© 2006 Society for Research on Nicotine and Tobacco
Accessing Adult Smokers in the Pediatric Setting: What Do Parents Think?
Department of Pediatrics, Division of General Academic Pediatrics, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine
Department of Psychiatry, Western Psychiatric Institute & Clinic, University of Pittsburgh School of Medicine
Mental Health Intervention Research Center, Department of Psychiatry, Western Psychiatric Institute & Clinic, University of Pittsburgh School of Medicine
University of Pittsburgh Graduate School of Public Health Pittsburgh, PA
Correspondence: Deborah Moss, M.D., M.P.H., Children's Hospital of Pittsburgh, 3705 5th Avenue, Pittsburgh, PA 15213, USA. Tel: +1 (412) 692 5415; Fax: +1 (412) 692 8516; E-mail: deborah.moss{at}chp.edu
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Abstract |
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The anticipation of negative parental reaction is cited by pediatricians as a common barrier to intervening with parents who smoke. In an effort to clarify perceived versus actual parent reaction, the present study investigated the reactions of a diverse parent sample toward pediatricians addressing parental smoking in the outpatient setting. This study represents a descriptive cross-sectional in-person survey of 906 parents interviewed exiting four geographically diverse pediatric practices. Only 3% of the sample felt their smoking status was not the pediatrician's business, 89% stated they believe it is an important part of a pediatrician's job to ask about their smoking status, and 8% stated it wouldn't matter if the pediatrician asked. Demographic characteristics were associated with a positive attitude about being asked. Compared with nonsmokers, fewer smokers had positive attitudes (81% vs. 91%, p = .0002); and more highly educated parents were more strongly positive about being asked (91% vs. 83%, p = .006). Among 187 smokers, 177 (95%) would appreciate or feel okay about the physician's concern if advised to quit and 57% reported wanting some kind of smoking cessation help from the pediatrician's office. In a heterogeneous sample of parents, strong support exists for pediatricians addressing parental smoking at pediatric office visits. This finding is encouraging for pediatricians who are concerned about negative parental reaction.
Received: November 22, 2004; Accepted: July 5, 2005
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