Chinese pediatrician beliefs about counseling and medications for parents who smoke: a survey in southern China

Tobacco Induced Diseases

Guangmin Nong⁴  Jonathan P Winickoff¹  Zhiyong Zhang²  Li Yang²  Haiying Huo²  Jing Liao⁴  Abu S Abdullah³  Kaiyong Huang² 

[1]MGH Center for Child and Adolescent Health Research and Policy, Harvard Medical School, Boston, USA

[2]School of Public Health, Guangxi Medical University, Nanning 530021, Guangxi, China

[3]Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, USA

[4]Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi, China

关键词: Medication;    Counseling;    Smoking cessation;    Effectiveness;    Beliefs;    Pediatrician;   

Others  :  1160772
DOI  :  10.1186/s12971-015-0035-x

 received in 2014-11-02, accepted in 2015-03-28,  发布年份 2015

【 摘 要 】

Background

Pediatricians play an important role in promoting smoking cessation among the parents of young children as more behavioral counseling and cessation treatment are made available in the Chinese healthcare system. However, beliefs about the effectiveness of these interventions can influence pediatricians’ recommendations to their patients. This study examined pediatricians’ beliefs regarding effectiveness of counseling and medications for smoking cessation.

Methods

A cross-sectional survey of pediatricians was conducted in thirteen conveniently selected southern Chinese hospitals, during September to December 2013. A self-administered questionnaire was used for data collection. We used chi square tests and multinomial logistic regression analysis to identify factors associated with beliefs regarding effectiveness of counseling and medications for smoking cessation.

Results

Beliefs of the respondents (504/550; 92% response rate) were divided regarding the effectiveness of counseling and medications for smoking cessation. Sixty percent believed that physician counseling is effective for smoking cessation; 53% believed pharmacological products (or medications) are effective. Factors that were associated with positive beliefs towards the effectiveness of counseling included: believing about the professional responsibility to discuss smoking cessation, being confident in discussing smoking cessation or SHS exposure reduction with patients’ parents, believing that health professionals should routinely ask about their patients smoking habits, believing that health professionals should routinely advise their smoking patients to quit smoking, possessing adequate knowledge in quitting smoking, and being able to assess smokers different stages of readiness to quit. Most of the above factors were also associated with the belief that medication is effective for smoking cessation.

Conclusions

A substantial proportion of Chinese pediatricians believed that cessation counseling and medications are not effective, which is not supported by current evidence in the field. Several factors including individual, practice level and health system level characteristics were associated with their belief. Training efforts are needed to influence pediatricians’ beliefs regarding the effectiveness of cessation counseling and medications.

【 授权许可】

   
2015 Huang et al.; licensee BioMed Central.

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