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

Abstract

Objective To examine racial differences in rates of screening parents for cigarette smoking during pediatric outpatient visits and to determine if a parental tobacco control intervention mitigates racial variation in whether cigarette smoking is addressed. Methods As part of the CEASE RCT, exit interviews were conducted with parents at 10 control and 10 intervention pediatric practices nationally. Parents were asked to report if during the visit did anyone ask if they smoke cigarettes. A generalized linear mixed model was used to estimate the effect of black vs white race on asking parents about cigarette smoking. Results Among 17,692 parents screened at the exit interview, the proportion of black parents who were current smokers (16%) was lower than the proportion of white parents who smoked (20%) (p<.001). In control group practices, black parents were more likely to be asked (ARR 1.23; 95% CI: 1.08, 1.40) about cigarette smoking by pediatricians than whites. In intervention group practices both black and white parents were more likely to be asked about smoking than those in control practices and there was no significant difference between black and white parents in the likelihood of being asked (ARR: 1.01; 95% CI: 0.93, 1.09). Conclusions Although a smaller proportion of black parents in control practices smoked than white, black parents were more likely to be asked by pediatricians about smoking. The CEASE intervention was associated with higher levels of screening for smoking for both black and white parents.

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

“…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.…”

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

“…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).…”