Screening for adolescent smoking among primary care physicians in California

This study determined how often primary care physicians ask adolescents about smoking. We surveyed a stratified random sample of community-based, board-certified California physicians, using a mailed questionnaire. Overall, physicians (n = 343; 77% response rate) screened younger adolescents for reg...

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Bibliographic Details
Published in:American journal of public health (1971) 1997-08, Vol.87 (8), p.1341-1345
Main Authors: Franzgrote, M, Ellen, J M, Millstein, S G, Irwin, C E, Jr
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Medicine - statistics & numerical data
Adult
Age groups
Attitudes
Biological and medical sciences
California
Child
Child development
Cronbach's alpha
Demographics
Desintoxication. Drug withdrawal
Family Practice - statistics & numerical data
Female
Humans
Internal medicine
Internal Medicine - statistics & numerical data
Male
Mass Screening - statistics & numerical data
Medical sciences
Medicine
Pediatrics
Pediatrics - statistics & numerical data
Physicians
Physicians, Family - statistics & numerical data
Primary care
Primary health care
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health
Questionnaires
Random Allocation
Response rates
Screening
Smoking
Smoking cessation
Smoking Prevention
Surveys and Questionnaires
Teenagers
Treatments
Young people
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Description
Summary:This study determined how often primary care physicians ask adolescents about smoking. We surveyed a stratified random sample of community-based, board-certified California physicians, using a mailed questionnaire. 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. These data imply that physicians are missing opportunities to screen adolescents for smoking.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.87.8.1341