Cluss Patricia A, Moss Deborah
Department of Psychiatry, University of Pittsburgh School of Medicine, PA 15213, USA.
Ambul Pediatr. 2002 Nov-Dec;2(6):485-8. doi: 10.1367/1539-4409(2002)002<0485:paapap>2.0.co;2.
Pediatricians have a great opportunity to intervene in parental smoking, but few do so consistently. Pediatricians consistently cite concern about negative parental reaction as one barrier to addressing parental smoking. This study investigated parent attitudes about pediatricians addressing parental smoking at pediatric visits.
Parents (N = 341) were interviewed immediately after a pediatric visit about their attitudes toward pediatricians addressing parental smoking. Chi-square analyses identified relevant factors in parents' responses.
Most parents (99%; n = 337) said that asking about smoking is a very important part of a pediatrician's job (89%; n = 302) or felt that it did not matter one way or the other (10%; n = 35). There was no difference between attitudes of smoking and nonsmoking parents on this variable (chi(2) = 5.9, df = 1, P >.05). Very few nonsmokers (1%; n = 2) or smokers (5%; n = 2) believed that pediatricians have no business asking about parental smoking. The results support recent reports from adult practice that patient satisfaction ratings are improved when physicians ask about tobacco use and advise about quitting.
Both smoking and nonsmoking parents strongly believe that pediatricians should address parental smoking in the context of pediatric visits.
儿科医生有很大机会干预家长吸烟行为，但很少有人能始终如一地这样做。儿科医生一直将担心家长产生负面反应作为解决家长吸烟问题的一个障碍。本研究调查了家长对儿科医生在儿科就诊时提及家长吸烟问题的态度。
在儿科就诊后，立即对341名家长进行访谈，了解他们对儿科医生提及家长吸烟问题的态度。卡方分析确定了家长回答中的相关因素。
大多数家长（99%；n = 337）表示，询问吸烟情况是儿科医生工作中非常重要的一部分（89%；n = 302），或者觉得这无所谓（10%；n = 35）。在这个变量上，吸烟家长和不吸烟家长的态度没有差异（卡方值=5.9，自由度=1，P>.05）。很少有不吸烟者（1%；n = 2）或吸烟者（5%；n = 2）认为儿科医生无权询问家长吸烟情况。研究结果支持了成人医疗实践中的近期报告，即医生询问烟草使用情况并提供戒烟建议时，患者满意度会提高。
吸烟和不吸烟的家长都强烈认为，儿科医生应该在儿科就诊时提及家长吸烟问题。
