Introduction

Although rates of cigarette smoking among U.S. adolescents have declined, rates of vaping (i.e., using e-cigarettes) have increased. We conducted a secondary analysis of 359 transcripts of medical visits of adolescents with asthma to examine communication about caregiver and adolescent smoking and vaping.

Method

Adolescents aged 11–17 years with persistent asthma and their parents were enrolled from four pediatric clinics in 2015–2017. Youth were randomized to the intervention or usual care groups. Intervention group adolescents watched a video and then completed an asthma question prompt list before their visits.

Results

Forty providers and 359 patients participated. Providers, adolescents, and caregivers discussed smoking during 38.2% of their visits. Vaping was never discussed.

Discussion

There is room to improve how often providers in a primary care setting discuss smoking and vaping. Further investigation might focus on how a smoking and vaping prompt list for adolescents could increase tobacco discussions during visits.

中文翻译：

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关于青少年和看护人在小儿哮喘就诊期间吸烟和使用电子烟的交流：对提供者的影响

介绍

尽管美国青少年的吸烟率有所下降，但电子烟（即使用电子烟）的比率有所增加。我们对 359 份哮喘青少年就诊记录进行了二次分析，以检查关于看护者与青少年吸烟和吸电子烟的交流。

方法

2015-2017 年，从四家儿科诊所招募了 11-17 岁患有持续性哮喘的青少年及其父母。青年被随机分配到干预组或常规护理组。干预组青少年观看视频，然后在访问前完成哮喘问题提示列表。

结果

40 名提供者和 359 名患者参与。提供者、青少年和护理人员在他们就诊的 38.2% 中讨论了吸烟问题。从未讨论过电子烟。

讨论

初级保健机构的提供者讨论吸烟和吸电子烟的频率还有提高的余地。进一步的调查可能会集中在青少年吸烟和吸电子烟提示清单如何在访问期间增加烟草讨论。