Screening for adolescent smoking among primary care physicians in California
M Franzgrote, J M Ellen, S G Millstein, C E Irwin Jr, M Franzgrote, J M Ellen, S G Millstein, C E Irwin Jr
Abstract
Objectives: This study determined how often primary care physicians ask adolescents about smoking.
Methods: We surveyed a stratified random sample of community-based, board-certified California physicians, using a mailed questionnaire.
Results: Overall, physicians (n = 343; 77% response rate) screened younger adolescents for regular smoking during 71.4% (95% confidence interval [CI] = 67.9, 74.9) of routine physical exams and older adolescents during 84.8% (95% CI = 82.3, 87.4) of such visits. For acute-care visits, the screening rates were 24.4% (95% CI = 20.6, 28.1) for younger and 40.2% (95% CI = 36.4, 44.0) for older adolescents. Physicians asked 18.2% (95% CI = 15.2, 21.3) of younger and 35.6% (95% CI = 32.0, 39.1) of older adolescents about experimental smoking. Screening varied by specialty.
Conclusions: These data imply that physicians are missing opportunities to screen adolescents for smoking.
References
- Prev Med. 1985 Sep;14(5):636-47
- Am J Public Health. 1986 Aug;76(8):1009-13
- J Gen Intern Med. 1986 Sep-Oct;1(5):275-81
- JAMA. 1988 May 20;259(19):2883-9
- Arch Intern Med. 1989 Feb;149(2):345-9
- Ann Intern Med. 1989 Apr 15;110(8):640-7
- Am J Prev Med. 1989 Jul-Aug;5(4):201-6
- Ann Intern Med. 1991 Jan 1;114(1):54-8
- Pediatrics. 1991 Jul;88(1):140-4
- N Engl J Med. 1991 Sep 26;325(13):968-9
- JAMA. 1991 Dec 11;266(22):3139-44
- N Engl J Med. 1983 Jan 13;308(2):97-100
Source: PubMed