Advertising Disclaimer
Published online April 1, 2005
PEDIATRICS Vol. 115 No. 4 April 2005, pp. 1013-1017 (doi:10.1542/peds.2004-1372)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Web of Science (6)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Winickoff, J. P.
Right arrow Articles by Weitzman, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Winickoff, J. P.
Right arrow Articles by Weitzman, M.
Related Collections
Right arrow Therapeutics & Toxicology
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Child Health Care Clinicians' Use of Medications to Help Parents Quit Smoking: A National Parent Survey

Jonathan P. Winickoff, MD, MPH*,{ddagger}, Susanne E. Tanski, MD§, Robert C. McMillen, PhD||, Jonathan D. Klein, MD, MPH§, Nancy A. Rigotti, MD{ddagger}, Michael Weitzman, MD§

* Massachusetts General Hospital Center for Child and Adolescent Health Policy, Boston, Massachusetts
{ddagger} Massachusetts General Hospital Tobacco Research and Treatment Center, Boston, Massachusetts
§ American Academy of Pediatrics Center for Child Health Research and Strong Children's Research Center, University of Rochester, Rochester, New York
|| Social Science Research Center, Mississippi State University, Starkville, Mississippi

Background. Smokers who use cessation medications when they attempt to quit double their likelihood of success. No prior survey has assessed the acceptability to parents of receiving smoking cessation medication prescriptions in the context of their child's primary care visits.

Objective. To assess acceptability to parents of receiving smoking cessation medication prescriptions and to compare that with the reported rate of actually receiving smoking cessation medication prescriptions in the context of the child's health care visit.

Methods. Data were collected through a national random-digit dial telephone survey of households from July to September 2003. The sample was weighted according to race and gender, on the basis of the 2002 US Census, to be representative of the US population.

Results. Of 3990 eligible respondents contacted, 3010 (75%) completed surveys; 1027 (34%) of those were parents. Of those parents, 211 (21%) were self-identified smokers. One half would consider using a smoking cessation medication and, of those, 85% said that it would be acceptable if the child's doctor prescribed or recommended it to them. In contrast, of the 143 smoking parents who accompanied their child to the doctor, only 15% had pharmacotherapy recommended and only 8% received a prescription for a smoking cessation medication. These results did not vary according to parent age, gender, race, or child age.

Conclusions. Child health care clinicians have low rates of recommending and prescribing cessation therapies that have proved effective in other settings. The recommendation or provision of cessation medications would be acceptable to the majority of parents in the context of their child's health care visit.

Key Words: smoking • tobacco • pediatrics • family practice • parent • smoking cessation • secondhand smoke • environmental tobacco smoke • tobacco control • nicotine replacement medication

Abbreviations: SCS-TC, Social Climate Survey of Tobacco Control

Accepted Aug 23, 2004.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 PediatricsHome page
Committee on Environmental Health, Committee on Su
Tobacco Use: A Pediatric Disease
Pediatrics, November 1, 2009; 124(5): 1474 - 1487.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
D. Best, Committee on Environmental Health, Committee on Native American Child Health, and Committee on Adolescence
Secondhand and Prenatal Tobacco Smoke Exposure
Pediatrics, November 1, 2009; 124(5): e1017 - e1044.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
J. S. Halterman, B. Borrelli, P. Tremblay, K. M. Conn, M. Fagnano, G. Montes, and T. Hernandez
Screening for Environmental Tobacco Smoke Exposure Among Inner-City Children With Asthma
Pediatrics, December 1, 2008; 122(6): 1277 - 1283.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
J. P. Winickoff, E. R. Park, B. J. Hipple, A. Berkowitz, C. Vieira, J. Friebely, E. A. Healey, and N. A. Rigotti
Clinical Effort Against Secondhand Smoke Exposure: Development of Framework and Intervention
Pediatrics, August 1, 2008; 122(2): e363 - e375.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
J. P. Winickoff, S. E. Tanski, R. C. McMillen, B. J. Hipple, J. Friebely, and E. A. Healey
A National Survey of the Acceptability of Quitlines to Help Parents Quit Smoking
Pediatrics, April 1, 2006; 117(4): e695 - e700.
[Abstract] [Full Text] [PDF]