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Tobacco Induced Diseases

, 15:2

First Online: 10 January 2017Received: 04 June 2016Accepted: 22 December 2016DOI: 10.1186-s12971-016-0107-6

Cite this article as: Collins, L., Smiley, S.L., Moore, R.A. et al. Tob. Induced Dis. 2017 15: 2. doi:10.1186-s12971-016-0107-6


BackgroundInitiating tobacco use in adolescence increases the risk of nicotine dependence and continued smoking. Physician screening for tobacco use increases the odds of physicians intervening with patients who smoke; However, without appropriate follow-through by the physician, screening for tobacco use is not enough to significantly increase cessation rates. Given the critical phase of development adolescence poses in tobacco use and evidence that physician intervention improves adult cessation efforts, we sought to examine physician tobacco use screening and advice to quit among adolescents 12–17 years.

MethodsUsing data from the 2013 National Survey on Drug Use and Health NSDUH, we examined the prevalence and correlates of tobacco use screening in adolescent respondents who reported visiting their physician within the past year N = 12,798. Multivariable logistic regression analyses explored the relationship between tobacco use screening and physician advice to quit in a sub-set of the sample who reported on physician advice to quit n = 1,868, controlling for sociodemographics, cigarette use, and substance use and screening.

ResultsOnly 49% of adolescents who visited a physician within the past year reported being screened for tobacco use. Adolescents who were screened by their physician were predominantly female 56.6%, White 60.1%, in late adolescence 83.0%, and covered by private health insurance 63.8%. Screening for tobacco use was highly correlated with physician advice to quit smoking, controlling for sociodemographic characteristics and cigarette use; this relationship was attenuated, but remained significant, after screening for alcohol and marijuana were added to the model. Hispanic adolescents were significantly less likely to receive physician advice to quit in all multivariable models.

ConclusionsOur findings suggest missed opportunities for youth tobacco use prevention and cessation efforts in the clinical setting. Further research is needed to better facilitate an open dialogue on tobacco use between physicians and their adolescent patients.

KeywordsAdolescent Smoking Smoking cessation Physicians United States  Download fulltext PDF

Autor: Lauren Collins - Sabrina L. Smiley - Rakiya A. Moore - Amanda L. Graham - Andrea C. Villanti


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