Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Clin Pediatr (Phila). 2022 Sep;61(8):535-541. doi: 10.1177/00099228221091030. Epub 2022 Apr 28.
This study determined the types of tobacco products used by caregivers who presented to infant well-child visits (WCVs), tobacco product use by other household members, and caregivers' readiness to quit. The Ohio Chapter of the American Academy of Pediatrics conducted a 10-month quality improvement collaborative to improve providers' tobacco screening and cessation counseling practices. A sub-analysis of the initial screenings was performed to determine types of tobacco products used and caregivers' readiness to quit. Fourteen practices (60 providers) participated, and 3972 initial screens were analyzed; 320 (8.1%) caregivers and 490 (12.4%) household members used tobacco products. Most smoking caregivers and household members exclusively used cigarettes (79% and 72%, respectively). There was no difference in caregiver intention to quit by tobacco type, yet 53% of smoking caregivers were ready to quit. Providers should provide screening and cessation counseling to caregivers of infants at WCVs since many are ready to quit.
本研究旨在确定在婴儿常规健康检查（WCV）中就诊的照顾者所使用的烟草产品类型、其他家庭成员的烟草使用情况，以及照顾者的戒烟意愿。美国儿科学会俄亥俄分会开展了为期 10 个月的质量改进合作，以改善医疗服务提供者的烟草筛查和戒烟咨询实践。对初始筛查进行了亚分析，以确定所使用的烟草产品类型和照顾者的戒烟意愿。共有 14 家诊所（60 名提供者）参与，分析了 3972 份初始筛查结果；320 名（8.1%）照顾者和 490 名（12.4%）家庭成员使用烟草产品。大多数吸烟的照顾者和家庭成员仅使用香烟（分别为 79%和 72%）。不同烟草类型的照顾者戒烟意愿没有差异，但 53%的吸烟照顾者已经准备好戒烟。由于许多照顾者已经准备好戒烟，因此医疗服务提供者应该在 WCV 为婴儿的照顾者提供筛查和戒烟咨询服务。
