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. 1997 Aug;87(8):1341–1345. doi: 10.2105/ajph.87.8.1341

Screening for adolescent smoking among primary care physicians in California.

M Franzgrote 1, J M Ellen 1, S G Millstein 1, C E Irwin Jr 1
PMCID: PMC1381097  PMID: 9279272

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.

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Selected References

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  1. Cummings S. R., Coates T. J., Richard R. J., Hansen B., Zahnd E. G., VanderMartin R., Duncan C., Gerbert B., Martin A., Stein M. J. Training physicians in counseling about smoking cessation. A randomized trial of the "Quit for Life" program. Ann Intern Med. 1989 Apr 15;110(8):640–647. doi: 10.7326/0003-4819-110-8-640. [DOI] [PubMed] [Google Scholar]
  2. Cummings S. R., Stein M. J., Hansen B., Richard R. J., Gerbert B., Coates T. J. Smoking counseling and preventive medicine. A survey of internists in private practices and a health maintenance organization. Arch Intern Med. 1989 Feb;149(2):345–349. doi: 10.1001/archinte.149.2.345. [DOI] [PubMed] [Google Scholar]
  3. Epps R. P., Manley M. W. A physicians's guide to preventing tobacco use during childhood and adolescence. Pediatrics. 1991 Jul;88(1):140–144. [PubMed] [Google Scholar]
  4. Frank E., Winkleby M. A., Altman D. G., Rockhill B., Fortmann S. P. Predictors of physician's smoking cessation advice. JAMA. 1991 Dec 11;266(22):3139–3144. [PubMed] [Google Scholar]
  5. Kottke T. E., Battista R. N., DeFriese G. H., Brekke M. L. Attributes of successful smoking cessation interventions in medical practice. A meta-analysis of 39 controlled trials. JAMA. 1988 May 20;259(19):2883–2889. doi: 10.1001/jama.259.19.2883. [DOI] [PubMed] [Google Scholar]
  6. Lewis C. E., Clancy C., Leake B., Schwartz J. S. The counseling practices of internists. Ann Intern Med. 1991 Jan 1;114(1):54–58. doi: 10.7326/0003-4819-114-1-54. [DOI] [PubMed] [Google Scholar]
  7. Maheux B., Pineault R., Lambert J., Béland F., Berthiaume M. Factors influencing physicians' preventive practices. Am J Prev Med. 1989 Jul-Aug;5(4):201–206. [PubMed] [Google Scholar]
  8. McPhee S. J., Richard R. J., Solkowitz S. N. Performance of cancer screening in a university general internal medicine practice: comparison with the 1980 American Cancer Society Guidelines. J Gen Intern Med. 1986 Sep-Oct;1(5):275–281. doi: 10.1007/BF02596202. [DOI] [PubMed] [Google Scholar]
  9. Orleans C. T., George L. K., Houpt J. L., Brodie K. H. Health promotion in primary care: a survey of U.S. family practitioners. Prev Med. 1985 Sep;14(5):636–647. doi: 10.1016/0091-7435(85)90083-0. [DOI] [PubMed] [Google Scholar]
  10. Taioli E., Wynder E. L. Effect of the age at which smoking begins on frequency of smoking in adulthood. N Engl J Med. 1991 Sep 26;325(13):968–969. doi: 10.1056/NEJM199109263251318. [DOI] [PubMed] [Google Scholar]
  11. Wechsler H., Levine S., Idelson R. K., Rohman M., Taylor J. O. The physician's role in health promotion--a survey of primary-care practitioners. N Engl J Med. 1983 Jan 13;308(2):97–100. doi: 10.1056/NEJM198301133080211. [DOI] [PubMed] [Google Scholar]
  12. Wells K. B., Lewis C. E., Leake B., Schleiter M. K., Brook R. H. The practices of general and subspecialty internists in counseling about smoking and exercise. Am J Public Health. 1986 Aug;76(8):1009–1013. doi: 10.2105/ajph.76.8.1009. [DOI] [PMC free article] [PubMed] [Google Scholar]

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