Published online March 1, 2005
PEDIATRICS Vol. 115 No. 3 March 2005, pp. 719-725 (doi:10.1542/peds.2004-0873)
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Physician and Dentist Tobacco Use Counseling and Adolescent Smoking Behavior: Results From the 2000 National Youth Tobacco Survey

Donna Shelley, MD, MPH*, Jennifer Cantrell, MPA*, Dorothy Faulkner, PhD{ddagger}, Lyndon Haviland, DrPH§, Cheryl Healton, DrPH§ and Peter Messeri, PhD*

* Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York
{ddagger} New York Medical College, New York, New York
§ American Legacy Foundation, Washington, DC

Objective. The present study describes patterns of tobacco use counseling among physicians and dentists as reported by adolescents and determines the association between provider advice to quit and cessation activities among current smokers.

Methods. Data were analyzed from the 2000 National Youth Tobacco Survey, an anonymous, self-administered, school-based survey. The National Youth Tobacco Survey was administered to a nationally representative sample of 35828 students in grades 6 to 12 in 324 schools.

Results. Thirty-three percent of adolescents who visited a physician or a dentist in the past year reported that a physician counseled them about the dangers of tobacco use, and 20% reported that a dentist provided a similar message. Among students who smoked in the past year, 16.4% received advice to quit from a physician and 11.6% received advice to quit from a dentist. Physician or dentist advice to quit was correlated with 1 or more quit attempts in the past 12 months.

Conclusion. On the basis of adolescent reports, physician and dentist practice patterns remain well below recommended guidelines. Results suggest that provider advice to quit is associated with cessation activity. Additional studies are needed to confirm whether the low prevalence of brief provider tobacco use counseling is a missed opportunity to affect adolescent smoking behavior.

Key Words: physician practice patterns • tobacco use/smoking

Abbreviations: USPHS, United States Public Health Service • NAMCS, National Ambulatory Medical Care Survey • NYTS, National Youth Tobacco Survey • OR, odds ratio

Accepted Jul 28, 2004.


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