Table 2.
Patterns of 5A’s cessation counseling practices (always or often) among pediatricians, Guangxi, China 2013
| Variables | Asked about household members who smoke n (%) |
Advised to quit n (%) |
Assessed willingness to quit n (%) |
Assisted with a quit plan n (%) |
Arranged follow-up contact n (%) |
|---|---|---|---|---|---|
| Total | 65 (12.9) | 113 (22.4) | 29 (5.8) | 29 (5.8) | 19 (3.8) |
| Gender | |||||
| Male | 17 (9.3) | 36 (19.8) | 11 (6.0) | 11 (6.0) | 6 (3.3) |
| Female | 48 (14.9) | 77 (23.9) | 18 (5.6) | 18 (5.6) | 13 (4.0) |
| Ages | |||||
| 20-30 | 33 (15.3) | 48 (22.3) | 14 (6.5) | 12 (5.6) | 9 (4.2) |
| 31-40 | 18 (11.3) | 36 (22.6) | 8 (5.0) | 7 (4.4) | 6 (3.8) |
| 41-50 | 6 (6.7) | 19 (21.3) | 5(5.6) | 3 (3.4) | 2 (2.2) |
| Above 50 | 8 (19.5) | 10 (24.4) | 2 (4.9) | 7 (17.1) | 2 (4.9) |
| Physician type | |||||
| Resident Physician | 34 (15.2) | 49 (22.0) | 15 (6.7) | 11 (4.9) | 9 (4.0) |
| Attending Physician | 17 (11.3) | 35 (23.2) | 7 (4.6) | 12 (7.9) | 6 (4.0) |
| Chief or Associate Chief Physician | 14 (10.8) | 29 (22.3) | 7 (5.4) | 6 (4.6) | 4 (3.1) |
| Number of years studied at medical school | |||||
| 5 Years | 44 (11.3) | 85 (21.9) | 22 (5.7) | 24 (6.2) | 16 (4.1) |
| More than 5 years | 21 (18.1) | 28 (24.1) | 7 (6.0) | 5 (4.3) | 3 (2.6) |
| Smoking status | |||||
| Current smoker | 2 (2.4) | 10 (12.2) | 2 (2.4) | 4 (4.9) | 2 (2.4) |
| Nonsmoker | 58 (14.5) | 98 (24.5) | 26 (6.5) | 25 (6.3) | 17 (4.3) |
| Heard about e-cigarettes | |||||
| No | 20 (11.2) | 28 (15.7) | 7 (3.9) | 8 (4.5) | 5 (2.8) |
| Yes | 45 (13.8) | 85 (26.1) | 22 (6.7) | 21 (6.4) | 14 (4.3) |
| Heard about third hand smoke | |||||
| No | 40 (11.7) | 65 (19) | 18 (5.3) | 18 (5.3) | 11 (3.2) |
| Yes | 25(15.4) | 48 (29.6) | 11 (6.8) | 11 (6.8) | 8 (4.9) |
| Received cigarettes as gift or gave cigarettes as gifts to others | |||||
| No | 56 (13.2) | 95 (22.5) | 23 (5.4) | 25 (5.9) | 14 (3.3) |
| Yes | 9 (11.1) | 18 (22.2) | 6 (7.4) | 4 (4.9) | 5 (6.2) |
| Have smoke-free policy in the hospital | |||||
| No policy | 1 (12.5) | 1 (12.5) | 0 (0) | 1 (12.5) | 0 (0) |
| Have policy | 64 (12.9) | 112 (22.6) | 29 (5.8) | 28 (5.6) | 19 (3.8) |
| Hospital have any policy to advise smokers to quit | |||||
| No | 27 (12.3) | 33 (15.1) | 8 (3.7) | 6 (2.7) | 5 (2.3) |
| Yes | 38 (13.3) | 80 (28.1) | 21 (7.4) | 23 (8.1) | 14 (4.9) |
| Received formal training in smoking cessation | |||||
| No | 42 (10.5) | 69 (17.3) | 11 (2.8) | 16 (4.0) | 8 (2.0) |
| Yes | 21 (21.9) | 41 (42.7) | 18 (18.8) | 13 (13.5) | 11 (11.5) |
| Have read China smoking cessation guidelines | |||||
| No/never heard | 45 (10.5) | 73 (17.1) | 15 (3.5) | 16 (3.7) | 11 (2.6) |
| Yes | 20 (26.0) | 40 (51.9) | 14 (18.2) | 13 (16.9) | 8 (10.4) |
| Have read international (i.e. US, UK) smoking cessation guidelines | |||||
| No/never heard | 55 (11.8) | 94 (20.1) | 19 (4.1) | 22 (4.7) | 11 (2.4) |
| Yes | 10 (27.8) | 19 (52.8) | 10 (27.8) | 7 (19.4) | 8 (22.2) |
| Believe that it is pediatricians professional responsibility to discuss smoking cessation | |||||
| No | 24 (8.7) | 47 (17.1) | 7 (2.5) | 9 (3.3) | 4 (1.5) |
| Yes | 41 (17.9) | 66 (28.8) | 22 (9.6) | 20 (8.7) | 15 (6.6) |
| Level of confidence discussing smoking cessation or SHS exposure reduction with patients’ parents | |||||
| Not at all confident | 1 (1.5) | 5 (7.6) | 3 (4.5) | 3 (4.5) | 0 (0) |
| Somewhat confident | 32 (10.1) | 53 (16.8) | 9 (2.8) | 12 (3.8) | 8 (2.5) |
| Very confident | 32 (26.2) | 55 (45.1) | 17 (13.9) | 14 (11.5) | 11 (9.0) |
| Beliefs regarding effectiveness of physician counseling for smoking cessation | |||||
| Disagree/strongly disagree | 27 (13.5) | 40 (20.0) | 9 (4.5) | 10 (5.0) | 8 (4.0) |
| Agree/strongly agree | 38 (12.5) | 73 (24.0) | 20 (6.6) | 19 (6.3) | 11 (3.6) |
| Beliefs regarding effectiveness of pharmacological treatment for smoking cessation | |||||
| Disagree/strongly disagree | 31 (13.0) | 49 (20.1) | 13 (5.5) | 12 (5.0) | 9 (3.8) |
| Agree/strongly agree | 34 (12.8) | 64 (24.1) | 16 (6.0) | 17 (6.4) | 10 (3.8) |
| Appropriate knowledge about health risk of smoking | |||||
| No | 30 (11.2) | 57 (21.3) | 12 (4.5) | 17 (6.4) | 9 (3.4) |
| Yes | 35 (14.8) | 56 (23.6) | 17 (7.2) | 12 (5.1) | 10 (4.2) |
| Appropriate knowledge about health risk of secondhand smoking | |||||
| No | 30 (10.6) | 57 (20.1) | 11 (3.9) | 12 (4.2) | 12 (4.2) |
| Yes | 35 (15.9) | 56 (25.5) | 18 (8.2) | 17 (7.7) | 7 (3.2) |
| Parents are resistant to discuss about smoking | |||||
| Is a barrier | 60 (12.7) | 103 (21.9) | 26 (5.5) | 28 (5.9) | 19 (4.0) |
| Is not a barrier | 5 (15.2) | 10 (30.3) | 3 (9.1) | 1 (3.0) | 0 (0) |
| It is hard to find a time to talk with parents | |||||
| Is a barrier | 58 (12.2) | 99 (20.8) | 22 (4.6) | 24 (5.0) | 15 (3.2) |
| Is not a barrier | 7 (25.0) | 14 (50.0) | 7 (25.0) | 5 (17.9) | 4 (14.3) |
| Pediatricians are not trained to discuss smoking cessation with adults | |||||
| Is a barrier | 59 (12.4) | 104 (21.9) | 24 (5.1) | 24 (5.1) | 16 (3.4) |
| Is not a barrier | 6 (20.0) | 9 (30.0) | 5 (16.7) | 5 (16.7) | 3 (10.0) |
| Lack of a standard of care requiring pediatricians to provide smoking cessation or SHS exposure reduction intervention | |||||
| Is a barrier | 53 (12.2) | 88 (20.3) | 22 (5.1) | 18 (4.1) | 11 (2.5) |
| Is not a barrier | 12 (20.0) | 25 (41.7) | 7 (11.7) | 11 (11.7) | 8 (13.3) |
| Lack of insurance coverage for smoking cessation medication | |||||
| Is a barrier | 53 (13.0) | 84 (20.6) | 20 (4.9) | 21 (5.2) | 12 (2.9) |
| Is not a barrier | 12 (12.4) | 29 (29.9) | 9 (9.3) | 8 (8.2) | 7 (7.2) |
| It is hard to make system changes at our hospital | |||||
| Is a barrier | 56 (12.3) | 97 (21.2) | 21 (4.6) | 21 (4.6) | 14 (3.1) |
| Is not a barrier | 9 (19.1) | 16 (34.0) | 8 (17.0) | 8 (17.0) | 5 (10.6) |
| Not convinced that advice and/or available therapies would work | |||||
| Is a barrier | 57 (13.1) | 93 (21.3) | 19 (4.4) | 20 (4.6) | 14 (3.2) |
| Is not a barrier | 8 (11.8) | 20 (29.4) | 10 (14.7) | 9 (13.2) | 5 (7.4) |
Note: Due to the missing values in some variables, the total number may not equal to the same