth about these dangers.
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DOI：
10.1001/jama.2015.8950
发表时间：
2015-08-18
期刊：
JAMA
影响因子：
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作者：
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8
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通讯作者：
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影响因子：
2.4
作者：
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通讯作者：
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作者：
Mannino, DM;Homa, DM;Redd, SC
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Redd, SC