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This version was published on April 1, 2008
Clinical Pediatrics, Vol. 47, No. 3, 237-243 (2008)
DOI: 10.1177/0009922807308182
© 2008 SAGE Publications

What Factors Are Important for Pediatric Residents' Smoking Cessation Counseling of Parents?

Rachel Anne Barnes Dodge, MD

Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, rdodge3{at}jhmi.edu

Michael D. Cabana, MD, MPH

Division of General Pediatrics, University of California-San Francisco, San Francisco, California

Mary Ann O'Riordan, MS

Division of Pediatric Pharmacology and Critical Care, Department of Pediatrics

Amy Heneghan, MD

Department of Pediatrics, Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, Ohio

Pediatricians are expected to discuss the hazards of passive smoking and provide smoking cessation counseling (SCC) because passive smoking is known to have a direct negative effect on children's health. We conducted a cross-sectional survey of pediatric and medicine— pediatric residents at 2 training programs to identify resident-reported factors associated with higher confidence in and frequency of SCC. In this sample of 71 residents, 83% reported asking about parental smoking but only 36% reported counseling parents to quit smoking. Knowledge of smoking cessation resources was the factor most strongly associated with high confidence in and frequency of SCC. Research should be done to evaluate if improving awareness of smoking cessation resources for parents improves pediatricians' confidence in asking about parental smoking and the likelihood of advising parents to quit smoking.

Key Words: smoking cessation counseling • environmental tobacco smoke • resident education • referral resources • smoking cessation counseling training


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