September 1989

Advising Parents to Stop SmokingOpportunities and Barriers in Pediatric Practice

Author Affiliations

From the Department of Pediatrics and The Office of Health Promotion Research, College of Medicine, University of Vermont, Burlington.

Am J Dis Child. 1989;143(9):1091-1094. doi:10.1001/archpedi.1989.02150210127032

• All pediatricians in Maine were surveyed by mail to assess their beliefs and attitudes about parental smoking and their current activities concerning advice on smoking cessation. The response rate to three mailings was 86%. Most pediatricians (91%) reported advising parents who smoke to quit and estimated spending an average of almost 5 minutes giving advice on how to quit smoking. Almost all pediatricians (94%) felt moderately or very confident in addressing passive smoking issues. However, only 46% felt moderately or very confident in advising parents how to stop smoking. Important barriers to providing advice on smoking cessation to parents included negative parental expectations and not having enough time. Only 6% of the pediatricians noted lack of reimbursement as a barrier. The majority of respondents (84%) were moderately or very willing to learn brief methods of giving advice on how to stop smoking to parents.

(AJDC. 1989;143:1091-1094)