How do pediatricians deal with parents who smoke?

Article Outline

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There is a growing body of evidence concerning the adverse effects of exposure to environmental tobacco smoke (ETS) in children. In fact, exposure to ETS is a leading cause of childhood morbidity and mortality. It is therefore reasonable to expect pediatricians to address the question of environmental tobacco smoke exposure with parents and to provide guidance on how to quit smoking.

In this issue of The Journal, Collins et al from Temple University and Children’s Hospital of Philadelphia investigated the current practice and attitudes of pediatric residents and their preceptors at a major academic children’s hospital. Results show that both residents and their preceptors intervened inconsistently and at fairly low rates. The most frequently cited barriers to their intervention were lack of time and low confidence in the effectiveness of interventions.

The authors conclude that training should be developed for pediatricians, and interdisciplinary collaboration facilitated with affiliated health professionals who might supervise intervention, referral, and follow up to sustain smoking behavior change. Collins et al are to be commended on their transparency. These findings are probably an accurate snap shot of current practice at many centers.