Table 3.
Prevalence and odds of providing any of the 5As by the Chinese pediatricians, Guangxi 2013
| Variables | Followed any of the 5As (always or often) n (%) |
Followed any of the 5As (Otherwise) n (%) |
OR (95 % CI) |
|---|---|---|---|
| Gender | |||
| Male (referent) | 40 (22) | 142 (78) | 1 |
| Female | 91 (28) | 231 (72) | 1.31 (0.74,2.35) |
| Ages | |||
| 20-30 (referent) | 61 (28) | 154 (72) | 1 |
| 31-40 | 38 (24) | 121 (76) | 0.57 (0.27,1.20) |
| 41-50 | 19 (21) | 70 (79) | 0.44 (0.16,1.22) |
| Above 50 | 13 (32) | 28 (68) | 0.61 (0.19,1.93) |
| Physician type | |||
| Resident Physician (referent) | 62 (28) | 161 (72) | 1 |
| Attending Physician | 38 (25) | 113(75) | 0.96 (0.46,2.03) |
| Chief or Associate Chief Physician | 31 (24) | 99 (76) | 1.48 (0.57,3.82) |
| Number of years studied at medical school | |||
| 5 Years (referent) | 98 (25) | 290 (75) | 1 |
| More than 5 years | 33 (28) | 83 (72) | 1.14 (0.64,2.04) |
| Smoking status* | |||
| Current smoker (referent) | 11 (13) | 71 (87) | 1 |
| Nonsmoker | 114 (29) | 286 (71) | 2.40 (1.05,5.50) |
| Heard about e-cigarettes | |||
| No (referent) | 34 (19) | 144 (81) | 1 |
| Yes | 97 (30) | 229 (70) | 1.54(0.90,2.62) |
| Heard about third hand smoke | |||
| No (referent) | 80 (23) | 262 (77) | 1 |
| Yes | 51 (31) | 111 (69) | 1.24 (0.74,2.10) |
| Received cigarettes as gift or gave cigarettes as gifts to others | |||
| No (referent) | 112 (26) | 311 (74) | 1 |
| Yes | 19 (23) | 62 (77) | 0.87 (0.42,1.82) |
| Have smoke-free policy in the hospital | |||
| No policy (referent) | 2 (25) | 6 (75) | 1 |
| Have policy | 129 (26) | 367 (74) | 0.33 (0.05,2.30) |
| Hospital have any policy to advise smokers to quit | |||
| No (referent) | 46 (21) | 173 (79) | 1 |
| Yes | 85 (30) | 200 (70) | 1.25 (0.75,2.08) |
| Received formal training in smoking cessation** | |||
| No (referent) | 83 (21) | 316 (79) | 1 |
| Yes | 45 (47) | 51 (53) | 2.54 (1.38,4.67) |
| Have read China smoking cessation guidelines* | |||
| No/never heard (referent) | 90 (21) | 337 (79) | 1 |
| Yes | 41 (53) | 36 (47) | 2.11 (1.05,4.21) |
| Have read international (i.e. US, UK) smoking cessation guidelines | |||
| No/never heard (referent) | 111 (24) | 357 (76) | 1 |
| Yes | 20 (56) | 16 (44) | 1.88 (0.74,4.77) |
| Believe that it is pediatricians professional responsibility to discuss smoking cessation | |||
| No (referent) | 55 (20) | 220 (80) | 1 |
| Yes | 76 (33) | 153 (67) | 1.35 (0.83,2.21) |
| Level of confidence discussing smoking cessation or SHS exposure reduction with patients’ parents** | |||
| Not at all confident (referent) | 5 (8) | 61 (92) | 1 |
| Somewhat confident | 71 (22) | 245 (78) | 3.32 (1.17,9.44) |
| Very confident | 55 (45) | 67 (55) | 7.64 (2.53,23.09) |
| Beliefs regarding effectiveness of physician counseling for smoking cessation | |||
| Disagree/strongly disagree (referent) | 51 (26) | 149 (74) | 1 |
| Agree/strongly agree | 80 (26) | 224 (74) | 0.67 (0.40,1.13) |
| Beliefs regarding effectiveness of pharmacological treatment for smoking cessation | |||
| Disagree/strongly disagree (referent) | 61 (26) | 177 (74) | 1 |
| Agree/strongly agree | 70 (26) | 196 (74) | 0.71 (0.43,1.19) |
| Appropriate knowledge about health risk of smoking | |||
| No (referent) | 68 (25) | 199 (75) | 1 |
| Yes | 63 (27) | 174 (73) | 0.77 (0.45,1.31) |
| Appropriate knowledge about health risk of secondhand smoking | |||
| No (referent) | 67 (24) | 217 (76) | 1 |
| Yes | 64 (29) | 156 (71) | 1.23 (0.72,2.08) |
| Parents are resistant to discuss about smoking | |||
| Is not a barrier (referent) | 10 (30) | 23 (70) | 1 |
| Is a barrier | 121 (26) | 350 (74) | 0.76 (0.29,2.01) |
| It is hard to find a time to talk with parents* | |||
| Is not a barrier (referent) | 15 (54) | 13 (46) | 1 |
| Is a barrier | 116 (24) | 360 (76) | 0.32 (0.11,0.92) |
| Pediatricians are not trained to discuss smoking cessation with adults | |||
| Is not a barrier (referent) | 10 (33) | 20 (67) | 1 |
| Is a barrier | 121 (26) | 353 (74) | 2.43 (0.72,8.22) |
| Lack of a standard of care requiring pediatricians to provide smoking cessation or SHS exposure reduction intervention* | |||
| Is not a barrier (referent) | 20(33) | 40 (67) | 1 |
| Is a barrier | 101 (23) | 333 (77) | 0.45 (0.21,0.98) |
| Lack of insurance coverage for smoking cessation medication | |||
| Is not a barrier (referent) | 31 (32) | 66 (68) | 1 |
| Is a barrier | 100 (25) | 307 (75) | 1.42 (0.68,2.97) |
| It is hard to make system changes at our hospital | |||
| Is not a barrier (referent) | 16 (34) | 31 (66) | 1 |
| Is a barrier | 115 (25) | 342 (75) | 1.32 (0.47,3.75) |
| Not convinced that advice and/or available therapies would work | |||
| Is not a barrier (referent) | 21 (31) | 47 (69) | 1 |
| Is a barrier | 110 | 326 (75) | 0.94 (0.46,1.93) |
Note: CI Confidence interval; OR Odds ratio.*P < 0.05, **P < 0.01