Pediatricians' practices and attitudes about environmental tobacco smoke and parental smoking
Pediatricians' practices and attitudes about environmental tobacco smoke and parental smoking
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DOI：
10.1016/j.jpeds.2007.01.006
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发表时间：
2007-05-01
影响因子：
5.1
通讯作者：
Bryant-Stephens, Tyra
中科院分区：
文献类型：
--
作者：
Collins, Bradley N.;Levin, Kenneth P.;Bryant-Stephens, Tyra
目的 评估儿科住院医师和导师减少环境烟草烟雾 (ETS) 的实践和态度，为住院医师烟草干预培训的发展提供信息。研究设计 某教学医院的儿科医生匿名完成了一项 65 项调查。结果 住院医师和导师 (n = 93) 的 ETS 行动总体相似。儿科医生在不同的治疗环境和治疗不同的 ETS 相关疾病时的干预不一致（例如，60% 的儿科医生“总是”在哮喘就诊期间进行评估，13% 在中耳炎就诊期间进行评估）。不到 50% 的人“总是”解释 ETS 对吸烟父母的风险，不到 33% 的人“总是”建议创建无烟家庭。大多数儿科医生对吸烟的父母持负面态度；然而，态度与行动无关。最常提到的 ETS 行动障碍是缺乏时间和对有效性缺乏信心。结论 了解 ETS 干预的障碍可以促进跨学科 (TD) 培训和干预方法，从而有效促进儿科医生的建议，同时减轻强化吸烟干预的时间负担。 ETS 干预培训应增强儿科医生的信心以及 TD 与附属卫生专业人员的关系，这些专业人员可以促进维持吸烟行为改变所需的干预、转诊和后续行动。
Objective To assess pediatric resident and preceptor environmental tobacco smoke (ETS)-reduction practices and attitudes to inform the development of resident tobacco intervention training.Study design Pediatricians in a teaching hospital anonymously completed a 65-item survey.Results Residents' and preceptors' (n = 93) ETS actions were generally similar. Pediatricians inconsistently intervened across treatment settings and when treating different ETS-related illnesses (eg, 60% "always" assessed during asthma visits, 13% during otitis visits). Less than 50% "always" explained ETS risks to smoking parents and less than 33% "always" advised about creating smoke-free homes. Most pediatricians reported negative attitudes toward smoking parents; however, attitudes were not related to actions. Most frequently cited barriers to ETS action were lack of time and low confidence in effectiveness.Conclusion Understanding barriers to ETS intervention could promote transdisciplinary (TD) training and intervention approaches that effectively promote pediatrician advice while offloading the time burden of intensive smoking intervention. ETS intervention training should foster pediatrician confidence and TD relationships with affiliated health professionals who could facilitate intervention, referral, and follow-up necessary to sustain smoking behavior change.