We examined characteristics associated with smoking cessation counseling among a national sample of 579 women pediatricians. Fifty-two percent of women pediatricians had received at least some training in cessation counseling and 41% counseled smoking patients at least once per year. Prevalence of counseling increased by amount of training; 20.7% of those with no training counseled at least once per year versus 62.0% of those with extensive training. Pediatricians 50-70 years of age were 1.8 times as likely as those 30-39 years of age to perform frequent counseling (p<0.01). Programs to promote smoking cessation training and counseling among pediatricians are needed.
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References
1.
1. US Department of Health and Human Services. Preventing tobacco use among young people: a report of the Surgeon General. Atlanta, Georgia: US Department of Health and Human Services, Public Health Service, CDC, 1994.
2.
2. CDC. Tobacco use among middle and high school students-United States, 1999. MMWR. 2000;49:49-53.
3.
3. CDC. Incidence of initiation of cigarette smoking-United States, 1965-1996. MMWR. 1998;47:837-840.
4.
4. CDC. Selected cigarette smoking initiation and quitting behaviors among high school students-United States, 1997. MMWR. 1998;47:386-389.
5.
5. American Academy of Pediatrics. Tobacco, alcohol, and other dangerous drugs: the role of the pediatrician in prevention and management of substance abuse. Pediatrics. 1998;101:125-128.
6.
6. US Department of Health and Human Services. Treating Tobacco Use and Dependence Clinical Practice Guideline. Rockville, Maryland: US Department of Health and Human Services, Public Health Service, 2000.
7.
7. Zapka JG, Fletcher K, Pbert L, et al. The perceptions and practices of pediatricians: tobacco intervention. Pediatrics. 1999;103(e5).
8.
8. Franzgrote M, Ellen JM, Millstein SG, Irwin CE. Screening for adolescent smoking among primary care physicians in California. Am JPublic Health. 1997;87:1341-1345.
9.
9. Gregorio DI. Counseling adolescents for smoking prevention: a survey of primary care physicians and dentists. Am JPublic Health. 1994;84:1151-1153.
10.
10. Frankowski BL, Weaver SO, Secker Walker RH. Advising parents to stop smoking: pediatricians' and parents' attitudes. Pediatrics. 1993;91:296-300.
11.
11. Klein JD, Levine LJ, Allan MJ. Delivery of smoking prevention and cessation services to adolescents. Arch Pediatr Adolesc Med.2001;155:597-602.
12.
12. Thorndike AN, Ferris TG, Stafford RS, Rigotti NA. Rates of U.S. physicians counseling adolescents about smoking. J Natl Cancer Inst.1999;91: 1857-1862.
13.
13. Frank E, Winkelby MA, Altman DG, et al. Predictors of physicians' smoking cessation advice. JAMA. 1991;266: 3139-3144.
14.
14. Green LW, Eriksen MP, Schor EL. Preventive practices by physicians: behavioral determinants and potential interventions. Am J Prev Med.1988;4:101-107.
15.
15. Cheng TL, De Witt TG, Savageau JA, O'Connor KG. Determinants of counseling in primary care pediatric practice. Arch Pediatr Adolesc Med.1999;153:629-635.
16.
16. Keletke PR, Marder WD, Silberger AB. The growing proportion of female physicians: implication for US physician supply. Am J Public Health. 1990;80:300-304.
17.
17. Frank E. The Women Physicians' Health Study: background, objectives, and methods. J Am Med Wom Assoc.1995;50:64-66.
18.
18. Frank E, Brogan DJ, Mokdad AH, et al. Health-related behaviors of women physicians vs other women in the United States. Arch Intern Med.1998;158:342-348.
19.
19. Frank E, Rothenberg R, Brown WV, Maibach H. Basic demographic and professional characteristics of US women physicians. West J Med.1997;166:179-184.
20.
20. Frank E, Rothenberg R, Lewis C, Fielding B. Correlates of physicians' prevention-related practices: finding from the Women Physicians' Health Study. Arch Fam Med.2000;9:359-367.
21.
21. Shah BV. Software for survey data analysis (SUDAAN) version (7.0) (software documentation). Research Triangle Park, NC: Research Triangle Institute; 1989.
22.
22. Kleinbaum DG, Kupper LL, Morgenstern H. Epidemiologic research: principles and quantitative methods. Belmont, CA: Lifetime Learning Publications; 1982.
23.
23. Halpern-Felsher BL, Ozer EM, Millstein SG, et al. Preventive services in a health maintenance organization. Arch Pediatr Adoles Med.2000;154:173-179.
24.
24. Roter DL, Russell NK, Validity of physician self-report in tracking patient education objectives. Health Educ Q.1994;21:27-38.
25.
25. Cummings SR, Coates TJ, Richard RJ, et al. Training physicians in counseling about smoking cessation: a randomized trial of the “Quit for Life” program. Ann Intern Med.1989;110:640-667.
26.
26. Frank E, Meacham L. Characteristics of women pediatricians. Clin Pediatr (Phila). 2001;40:17-26.
27.
27. Bernzweig J, Takayamaj I, Phibbs C, et al. Gender differences in physicianpatient communications. Arch Pediatr Adolesc Med.1997;151:586-591.
28.
28. Barnsley J, Williams AP, Cockerill R, Tanner J. Physician characteristics and the physician-patient relationship: impact of sex, year of graduation, and specialty. Can Family Physician. 1999;45:935-942.
29.
29. Kluger CZ, Morrison JA, Daniels SR. Preventive practices for adult cardiovascular disease in children. J Fam Pract.1991;33:65-72.
30.
30. American Medical Association. Guidelines for Adolescent Preventive Services (GAPS). http://www.amaassn.org/ama/pub/category/1980.html. Accessed December 12, 2001.
31.
31. Department of Health and Human Services. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 2nd ed.Green M, Palfrey J, eds. http://www.brightfutures.org/. Accessed December 12, 2001.
32.
32. Heyman RB. Tobacco: prevention and cessation strategies. Adolescent Health Update. 1997:9. http://www.aap.orgiadvocacy/chmahu.htm. Accessed December 12, 2001.
33.
33. Hurt RD, Croghan GA, Beede SD, et al. Nicotine patch therapy in 101 adolescent smokers: efficacy, withdrawal symptom relief, and carbon monoxide and plasma cotinine levels. Arch Pediatr Adolesc Med.2000;154;31-37.
34.
34. Lando HA, Hatsukami DK. Low rates of physicians counseling adolescents about smoking: a critical wake-up call. JNatl Cancer Inst.1999;91:1795-1796.
35.
35. Center for the Advancement of Health. http://wwvzw.cfah.org. Accessed December 12, 2001.
