How well does the health history form identify adolescent smokers?
How well does the health history form identify adolescent smokers?
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DOI：
10.14219/jada.archive.2005.0315
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发表时间：
2005-08-01
影响因子：
3.9
通讯作者：
Lando, H
中科院分区：
文献类型：
--
作者：
Hennrikus, D;Rindal, DB;Lando, H
背景。本研究检验了青少年在牙科诊所填写的健康史表格上报告吸烟情况的准确性，以及这些报告与牙科专业人员提供的戒烟建议之间的关系。方法。作者将电话采访期间青少年提供的吸烟状况报告与牙科就诊期间填写的健康史表上的吸烟报告进行了比较。计划在大型管理式医疗系统中进行牙齿卫生就诊的 14 至 17 岁青少年有资格参加这项研究：1,162 名青少年完成了电话采访，研究人员审核了其中分层随机样本 (n = 280) 的图表。结果。健康史表仅识别出在电话采访中报告过去 30 天内吸烟的人的 38.0%，以及 57.4% 的人。据报告每天吸烟。在所有受访者中，只有 8.9% 的人表示牙医或牙科保健员曾与他们谈论过吸烟问题。对图表审计样本的检查表明，在健康史表上自称为吸烟者的青少年更常报告建议（比值比 = 2.62，05% 置信区间 1.35 至 5.10），但报告的接受建议率仍然很低（25%）。青少年在健康史表格上低估了烟草使用情况，要求他们具体说明是否使用烟草制品。牙医和牙科工作人员提供有关烟草使用的建议。对青少年仅有罕见的临床影响。健康史表格上烟草使用筛查问题的措辞以及填写表格的条件可能会影响青少年提供的信息的准确性。
Background. This study examines the accuracy of adolescents' reports of tobacco use on a health history form completed in the dental office and the relationship between these reports and cessation advice provided by dental professionals.Methods. The authors compared reports of smoking status provided by adolescents during phone interviews with the adolescents re ports of smoking on a health history form completed during a dental visit. Adolescents aged between 14 and 17 years who were scheduled for a dental hygiene visit in a large managed care system were eligible for the study: 1,162 completed the phone interview, and the study staff members audited the charts of a stratified random sample (n = 280) of these.Results. The health history form identified only 38.0 percent of those who reported having smoked in the previous 30 days during the phone interview and 57.4 per cent of those. who reported having smoked daily. Only 8.9 percent of all subjects interviewed reported that a dentist or a dental hygienist had ever talked with them about smoking. An examination of the chart audit sample indicated that advice was reported more often by adolescents who had identified themselves as smokers on the health history form (odds ratio = 2.62, 05 percent confidence interval 1.35 to 5.10), but the reported rate of receiving advice still was low (25 percent). Adolescents underreportConclusions tobacco use on health history forms that ask them to specify whether they use tobacco products. Dentists and dental staff members provide advice about tobacco use. to adolescents only infrequentClinical Implications. The wording of tobacco-use screening questions on health history forms and the conditions under which the forms are completed might affect the accuracy of the information adolescents provide.