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Screening for adolescent smoking among primary care physicians in California

Author

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  • Franzgrote, M.
  • Ellen, J.M.
  • Millstein, S.G.
  • Irwin Jr., C.E.

Abstract

Objectives. This study determined how often primary care physicians ask adolescents about smoking. Methods. We surveyed a stratified random sample of community-based, board-certified California physicians, using a mailed questionnaire. Results. Overall, physicians (n = 343; 77%, response rate) screened younger adolescents for regular smoking during 71.4% (95% confidence interval [CI] = 67.9, 74.9) of routine physical exams and older adolescents during 84.8% (95% CI = 82.3, 87.4) of such visits. For acute-care visits, the screening rates were 24.4% (95% CI = 20.6, 28.1) for younger and 40.2% (95% CI = 36.4, 44.0) for older adolescents. Physicians asked 18.2% (95% CI = 15.2, 21.3) of younger and 35.6%, (95% CI = 32.0, 39.1) of older adolescents about experimental smoking. Screening varied by specialty. Conclusions. These data imply that physicians are missing opportunities to screen adolescents for smoking.

Suggested Citation

  • Franzgrote, M. & Ellen, J.M. & Millstein, S.G. & Irwin Jr., C.E., 1997. "Screening for adolescent smoking among primary care physicians in California," American Journal of Public Health, American Public Health Association, vol. 87(8), pages 1341-1345.
    • Handle: RePEc:aph:ajpbhl:1997:87:8:1341-1345_3
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