Advising parents to stop smoking. Opportunities and barriers in pediatric practice

B. L. Frankowski and R. H. Secker-Walker
Department of Pediatrics, College of Medicine, University of Vermont, Burlington.

All pediatricians in Maine were surveyed by mail to assess their beliefs and attitudes about parental smoking and their current activities concerning advice on smoking cessation. The response rate to three mailings was 86%. Most pediatricians (91%) reported advising parents who smoke to quit and estimated spending an average of almost 5 minutes giving advice on how to quit smoking. Almost all pediatricians (94%) felt moderately or very confident in addressing passive smoking issues. However, only 46% felt moderately or very confident in advising parents how to stop smoking. Important barriers to providing advice on smoking cessation to parents included negative parental expectations and not having enough time. Only 6% of the pediatricians noted lack of reimbursement as a barrier. The majority of respondents (84%) were moderately or very willing to learn brief methods of giving advice on how to stop smoking to parents.

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Youth Tobacco Use: A Global Perspective for Child Health Care Clinicians
Prokhorov et al.
Pediatrics 2006;118:e890-e903.
ABSTRACT | FULL TEXT  

A National Survey of the Acceptability of Quitlines to Help Parents Quit Smoking
Winickoff et al.
Pediatrics 2006;117:e695-e700.
ABSTRACT | FULL TEXT  

Child Health Care Clinicians' Use of Medications to Help Parents Quit Smoking: A National Parent Survey
Winickoff et al.
Pediatrics 2005;115:1013-1017.
ABSTRACT | FULL TEXT  

State-of-the-Art Interventions for Office-Based Parental Tobacco Control
Winickoff et al.
Pediatrics 2005;115:750-760.
ABSTRACT | FULL TEXT  

Addressing Parental Smoking in Pediatrics and Family Practice: A National Survey of Parents
Winickoff et al.
Pediatrics 2003;112:1146-1151.
ABSTRACT | FULL TEXT  

Tobacco Counseling at Well-Child and Tobacco-Influenced Illness Visits: Opportunities for Improvement
Tanski et al.
Pediatrics 2003;111:e162-167.
ABSTRACT | FULL TEXT  

Environmental Tobacco Smoke Exposure Among Urban Children
Hopper and Craig
Pediatrics 2000;106:47e-47.
ABSTRACT | FULL TEXT  

Investing in youth tobacco control: a review of smoking prevention and control strategies
Lantz et al.
Tobacco Control 2000;9:47-63.
ABSTRACT | FULL TEXT  

The Perceptions and Practices of Pediatricians: Tobacco Intervention
Zapka et al.
Pediatrics 1999;103:65e-65.
ABSTRACT | FULL TEXT  

Parental decisions to use infant walkers
Bar-on et al.
Inj. Prev. 1998;4:299-300.
ABSTRACT | FULL TEXT  

Knowledge and Attitudes About Otitis Media Risk: Implications for Prevention
Daly et al.
Pediatrics 1997;100:931-936.
ABSTRACT | FULL TEXT