Secondhand smoke exposure assessment and counseling in the Chinese pediatric setting: a qualitative study

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• 作者：Jing Liao (58)
  Abu S Abdullah (59) (60) (61) (62)
  Guangmin Nong (58)
  Kaiyong Huang (61)
  Longde Lin (61)
  Zhenyu Ma (61)
  Li Yang (61)
  Zhiyong Zhang (61)
  Jonathan P Winickoff (63)
  
  58. Department of Pediatrics ; The First Affiliated Hospital of Guangxi Medical University ; Nanning ; Guangxi ; 530021 ; China
  59. Global Health Initiative ; Duke Kunshan University ; Kunshan ; Jiangsu Province ; 215347 ; China
  60. Duke Global Health Institute ; Duke University ; 310 Trent Drive ; Durham ; NC ; 27710 ; USA
  61. School of Public Health ; Guangxi Medical University ; 22 Shuangyong Road ; Nanning ; Guangxi ; 530021 ; China
  62. Boston University School of Medicine ; Boston Medical Center ; Boston ; MA ; USA
  63. MGH Center for Child and Adolescent Health Research and Policy ; Harvard Medical School ; Boston ; USA
  
• 关键词：Secondhand smoke ; Pediatric setting ; Healthcare workers ; Counseling ; Chinese ; Tobacco control ; Qualitative study
• 刊名：BMC Pediatrics
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：287 KB
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  25. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2431/14/266/prepub
  
• 刊物主题：Pediatrics; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2431

文摘

Background Assisting smoking parents to quit smoking and eliminating the secondhand smoke (SHS) exposure of their children is a global health priority. Engaging healthcare workers in developing countries to address this priority has been a challenge. This study intends to explore issues around current practice related to SHS exposure assessment and counseling and identify barriers to SHS exposure reduction counseling in the Chinese pediatric setting. Methods We conducted qualitative interviews (11 focus groups discussions (FGDs) with pediatricians, 6 FGDs with pediatric nurses and 11 in-depth interviews (IDIs) with hospital administrators) among 101 health-care professionals (HCP) from 5 hospitals in four major cities of Guangxi Province, China. All FGDs/ IDIs were audio recorded and analysed thematically. Results The findings suggest that few Chinese pediatricians routinely address the SHS exposure of children in their usual practice. All HCPs felt the need for clinical interventions to promote SHS exposure reduction for children. Primary barriers to SHS exposure reduction counseling in the Chinese pediatric setting included: lack of skills and training in tobacco use reduction and cessation counseling; time constraints and heavy workloads, uncertainty about the usefulness of smoking cessation interventions and lack of hospital-wide systems requiring pediatricians to record tobacco use or SHS exposure information. Ideas for overcoming these barriers were building capacity of pediatricians, collaboration with international organization to initiate training, engaging top level leaders in the effort and ensuring financial resources to support the program. Conclusions This study among hospital administrators and service providers in China demonstrated a high level of interest in delivering SHS exposure reduction interventions in the pediatric setting. The findings can inform the creation and delivery of clinical interventions in China to promote SHS exposure reduction to children in the pediatric setting.