Black Versus White Differences in Rates of Addressing Parental Tobacco Use in the Pediatric Setting

Dempsey, Janelle; Regan, Susan; Drehmer, Jeremy E.; Finch, Stacia; Hipple, Bethany; Klein, Jonathan D.; Murphy, Sybil; Nabi-Burza, Emara; Ossip, Deborah J.; Woo, Heide; Winickoff, Jonathan P.

doi:10.1016/j.acap.2014.06.018

Cited by 4 publications

(2 citation statements)

References 31 publications

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“…Compared to Caucasians, Black/African American and Hispanic adults had greater odds of supporting the tobacco movies restriction policy. One potential reason that could explain the higher likelihood of support among Blacks/African American adults stems from previous research suggesting that Black parents were more likely to be asked by pediatricians about smoking 27 . Expectedly, compared to those aged 18-34 years, adults aged ≥50 years had greater odds of policy support.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of US adult opinions on restricting exposure of children to smoking in movies: The 2020 Health Information National Trends Survey

Oghenetega¹,

Kekere²,

Enosolease³

et al. 2022

Popul. Med.

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INTRODUCTIONLegislative policies aimed at curbing early exposure to smoking among youth are a crucial public health strategy. Yet little is known about US adults' public opinion on restricting exposure of children to movies depicting smoking. This study sought to characterize US adults' levels of support to restrict the exposure of children to smoking in movies and explore associations with sociodemographic characteristics. METHODS We used cross-sectional data from the 2020 Health Information National Trends Survey (HINTS, n=3750) of adults in the United States to estimate the prevalence of opinions toward restricting the exposure of children to smoking in movies and examine correlates of support using weighted logistic regression. RESULTS In all, 48.2% of adults endorsed a supportive opinion. In multivariable logistic regression analysis, the odds of endorsing a supportive opinion were higher among Black/African American adults (OR=1.61; 95% CI: 1.04-2.49, p=0.033), and Hispanics (OR=1.78; 95% CI: 1.17-2.72, p=0.008) when compared to Whites. Similarly, compared to those aged 18-34 years, the odds of endorsing a supportive opinion were also greater among those aged 50-64 years (OR=2.15; 95% CI: 1.43-3.24, p<0.001) or aged ≥65 years (OR=3.83; 95% CI: 2.31-6.36, p<0.001). Higher odds for support were observed among those exposed to federal court-ordered anti-smoking tobacco messages (OR=1.37; 95% CI 1.06-1.78, p=0.018) and among those who reported using social media to share health information (OR=1.51; 95% CI: 1.02-2.23, p=0.041). CONCLUSIONS Only 48% of US adults endorsed support for restricting the exposure of children to smoking in movies. This study has identified subgroups of US adults for whom tailored communication interventions may increase support for policies that protect children from early initiation of smoking.

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Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of US adult opinions on restricting exposure of children to smoking in movies: The 2020 Health Information National Trends Survey

Oghenetega¹,

Kekere²,

Enosolease³

et al. 2022

Popul. Med.

View full text Add to dashboard Cite

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“…Efficacious interventions for pregnant women exist (Chamberlain et al, 2013; Fiore, Jaen, Baker, & et al, 2008; Hartmann-Boyce, Stead, Cahill, & Lancaster, 2014; Lumley et al, 2009), yet many do not receive tobacco cessation treatments during and/or after their pregnancy (Dempsey et al, 2015; Tran, Rosenberg, & Carlson, 2010). Though tobacco screening in prenatal care is generally high, additional cessation support or interventions for smoking are not being reliably administered (Bailey & Jones Cole, 2009; Jordan, Dake, & Price, 2006).…”

Section: Introductionmentioning

confidence: 99%

Tobacco Use Prevalence and Outcomes Among Perinatal Patients Assessed Through an “Opt-out” Cessation and Follow-Up Clinical Program

Buchanan

Nahhas

Guille

et al. 2017

Matern Child Health J

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Purpose Cigarette smoking in the perinatal period is associated with costly morbidity and mortality for mother and infant, yet many women continue to smoke throughout their pregnancy and following delivery. This report describes tobacco use prevalence among perinatal smokers identified through an “opt-out” inpatient smoking cessation clinical service. Description Adult women admitted to the peripartum, delivery, and postpartum units at a large academic hospital were screened for tobacco use. Smokers were identified through their medical record and referred to a bedside consult and follow-up using an interactive voice response (IVR) system to assess smoking up to 30 days post-discharge. Assessment Between February 2014 and March 2016, 533 (10%) current and 898 (16%) former smokers were identified out of 5649 women admitted to the perinatal units. Current smokers reported an average of 11 cigarettes per day for approximately 12 years. Only 10% reported having made a quit attempt in the past year. The majority of smokers (56%) were visited by a bedside tobacco cessation counselor during their stay and 27% were contacted through the IVR system. Those counselled in the hospital were twice as likely (RR=1.98, CI=1.04–3.78) to be abstinent from smoking using intent-to-treat analysis at any time during the 30 days post-discharge. Conclusions This opt-out service reached a highly nicotine-dependent perinatal population, many of whom were receptive to the service, and it appeared to improve abstinence rates postdischarge. Opt-out tobacco cessation services may have a significant impact on the health outcomes of this population and their children.

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Addressing Tobacco Screening and Treatment Among Racially and Ethnically Minoritized Parents in Pediatric Clinics: Barriers and Facilitators

Wilhelm,

Bauer,

Allen

et al. 2024

Nicotine and Tobacco Research

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Introduction Household secondhand smoke (SHS) exposure remains a significant health issue for racially and ethnically minoritized children in the United States. Delivering parental tobacco treatment during pediatric primary care visits can reduce children’s SHS exposure. This study examined current tobacco screening practices and health system stakeholder perceptions of facilitators and barriers to addressing tobacco use during pediatric visits among racially and ethnically minoritized parents. Methods We conducted 25 semi-structured interviews with clinicians, staff, and health system leaders from 5 pediatric primary care clinics in Minneapolis-St. Paul, Minnesota. The study was informed by the Health Equity Implementation Framework. Interviews were analyzed using both directed content and thematic analysis. Results Participants identified multilevel facilitators and barriers to addressing parental tobacco use in minoritized families. Within the clinical encounter, barriers included linguistic and cultural barriers, health system navigational challenges, medical mistrust, low levels of clinician and staff knowledge, skills, and confidence, time constraints, and lack of alignment with external metrics. Facilitators centered on leveraging interpreters’ cultural knowledge and the presence of culturally-congruent clinicians and staff to reduce medical mistrust and stigma, developing linguistically and culturally relevant resources, and integrating prompts and resources into the electronic health record. Participants described how lessons from previous system change mechanisms would facilitate this work. Conclusions Addressing health system, training and resources, and linguistic and cultural barriers among clinicians and staff is essential to strengthen their capacity to address household SHS exposure among racially and ethnically minoritized populations as a component of pediatric preventive care. Implications Clinicians and health system staff perceive unique barriers to identifying and addressing parental tobacco use among racially and ethnically minoritized parents during pediatric primary care visits. Solutions to expand tobacco treatment access to minoritized parents in pediatric settings must attend to clinician training needs on tobacco treatment, embedding clinical encounter resources and reminders that match the linguistic and cultural needs and preferences of their patient populations, and increasing access to high quality interpreting services and culturally-congruent staff

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Black Versus White Differences in Rates of Addressing Parental Tobacco Use in the Pediatric Setting

Cited by 4 publications

References 31 publications

Prevalence and correlates of US adult opinions on restricting exposure of children to smoking in movies: The 2020 Health Information National Trends Survey

Prevalence and correlates of US adult opinions on restricting exposure of children to smoking in movies: The 2020 Health Information National Trends Survey

Tobacco Use Prevalence and Outcomes Among Perinatal Patients Assessed Through an “Opt-out” Cessation and Follow-Up Clinical Program

Addressing Tobacco Screening and Treatment Among Racially and Ethnically Minoritized Parents in Pediatric Clinics: Barriers and Facilitators

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