Moss Deborah, Cluss Patricia A, Mesiano Michele, Kip Kevin E
Department of Pediatrics, Division of General Academic Pediatrics, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
Nicotine Tob Res. 2006 Feb;8(1):67-75. doi: 10.1080/14622200500431809.
The anticipation of negative parental reaction is cited by pediatricians as a common barrier to intervening with parents who smoke. In an effort to clarify perceived versus actual parent reaction, the present study investigated the reactions of a diverse parent sample toward pediatricians addressing parental smoking in the outpatient setting. This study represents a descriptive cross-sectional in-person survey of 906 parents interviewed exiting four geographically diverse pediatric practices. Only 3% of the sample felt their smoking status was not the pediatrician's business, 89% stated they believe it is an important part of a pediatrician's job to ask about their smoking status, and 8% stated it wouldn't matter if the pediatrician asked. Demographic characteristics were associated with a positive attitude about being asked. Compared with nonsmokers, fewer smokers had positive attitudes (81% vs. 91%, p = .0002); and more highly educated parents were more strongly positive about being asked (91% vs. 83%, p = .006). Among 187 smokers, 177 (95%) would appreciate or feel okay about the physician's concern if advised to quit and 57% reported wanting some kind of smoking cessation help from the pediatrician's office. In a heterogeneous sample of parents, strong support exists for pediatricians addressing parental smoking at pediatric office visits. This finding is encouraging for pediatricians who are concerned about negative parental reaction.
儿科医生指出，担心父母产生负面反应是干预吸烟父母的常见障碍。为了厘清感知到的父母反应与实际反应，本研究调查了不同类型的父母样本对儿科医生在门诊环境中提及父母吸烟问题的反应。本研究是一项描述性横断面现场调查，对来自四个地理位置不同的儿科诊所的906名父母进行了访谈。只有3%的样本认为他们的吸烟状况与儿科医生无关，89%的人表示他们认为询问他们的吸烟状况是儿科医生工作的重要组成部分，8%的人表示儿科医生询问与否无关紧要。人口统计学特征与对被询问持积极态度相关。与不吸烟者相比，吸烟者持积极态度的较少（81%对91%，p = .0002）；受教育程度较高的父母对被询问的积极性更强（91%对83%，p = .006）。在187名吸烟者中，如果被建议戒烟，177人（95%）会感激医生的关心或感觉良好，57%的人报告希望从儿科医生办公室获得某种戒烟帮助。在一个异质的父母样本中，强烈支持儿科医生在儿科门诊就诊时提及父母吸烟问题。这一发现对于担心父母产生负面反应的儿科医生来说是令人鼓舞的。
