APPENDIX 1.
Comparisons Based on Practice Characteristics
| Survey Item | Practice Characteristic | Mean (SD) or % Indicating |
P |
|---|---|---|---|
| Estimated percentage of patients who report smoking before pregnancy |
Non–inner-city urban | 19.3 (SD = 11.8) | 0.038 |
| Not non–inner-city urban | 24.3 (SD = 18.6) | ||
| Estimated percentage of patients who report smoking during the third trimester |
Suburban areas | 9.14 (SD = 9.5) | 0.044 |
| Not suburban areas | 12.4 (SD = 13) | ||
| Physician personally asks prenatal patients about tobacco use at initial examination |
>50% Medicaid patients | 82.8% | 0.003 |
| 25%-50% Medicaid patients | 64.4% | ||
| <25% Medicaid patients | 73.2% | ||
| 0% Medicaid patients | 46.9% | ||
| Ask prenatal patients they suspect might be smoking at the initial visit |
Non–inner-city urban | 16.0% | 0.029 |
| Not non–inner-city urban | 29.2% | ||
| Suburban areas | 33.7% | 0.010 | |
| Not in suburban areas | 18.8% | ||
| Ask prenatal patients about tobacco use at all subsequent visits |
Rural areas | 20.5% | <0.001 |
| Not rural areas | 4.8% | ||
| Underserved communities | 25.0% | 0.004 | |
| Not in underserved communities |
5.9% | ||
| Only ask prenatal patients about tobacco use if women self-report use on intake form |
Suburban areas | 7.2% | 0.023 |
| Not in suburban areas | 1.4% | ||
| Identify others who smoke in household with pregnant patients |
Rural areas | 88.1% | 0.004 |
| Not in rural areas | 62.2% | ||
| Non-inner-city urban | 54.8% | 0.024 | |
| Not non–inner-city urban | 72.1% | ||
| Arrange follow-up with pregnant patients | Rural areas | 75.7% | 0.014 |
| Non-rural areas | 49.4% | ||
| Non-inner-city urban | 40.6% | 0.034 | |
| Not in non–inner-city urban | 60.1% | ||
| Refer pregnant patients to a tobacco quitline | Rural areas | 29.3% | 0.040 |
| Nonrural areas | 34.7% | ||
| Provide educational materials to pregnant patients |
Underserved communities | 73.3% | 0.043 |
| Not in underserved communities |
41.1% | ||
| Refer postpartum patients to group counseling |
Non–inner-city urban | 4.1% | 0.015 |
| Not in non–inner-city urban | 12.3% | ||
| Assess postpartum patients’ readiness to quit smoking |
Non–inner-city urban | 45.1% | 0.033 |
| Not in non–inner-city urban | 63.1% | ||
| Always or usually communicate to pediatricians |
Urban inner city | 72.8% | 0.014 |
| Not in urban inner city | 41.2% | ||
| Feel very or somewhat prepared to conduct brief intervention with pregnant patients who smoke |
Non–inner-city urban | 72.4% | 0.016 |
| Not in non–inner-city urban | 85.4% | ||
| Rural areas | 92.5% | 0.046 | |
| Not rural areas | 79.0% | ||
| Underserved communities | 100% | 0.047 | |
| Not in underserved communities |
79.9% | ||
| Feel prepared to prescribe smoking cessation medications to nonpregnant patients |
Ob-only practice | 83.3% | 0.003 |
| Obstetrician-gynecologist practice |
43.0% | ||
| Other practice | 25.0% | ||
| Need nonphysician staff trained to do brief intervention |
> 50% Medicaid patients | 70.2% | 0.047 |
| 25%-50% Medicaid patients | 49.3% | ||
| <25% Medicaid patients | 47.2% | ||
| 0% Medicaid patients | 55.2% | ||
| Urban inner city | 78.3% | 0.017 | |
| Not urban inner city | 52.2% | ||
| Need reimbursement for screening and assessment |
Non–inner-city urban | 54.9% | 0.040 |
| Not non–inner-city urban | 68.9% | ||
| Suburban areas | 73.7% | 0.013 | |
| Not suburban areas | 57.9% |