Types of Tobacco Products Used by Caregivers of Newborns in the Primary Care Setting

Author:

Gittelman Michael123ORCID,Southworth Hayley3,Carle Adam C.4,Anzeljc Samantha3,Qian Xiaokun5,Wervey Arnold Melissa3,Mahabee-Gittens E. Melinda12

Affiliation:

1. Division of Emergency Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

2. Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA

3. Ohio Chapter of the American Academy of Pediatrics, Columbus, OH, USA

4. James M Anderson Center for Health Systems Excellence, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

5. Ohio Colleges of Medicine, Government Resource Center, Columbus, OH, USA

Abstract

This study determined the types of tobacco products used by caregivers who presented to infant well-child visits (WCVs), tobacco product use by other household members, and caregivers’ readiness to quit. The Ohio Chapter of the American Academy of Pediatrics conducted a 10-month quality improvement collaborative to improve providers’ tobacco screening and cessation counseling practices. A sub-analysis of the initial screenings was performed to determine types of tobacco products used and caregivers’ readiness to quit. Fourteen practices (60 providers) participated, and 3972 initial screens were analyzed; 320 (8.1%) caregivers and 490 (12.4%) household members used tobacco products. Most smoking caregivers and household members exclusively used cigarettes (79% and 72%, respectively). There was no difference in caregiver intention to quit by tobacco type, yet 53% of smoking caregivers were ready to quit. Providers should provide screening and cessation counseling to caregivers of infants at WCVs since many are ready to quit.

Funder

ohio department of health

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology and Child Health

Reference28 articles.

1. Smoking is down, but almost 38 million American adults still smoke. Accessed April 2, 2022. https://www.cdc.gov/media/releases/2018/p0118-smoking-rates-declining.html.

2. US Department of Health and Human Services. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Atlanta, GA: US Dept. of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2006. Accessed April 2, 2022. https://www.ncbi.nlm.nih.gov/books/NBK44324/pdf/Bookshelf_NBK44324.pdf.

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