Emara Nabi-Burza1, Jonathan P Winickoff, Stacia Finch, Susan Regan. 1. Center for Child and Adolescent Health Research and Policy, Massachusetts General Hospital for Children, Boston, Massachusetts. Electronic address: emaranburza@gmail.com.
Abstract
BACKGROUND: American Academy of Pediatrics policy recommends that pediatricians document environmental tobacco smoke (ETS) exposure of a child at every visit. The extent to which pediatricians adhere to this policy, however, is unknown. PURPOSE: The goal of the study was to examine the extent to which pediatricians screen parents for tobacco use and home- and car-related smoking rules. Further, the potential association between factors associated with pediatrician inquiry into parental tobacco use and rules is examined. METHODS: Post-visit exit interviews were conducted in ten pediatric practices between June 2009 and March 2011 with parents whose children had been seen by a healthcare provider. Parents were considered to have been given the "triple tobacco screen" if they reported being asked by a pediatric healthcare provider about their smoking behavior, smokefree home rules, and smokefree car rules. Bivariate analysis and multivariable logistic regression was done to explore factors associated with parents being given any component of the triple tobacco screening. Data were analyzed between March 2012 and February 2013. RESULTS: Of 9145 parents interviewed, 20% of the parents reported being asked at least one question from the triple tobacco screen, and only 9% reported being asked all three questions. Overall, 17% of parents reported being asked about their smoking status, 16% about smokefree home rules, and 11% about smokefree car rules. Few smoking parents (23%) and fewer nonsmoking parents (19%) were screened about their tobacco use and behavior. CONCLUSIONS: Pediatricians infrequently addressed ETS exposure of children among parents who do and do not smoke. Substantial missed opportunities may exist to counsel smokers and reduce ETS exposure of children in the most common exposure locations-the home and car.
BACKGROUND: American Academy of Pediatrics policy recommends that pediatricians document environmental tobacco smoke (ETS) exposure of a child at every visit. The extent to which pediatricians adhere to this policy, however, is unknown. PURPOSE: The goal of the study was to examine the extent to which pediatricians screen parents for tobacco use and home- and car-related smoking rules. Further, the potential association between factors associated with pediatrician inquiry into parental tobacco use and rules is examined. METHODS: Post-visit exit interviews were conducted in ten pediatric practices between June 2009 and March 2011 with parents whose children had been seen by a healthcare provider. Parents were considered to have been given the "triple tobacco screen" if they reported being asked by a pediatric healthcare provider about their smoking behavior, smokefree home rules, and smokefree car rules. Bivariate analysis and multivariable logistic regression was done to explore factors associated with parents being given any component of the triple tobacco screening. Data were analyzed between March 2012 and February 2013. RESULTS: Of 9145 parents interviewed, 20% of the parents reported being asked at least one question from the triple tobacco screen, and only 9% reported being asked all three questions. Overall, 17% of parents reported being asked about their smoking status, 16% about smokefree home rules, and 11% about smokefree car rules. Few smoking parents (23%) and fewer nonsmoking parents (19%) were screened about their tobacco use and behavior. CONCLUSIONS: Pediatricians infrequently addressed ETS exposure of children among parents who do and do not smoke. Substantial missed opportunities may exist to counsel smokers and reduce ETS exposure of children in the most common exposure locations-the home and car.
Authors: Jonathan P Winickoff; Anna B Berkowitz; Katie Brooks; Susanne E Tanski; Alan Geller; Carey Thomson; Harry A Lando; Susan Curry; Myra Muramoto; Alexander V Prokhorov; Dana Best; Michael Weitzman; Lori Pbert Journal: Pediatrics Date: 2005-03 Impact factor: 7.124
Authors: Jonathan P Winickoff; Valerie J Hillis; Judith S Palfrey; James M Perrin; Nancy A Rigotti Journal: Pediatrics Date: 2003-01 Impact factor: 7.124
Authors: Stacia A Finch; Richard Wasserman; Emara Nabi-Burza; Bethany Hipple; Robert Oldendick; Jonathan P Winickoff Journal: Ann Fam Med Date: 2015-09 Impact factor: 5.166
Authors: Emara Nabi-Burza; Jonathan P Winickoff; Jeremy E Drehmer; Julie A Gorzkowski; Jonathan D Klein; Douglas E Levy; Deborah J Ossip; Susan Regan; Nancy A Rigotti; Bethany Hipple Walters Journal: Transl Behav Med Date: 2020-10-08 Impact factor: 3.046
Authors: Janelle Dempsey; Susan Regan; Jeremy E Drehmer; Stacia Finch; Bethany Hipple; Jonathan D Klein; Sybil Murphy; Emara Nabi-Burza; Deborah Ossip; Heide Woo; Jonathan P Winickoff Journal: Acad Pediatr Date: 2015 Jan-Feb Impact factor: 3.107
Authors: Jeremy E Drehmer; Deborah J Ossip; Emara Nabi-Burza; Bethany Hipple Walters; Julie A Gorzkowski; Jonathan P Winickoff Journal: Nicotine Tob Res Date: 2020-03-16 Impact factor: 4.244
Authors: Emara Nabi-Burza; Richard Wasserman; Jeremy E Drehmer; Bethany Hipple Walters; Mandy Luo; Deborah Ossip; Jonathan P Winickoff Journal: J Smok Cessat Date: 2021-05-17