Addressing Parental Smoking in Pediatrics and Family Practice

A National Survey of Parents

Jonathan P. Winickoff, Robert C. McMillen, Bronwen C. Carroll, Jonathan D. Klein, Nancy A. Rigotti, Susanne E. Tanski, Michael Weitzman

    Research output: Contribution to journalArticle

    Abstract

    Background. Parental smoking has been associated with increased rates of sudden infant death syndrome, low birth weight, otitis media, asthma, and decreased lung growth. No prior parent surveys have assessed national rates of screening and counseling for parental tobacco use in the context of their child's visit to primary care. Objective. To assess and compare rates of pediatrician and family practitioner screening and counseling for parental smoking. Design/Methods. Data were collected by telephone survey of households from July to September 2001. The sample is weighted by race and gender based on 1999 US Census estimates to be representative of the US population. Results. Of 3566 eligible respondents contacted, 3002 (84%) completed surveys; 902 of those were parents who had a child seen by a pediatrician (62%) or family practitioner (38%) in the past year. About half of all parents who visited a pediatrician or family practitioner reported that they had been asked about household member smoking status (52% vs 48%). More parents who visited pediatricians had been asked if they had rules prohibiting smoking in the home than those who visited family practitioners (38% vs 29%). Of 190 (21%) parents who were smokers, fewer than half reported being counseled by either specialty about dangers of second-hand smoke (41% vs 33%) or risks of modeling smoking behavior (31% vs 28%). Similarly, fewer than half of parental smokers received advice to quit (36% vs 45%). Conclusion. Overall rates of screening and counseling for parental smoking in pediatric and family practice are low. Despite some differences between specialties, significant opportunities exist to improve tobacco control activities in primary care settings that serve children.

    Original languageEnglish (US)
    Pages (from-to)1146-1151
    Number of pages6
    JournalPediatrics
    Volume112
    Issue number5
    DOIs
    StatePublished - Nov 1 2003

    Fingerprint

    Family Practice
    Parents
    Smoking
    Pediatrics
    Counseling
    Primary Health Care
    Tobacco Smoke Pollution
    Sudden Infant Death
    Otitis Media
    Tobacco Use
    Low Birth Weight Infant
    Censuses
    Telephone
    Tobacco
    Surveys and Questionnaires
    Asthma
    Lung
    Pediatricians
    Growth
    Population

    Keywords

    • Environmental tobacco smoke
    • Family practice
    • Parent
    • Pediatrics
    • Second-hand smoke
    • Smoking
    • Smoking cessation
    • Tobacco
    • Tobacco control

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health

    Cite this

    Winickoff, J. P., McMillen, R. C., Carroll, B. C., Klein, J. D., Rigotti, N. A., Tanski, S. E., & Weitzman, M. (2003). Addressing Parental Smoking in Pediatrics and Family Practice: A National Survey of Parents. Pediatrics, 112(5), 1146-1151. https://doi.org/10.1542/peds.112.5.1146

    Addressing Parental Smoking in Pediatrics and Family Practice : A National Survey of Parents. / Winickoff, Jonathan P.; McMillen, Robert C.; Carroll, Bronwen C.; Klein, Jonathan D.; Rigotti, Nancy A.; Tanski, Susanne E.; Weitzman, Michael.

    In: Pediatrics, Vol. 112, No. 5, 01.11.2003, p. 1146-1151.

    Research output: Contribution to journalArticle

    Winickoff, JP, McMillen, RC, Carroll, BC, Klein, JD, Rigotti, NA, Tanski, SE & Weitzman, M 2003, 'Addressing Parental Smoking in Pediatrics and Family Practice: A National Survey of Parents', Pediatrics, vol. 112, no. 5, pp. 1146-1151. https://doi.org/10.1542/peds.112.5.1146
    Winickoff JP, McMillen RC, Carroll BC, Klein JD, Rigotti NA, Tanski SE et al. Addressing Parental Smoking in Pediatrics and Family Practice: A National Survey of Parents. Pediatrics. 2003 Nov 1;112(5):1146-1151. https://doi.org/10.1542/peds.112.5.1146
    Winickoff, Jonathan P. ; McMillen, Robert C. ; Carroll, Bronwen C. ; Klein, Jonathan D. ; Rigotti, Nancy A. ; Tanski, Susanne E. ; Weitzman, Michael. / Addressing Parental Smoking in Pediatrics and Family Practice : A National Survey of Parents. In: Pediatrics. 2003 ; Vol. 112, No. 5. pp. 1146-1151.
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    abstract = "Background. Parental smoking has been associated with increased rates of sudden infant death syndrome, low birth weight, otitis media, asthma, and decreased lung growth. No prior parent surveys have assessed national rates of screening and counseling for parental tobacco use in the context of their child's visit to primary care. Objective. To assess and compare rates of pediatrician and family practitioner screening and counseling for parental smoking. Design/Methods. Data were collected by telephone survey of households from July to September 2001. The sample is weighted by race and gender based on 1999 US Census estimates to be representative of the US population. Results. Of 3566 eligible respondents contacted, 3002 (84{\%}) completed surveys; 902 of those were parents who had a child seen by a pediatrician (62{\%}) or family practitioner (38{\%}) in the past year. About half of all parents who visited a pediatrician or family practitioner reported that they had been asked about household member smoking status (52{\%} vs 48{\%}). More parents who visited pediatricians had been asked if they had rules prohibiting smoking in the home than those who visited family practitioners (38{\%} vs 29{\%}). Of 190 (21{\%}) parents who were smokers, fewer than half reported being counseled by either specialty about dangers of second-hand smoke (41{\%} vs 33{\%}) or risks of modeling smoking behavior (31{\%} vs 28{\%}). Similarly, fewer than half of parental smokers received advice to quit (36{\%} vs 45{\%}). Conclusion. Overall rates of screening and counseling for parental smoking in pediatric and family practice are low. Despite some differences between specialties, significant opportunities exist to improve tobacco control activities in primary care settings that serve children.",
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