TY  - JOUR
T1  - DElivery of smoking prevention and cessation services to adolescents
AU  - Klein JD, Levine LJ, Allan MJ
Y1  - 2001/05/01
N1  - 10.1001/archpedi.155.5.597
JO  - Archives of Pediatrics & Adolescent Medicine
SP  - 597
EP  - 602
VL  - 155
IS  - 5
N2  - Objectives 
    To describe the delivery of smoking prevention and cessation screening and counseling practices to adolescents and to examine the effect of physician specialty, sex, practice characteristics, and familiarity with preventive care guidelines on the delivery of smoking cessation counseling services.Methods 
    Cross-sectional self-reported survey of pediatricians and family physicians in 3 New York metropolitan statistical areas who had seen 1 or more adolescents for well care within the past 6 months.Results 
    Of 564 eligible physicians, 371 (66%) responded. Physicians reported asking most adolescents about smoking (91%) but were less likely to ask about peer smoking use (41%) or smokeless tobacco use (32%). Similarly, they reported assessing motivation to quit for 81% of smokers, but less often helped set quit dates (34%) or scheduled follow-up visits (28%). Family physicians were more likely to provide more effective smoking cessation interactions than pediatricians (mean smoking counseling performance score, 61 vs 53; P<.001). Family physicians were also more likely to be familiar with National Cancer Institute guidelines than pediatricians (48% vs 27%; P<.001). Female physicians reported having spent more time with their last adolescent patient (mean, 26 vs 21 minutes; P<.001) and more often spent time alone with adolescent patients (85% vs 76% of visits; P<.001) than did male physicians. In multivariate modeling, specialty, familiarity with National Cancer Institute guidelines, time spent, and confidentiality factors were associated with better smoking counseling performance.Conclusion 
    Familiarity with smoking cessation guidelines and physician's specialty and practice style with adolescents are associated with better delivery of tobacco cessation counseling to adolescents.
SN  - 1072-4710
M3  - doi: 10.1001/archpedi.155.5.597
UR  - http://dx.doi.org/10.1001/archpedi.155.5.597
ER  -