Hutchinson Sasha G, Kuijlaars Jennifer S, Mesters Ilse, Muris Jean W M, van Schayck Constant P, Dompeling Edward, Feron Frans J M
Department of Paediatric Pulmonology, CAPHRI School for Public Health and Primary Care, Maastricht University Medical Centre, Maastricht, the Netherlands.
Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Maastricht University Medical Centre, Maastricht, the Netherlands.
PLoS One. 2014 May 8;9(5):e93220. doi: 10.1371/journal.pone.0093220. eCollection 2014.
A significant number of parents are unaware or unconvinced of the health consequences of passive smoking (PS) in children. Physicians could increase parental awareness by giving personal advice.
To evaluate the current practices of three Dutch health professions (paediatricians, youth health care physicians, and family physicians) regarding parental counselling for passive smoking (PS) in children.
All physicians (n = 720) representing the three health professions in Limburg, The Netherlands, received an invitation to complete a self-administered electronic questionnaire including questions on their: sex, work experience, personal smoking habits, counselling practices and education regarding PS in children.
The response rate was 34%. One tenth (11%) of the responding physicians always addressed PS in children, 32% often, 54% occasionally and 4% reported to never attend to it. The three health professions appeared comparable regarding their frequency of parental counselling for PS in children. Addressing PS was more likely when children had respiratory problems. Lack of time was the most frequently mentioned barrier, being very and somewhat applicable for respectively 14% and 43% of the physicians. One fourth of the responders had received postgraduate education about PS. Additionally, 49% of the responders who did not have any education about PS were interested in receiving it.
Physicians working in the paediatric field in Limburg, The Netherlands, could more frequently address PS in children with parents. Lack of time appeared to be the most mentioned barrier and physicians were more likely to counsel parents for PS in children with respiratory complaints/diseases. Finally, a need for more education on parental counselling for PS was expressed.
相当多的家长并未意识到或不相信儿童被动吸烟（PS）对健康的影响。医生可以通过提供个人建议来提高家长的意识。
评估荷兰三种医疗职业（儿科医生、青少年保健医生和家庭医生）在为儿童被动吸烟进行家长咨询方面的当前做法。
荷兰林堡省代表这三种医疗职业的所有医生（n = 720）收到一份邀请，要求他们完成一份自我管理的电子问卷，问卷包括关于他们的性别、工作经验、个人吸烟习惯、咨询做法以及关于儿童被动吸烟的教育等问题。
回复率为34%。十分之一（11%）的回复医生总是会提及儿童被动吸烟问题，32%的医生经常提及，54%的医生偶尔提及，4%的医生表示从未关注过。这三种医疗职业在为儿童被动吸烟进行家长咨询的频率方面似乎相当。当儿童有呼吸问题时，提及被动吸烟的可能性更大。时间不足是最常提到的障碍，分别有14%和43%的医生认为非常适用和有些适用。四分之一的回复者接受过关于被动吸烟的研究生教育。此外，49%没有接受过任何被动吸烟教育的回复者有兴趣接受此类教育。
在荷兰林堡省从事儿科领域工作的医生可以更频繁地与家长讨论儿童被动吸烟问题。时间不足似乎是最常提到的障碍，医生更有可能就儿童被动吸烟问题向有呼吸问题/疾病的儿童家长提供咨询。最后，表达了对更多关于儿童被动吸烟家长咨询教育的需求。
