Abstract:
BACKGROUND:Secondhand smoke (SHS) exposure of children due to parental tobacco use is a particularly prevalent health issue and is associated with adverse health outcomes. Following the US Clinical Practice guidelines, pediatricians in the United States deliver 5A's (ask, advise, assess, assist, and arrange) counseling to smoking parents which has proven to be effective. We examined Chinese pediatricians' adherence to the clinical practice guidelines for smoking cessation (i.e. 5A's counseling practices) with smoking parents, and identified factors associated with these practices. METHODS:A cross-sectional paper-and-pencil survey of pediatricians was conducted in twelve conveniently selected southern Chinese hospitals. Factors associated with any of the 5A's smoking cessation counseling practices were identified by logistic regression. RESULTS:Of respondents (504/550), only 26 % routinely provided 5A's smoking cessation counseling to smoking parents. More than 80 % of pediatricians didn't receive formal training in smoking cessation and had not read China smoking cessation guidelines; 24 % reported being "very confident" in discussing smoking or SHS reduction with parents. Pediatricians who had never smoked (OR: 2.29, CI:1.02-5.12), received training in smoking cessation (OR: 2.50, CI:1.40-4.48), had read China smoking cessation guidelines (OR: 2.17, CI:1.10-4.26), and felt very (OR: 7.12, CI:2.45-20.70) or somewhat (OR: 3.05, CI:1.11-8.37) confident in delivering cessation counseling were more likely to practice 5A's. Pediatricians who reported "it is hard to find a time to talk with parents" (OR: 0.32, CI: 0.11-0.92) or "lack of a standard of care requiring pediatricians to provide smoking cessation or SHS exposure reduction intervention" (OR: 0.45, CI: 0.21-0.98) as a barrier were less likely to follow the 5A's guidelines. CONCLUSIONS:Smoking cessation counseling to address parental smoking is infrequent among Chinese pediatricians. There is a need to develop and test intervention strategies to improve the delivery of 5A's smoking cessation counseling to parental smokers.
journal_name
BMC Pediatrjournal_title
BMC pediatricsauthors
Liao J,Winickoff JP,Nong G,Huang K,Yang L,Zhang Z,Abdullah ASdoi
10.1186/s12887-016-0672-0subject
Has Abstractpub_date
2016-08-20 00:00:00pages
135issn
1471-2431pii
10.1186/s12887-016-0672-0journal_volume
16pub_type
杂志文章相关文献
BMC Pediatrics文献大全abstract:BACKGROUND:Provision of optimal nutrition in children in critical care is often challenging. This study evaluated exclusive enteral nutrition (EN) provision practices and explored predictors of energy intake and delay of EN advancement in critically ill children. METHODS:Data on intake and EN practices were collected ...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-14-186
更新日期:2014-07-21 00:00:00
abstract:BACKGROUND:Several studies have shown that girls who undergo menarche at a relatively young age tend to be more obese as adults. However, because childhood (pre-menarcheal) levels of weight and height are associated with an earlier menarche, the increased prevalence of adult obesity among early maturers may largely ref...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-3-3
更新日期:2003-04-30 00:00:00
abstract:BACKGROUND:Neonatal mortality remains a serious global public health problem, but Sub-Saharan Africa (SSA), in particular, is largely affected. Current evidence on neonatal mortality is essential to inform programs and policies, yet there is a scarcity of information concerning neonatal mortality in our study area. The...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-1963-z
更新日期:2020-02-15 00:00:00
abstract:BACKGROUND:Paracetamol (also known as acetaminophen) is the commonest available analgesic and anti-pyretic. It is readily accessed from pharmacy, patent medicine and provision shops as over the counter drug making it a potential drug of abuse, especially in children. We sought to find its use and/or misuse in children ...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-12-103
更新日期:2012-07-19 00:00:00
abstract:BACKGROUND:Transgender (TG) individuals experience discordance between their sex at birth and their gender identity. To better understand the health care needs and characteristics of TG youth that contribute to resilience, we conducted a qualitative study with clinical and non-clinical providers. METHODS:In-depth inte...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-015-0505-6
更新日期:2015-11-18 00:00:00
abstract:BACKGROUND:Most extremely low gestational age neonates (ELGANS, postmenstrual age at birth (PMA) < 28 completed weeks) require supplemental oxygen and experience frequent intermittent hypoxemic and hyperoxemic episodes. Hypoxemic episodes and exposure to inadequately high concentrations of oxygen are associated with an...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-019-1735-9
更新日期:2019-10-21 00:00:00
abstract:BACKGROUND:Compare the efficacy and safety of Plasma-Lyte A (PLA) versus 0.9 % sodium chloride (NaCl) intravenous (IV) fluid replacement in children with moderate to severe dehydration secondary to acute gastroenteritis (AGE). METHODS:Prospective, randomized, double-blind study conducted at eight pediatric emergency d...
journal_title:BMC pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12887-016-0652-4
更新日期:2016-08-02 00:00:00
abstract:BACKGROUND:The adoption of inappropriate feeding practices is one of the reasons for under nutrition in Nepal and elsewhere. The objective of this study was to describe the rate of and identify the factors associated with providing the World Health Organization (WHO) recommended infant feeding practices of minimum diet...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-13-131
更新日期:2013-08-28 00:00:00
abstract:BACKGROUND:For treatment of Graf class IIb dysplastic hips at walking onset a treatment concept with abduction splints allowing patterns as walking and crawling under constant abduction control was investigated. However, as the splint still incapacitates child movements the research question remains whether the physiol...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-5-17
更新日期:2005-06-15 00:00:00
abstract:BACKGROUND:Severe dehydration is generally believed to be a cause of significant hyperbilirubinemia in newborn babies. This study aimed to analyze the weight loss of healthy term newborn infants at 24, 48 and 72 hours after birth to predict significant hyperbilirubinemia at 72 hours. METHODS:From January 2007 to Decem...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-13-145
更新日期:2013-09-21 00:00:00
abstract:BACKGROUND:Identification of deafness before 3 months of age substantially improves the socio-linguistic and cognitive development of deaf children. Existing studies demonstrating the feasibility of newborn hearing screening in South Africa have used small samples unrepresentative of general population characteristics....
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-016-0574-1
更新日期:2016-03-22 00:00:00
abstract:BACKGROUND:Infant behavioral sleep problems are common, with potential negative consequences. We conducted a randomized controlled trial to assess effects of a sleep intervention comprising a two-hour group teaching session and four support calls over 2 weeks. Our primary outcomes were reduced numbers of nightly wakes ...
journal_title:BMC pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12887-015-0492-7
更新日期:2015-11-13 00:00:00
abstract:BACKGROUND:The fundamental treatment for patients with pediatric malignant mediastinal tumors is chemotherapy. Therefore, accurate diagnosis is essential for selecting the appropriate chemotherapeutic regimen. However, malignant mediastinal tumors occasionally cause respiratory distress, and biopsies under general anes...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02183-w
更新日期:2020-06-10 00:00:00
abstract:BACKGROUND:This report summarizes the clinical characteristics of intractable anemia as part of the clinical presentation of Hirschsprung's disease (HD) and aims to strengthen clinicians' ability to recognize early signs of HD. CASE PRESENTATION:An 11-year-old boy with a 6-year history of intractable anemia, low hemog...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02423-z
更新日期:2020-11-16 00:00:00
abstract:BACKGROUND:Coxsackievirus A6 (CVA6) is one of the major agents to cause hand, foot and mouth disease (HFMD) outbreaks globally. The objective of this study is to investigate the epidemiologic and clinical manifestations of CVA6 outbreak, and thus guide the diagnosis and treatment of the disease, as well as disease prev...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-018-1253-1
更新日期:2018-08-21 00:00:00
abstract:BACKGROUND:Poisoning in toddlers and infants is almost always unintentional due to their exploratory behavior, which is different from adults. The prevalence and background of childhood poisoning in Qatar is still unknown. The aim of this study is to explore the extent of childhood poisoning in Qatar and, specifically,...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-015-0423-7
更新日期:2015-08-28 00:00:00
abstract:BACKGROUND:Hyperglycemia often occurs in premature, very low birthweight infants (VLBW) due to immaturity of endogenous regulatory systems and the stress of their condition. Hyperglycemia in neonates has been linked to increased morbidities and mortality and occurs at increasing rates with decreasing birthweight. In th...
journal_title:BMC pediatrics
pub_type: 临床试验,杂志文章
doi:10.1186/1471-2431-12-117
更新日期:2012-08-07 00:00:00
abstract:BACKGROUND:Ultrasonography of the hip has gained wide acceptance as a primary method for diagnosis, screening and treatment monitoring of developmental hip dysplasia in infants. The aim of the study was to examine the degree of concordance of two objective classifications of hip morphology and subjective parameters by ...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-10-98
更新日期:2010-12-24 00:00:00
abstract:BACKGROUND:We have limited information on families' experiences during transition and after discharge from the neonatal intensive care unit. METHODS:Open-ended semi-structured interviews were conducted with English or Spanish- speaking families enrolled in Medicaid in an urban high-risk infant follow up clinic at a sa...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-019-1604-6
更新日期:2019-07-05 00:00:00
abstract:BACKGROUND:Considerable heterogeneity has been observed in the selection and reporting of disease-specific pediatric outcome measures in randomized controlled trials (RCTs). This makes interpretation of results and comparison across trials challenging. Outcome measures in pediatric anaphylaxis trials have never previou...
journal_title:BMC pediatrics
pub_type: 杂志文章,评审
doi:10.1186/1471-2431-14-158
更新日期:2014-06-20 00:00:00
abstract:BACKGROUND:Necrotizing enterocolitis (NEC) is a devastating disease that is relatively frequently diagnosed in term infants with congenital heart disease (CHD), compared with term infants without CHD, in whom NEC is rare. The exact pathogenesis of NEC in term infants with CHD is unknown, but it is hypothesized that isc...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02446-6
更新日期:2020-12-07 00:00:00
abstract:BACKGROUND:The Pediatric Quality of Life Inventory (PedsQL) is a modular instrument, designed to integrate generic and disease specific measures, and includes both self- and proxy-reports. The aim of the study was to assess the reliability and limited validity of the Swedish version of the disease specific Pediatric Qu...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02387-0
更新日期:2020-10-28 00:00:00
abstract:BACKGROUND:Decisional conflict is a state of uncertainty about the best treatment option among competing alternatives and is common among adult patients who are inadequately involved in the health decision making process. In pediatrics, research shows that many parents are insufficiently involved in decisions about the...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-017-0899-4
更新日期:2017-06-13 00:00:00
abstract:BACKGROUND:Parenting children with special health care needs can be challenging particularly if children have complex conditions. Parents may struggle to manage their child's health and their own emotions, contributing to poorer health outcomes for the family. Frequent healthcare contact presents opportunities to inter...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-019-1648-7
更新日期:2019-08-30 00:00:00
abstract:BACKGROUND:At present, there are few studies on the economic burden and medical treatment of children with asthma in China. Thus this study aimed to investigate the economic burden of medical treatment of children with asthma in China. METHOD:The 2015 China Medical Insurance Research Association (CHIRA) database was s...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02268-6
更新日期:2020-08-18 00:00:00
abstract:BACKGROUND:Maternal iodine requirements increase during pregnancy to supply thyroid hormones essential for fetal brain development. Maternal iodine deficiency can lead to hypothyroxinemia, a reduced fetal supply of thyroid hormones which, in the first trimester, has been linked to an increased risk of autism spectrum d...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02440-y
更新日期:2020-12-05 00:00:00
abstract:BACKGROUND:Clinical factors that affect the likelihood of abuse in children with femur fractures have not been well elucidated. Consequently, specifying which children with femur fractures warrant an abuse evaluation is difficult. Therefore the purpose of this study is to estimate the proportion of femur fractures in y...
journal_title:BMC pediatrics
pub_type: 杂志文章,评审
doi:10.1186/1471-2431-14-169
更新日期:2014-07-02 00:00:00
abstract:BACKGROUND:To construct birth weight charts for the Chongqing municipality, China and to identify whether differences in birth weight exist across urban/rural populations, thereby warranting separate charts. METHODS:Secondary analysis of routinely collected data from 338,454 live infants between 2014 and 2017 in Chong...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-019-1816-9
更新日期:2019-11-11 00:00:00
abstract:BACKGROUND:Although anorectal malformations (ARMs) are frequently encountered, rare variants difficult to classify have been reported. METHODS:This study describes a patient with ARM and rectopenile fistula. The literature was reviewed systematically to assess the anatomical characteristics, clinical presentations and...
journal_title:BMC pediatrics
pub_type: 杂志文章,评审
doi:10.1186/s12887-016-0604-z
更新日期:2016-05-13 00:00:00
abstract:BACKGROUND:Elevated blood pressure (BP) in childhood was a predictor of hypertension in adulthood and contributes to the current epidemic of cardiovascular disease. It is necessary to identify abnormal BP in children and adolescents with accurate BP tables based on several crucial factors. The purpose of this study was...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-14-10
更新日期:2014-01-16 00:00:00