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Trends in U.S. Primary Care Provider Patient Advice Against Secondhand Smoke Exposure: 2008-2010

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DOI: 10.4236/ijcm.2012.34049    3,892 Downloads   5,512 Views   Citations

ABSTRACT

Background: Recent studies further expose the dangers of secondhand smoke (SHS) to smokers and nonsmokers alike. The health care visit provides a face-to-face opportunity to deliver vital information about those dangers, yet, little is known about primary care providers (PCPs) who address this topic with their patients in clinical practice. Purpose: We examined primary care providers’ advice to patients regarding SHS exposure and the factors promoting such communication. Methods: Data from 3 years (2008, 2009, and 2010) of physician questionnaires (approximately 1250 family/general practitioners, internists, and obstetricians/gynecologists (OBs/GYNs) were used to examine physician advice to patients with children, to smokers and to nonsmokers to prevent or avoid SHS exposure. Using 2010 data we evaluated descriptive statistics and logistic regression for offering patient advice regarding SHS exposure. Results: Web-based data revealed that almost 90% of PCPs advise patients with children to keep their children from being exposed to SHS, 80% advise patients who smoke to avoid exposing others to SHS in their homes and cars, and 70% advise nonsmokers to avoid general exposure to SHS. Logistic regression analysis indicated that OB/GYNs were less likely to engage in SHS counseling than their family practice/general practitioner colleagues. Conclusions: Physician efforts advising patients to avoid SHS exposure varied little in 2008, 2009, and 2010. Primary care providers, particularly OB/GYNs, are encouraged to advise their patients during routine visits to avoid SHS exposure that could compromise fetal health and growth. More extensive tobacco education and targeted specialty guidelines may be required

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

J. Kruger, A. Teplinskaya and M. C. Fiore, "Trends in U.S. Primary Care Provider Patient Advice Against Secondhand Smoke Exposure: 2008-2010," International Journal of Clinical Medicine, Vol. 3 No. 4, 2012, pp. 243-250. doi: 10.4236/ijcm.2012.34049.

References

[1] DHHS, “A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You,” CDC, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Atlanta, 2010. http://www.cdc.gov/tobacco/data_statistics/sgr/2010/index.htm
[2] DHHS, “The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General,” CDC, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Atlanta, 2006. http://www.cdc.gov/tobacco/data_statistics/sgr/2006/index.htm
[3] Institute of Medicine, “Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence,” National Academy of Sciences, Institute of Medicine, Washington, 2010. http://www.nap.edu/catalog.php?record_id=12649
[4] DHHS, “How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General,” CDC, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2010. http://www.cdc.gov/tobacco/data_statistics/sgr/index.htm
[5] R. E. Schane and S. A. Glantz, “Education on the Dangers of Passive Smoking: A Cessation Strategy Past Due,” Circulation, Vol. 18, No. 15, 2008, pp. 1521-1523. doi:10.1161/CIRCULATIONAHA.108.805259
[6] Agency for Healthcare Research and Quality, “The Guide to Clinical Preventive Services 2010-2011: Recommendations of the US Preventive Services Task Force,” Agency for Healthcare Research and Quality, 2011, pp. 148-149. http://www.ahrq.gov/clinic/pocketgd1011/pocketgd1011.pdf
[7] P. Novelli, “DocStyles 2010: Methods,” Porter Novelli, Washington, 2010.
[8] H. R. Wethington, B. Sherry and B. Polhamus, “Physician Practices Related to use of BMI-for-Age and Counseling for Childhood Obesity Prevention: A Cross-Sectional Study,” BMC Family Practice, Vol. 12, No. 80, 2011, pp. 1-9.
[9] K. I. Day, D. B. Friedman, J. N. Laditka, L. A. Anderson, R. Hunter, S. B. Laditka, B. Wu, L. C. McGuire and M. C. Coy, “Prevention of Cognitive Impairment: Physician Perceptions and Practices,” Journal of Applied Gerontology, Vol., 2011, pp. 1-12.
[10] K. F. Burnett and P. C. Young, “Ask, Advise, Assist: Pediatric and Passive Smoke Exposure,” Clinical Pediatrics, Vol. 38, No. 6, 1999, pp. 339-345. doi:10.1177/000992289903800604
[11] G. C. Williams, S. A. Williams and R. J. Korn, “Secondhand Smoke (SHS) Deserves More than Secondhand Attention: Modifying the 5As Model to Include Counseling to Eliminate Exposure,” Families Systems & Health, Vol. 2, No. 3, 2005, pp. 266-277. doi:10.1037/1091-7527.23.3.266
[12] USDHHS, “The Health Consequences of Using Smokeless Tobacco: A Report of the Advisory Committee to the Surgeon General,” US Department of Health and Human Services, Public Health Service, Bethesda, 1986. http://profiles.nlm.nih.gov/ps/access/NNBBFC.pdf
[13] American Academy of Pediatrics. “Policy Statement— Tobacco Use: A Pediatric Disease,” Pediatrics, Vol. 124, No. 5, 2009, pp. 1474-1475. doi:10.1542/peds.2009-2114
[14] American College of Obstetricians and Gynecologists. “Committee Opinion, No. 471,” Obstetrics & Gynecology, Vol. 116, No. 5, 2010, pp. 1241-1244
[15] American Academy of Family Physicians, “Tobacco Use and Prevention—Position Paper,” American Academy of Family Physicians, 2012. http://www.aafp.org/online/en/home/policy/policies/t/tobaccoprevcess.html
[16] M. C. Fiore, C. R. Jaen, T. B. Baker, et al., “Treating Tobacco Use and Dependence: 2008 Update: Clinical Practice Guidelines,” US Department of Health and Human Service, Rockville, 2008, p. 69. http://www.surgeongeneral.gov/tobacco/treating_tobacco_use08.pdf
[17] M. C. Fiore and T. B. Baker, “Treating Smokers in the Health Care Setting,” New England Journal of Medicine, Vol. 365, No. 13, 2011, pp. 1222-1231. doi:10.1056/NEJMcp1101512
[18] M. B. Conroy, N. E. Majchrzak, C. B. Silverman, Y Chang, S. Regan, L. I. Schneider and N. A. Rigotti, “Measuring Provider Adherence to Tobacco Treatment Guidelines: A Comparison of Electronic Medical Record Review, Patient Survey, and Provider Survey,” Nicotine & Tobacco Research, Vol. 7, Suppl. 1, 2005, pp. S35-S43. doi:10.1080/14622200500078089
[19] W. E. Pollard, “Use of a Consumer Panel Survey for Public Health Communication Planning: An Evaluation of Survey Results,” Proceedings of the American Statistical Association, Section on Health Policy Statistics, New York, 2002, pp. 2120-2124.
[20] D. Weber, L. S. Wolff, T. Orleans, R. E. Mockenhaupt, H. A. Massett and K. K. Vose, “Smokers’ Attitudes and Behaviors Related to Consumer Demand for Cessation Counseling in the Medical Care Setting,” Nicotine & Tobacco Research, Vol. 9, Suppl. 4, 2007, pp. 571-580. doi:10.1080/14622200701189024
[21] L. S. Wolff, H. A. Massett, E. W. Maibach, D. Weber, R. E. Mockenhaupt and S. Hassmiller , “Validating a Health Consumer Segmentation Model: Behavioral and Attitudinal Differences in Disease Prevention-Related Practices,” Journal of Health Communication, Vol. 15, No. 2, 2010, pp. 167-188. doi:10.1080/10810730903528041

  
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