TY - JOUR
T1 - Barriers and incentives for Italian paediatricians to become smoking cessation promoters
T2 - A GARD-Italy Demonstration Project
AU - Cilluffo, Giovanna
AU - Ferrante, Giuliana
AU - Cutrera, Renato
AU - Piacentini, Giorgio
AU - Bignamini, Elisabetta
AU - Landi, Massimo
AU - Martucci, Paola
AU - Morcaldi, Luigi
AU - Midulla, Fabio
AU - Viegi, Giovanni
AU - La Grutta, Stefania
N1 - Publisher Copyright:
© 2020 Journal of Thoracic Disease.
PY - 2020/11
Y1 - 2020/11
N2 - Background: Paediatricians rarely devote any time to screening and treatment for parental tobacco use. The present project is part of a Global Alliance against Chronic Respiratory Diseases (GARD)-Italy Demonstration Project, aimed to increase the skills of primary care physicians and paediatricians as "promoter of smoking cessation". The aims of this study were: (I) to identify latent classes of barriers and incentives for smoking cessation counseling among paediatricians using latent class analysis (LCA); (II) to investigate risk factors for inclusion into the identified classes. Methods: In 2018, 1,500 Italian paediatricians were invited to complete an online survey on passive smoke exposure in children. LCA was used to discover underlying response patterns, and to identify respondent groups with similar attitudes toward passive smoke exposure in children. Multinomial logistic regression helped investigate which explanatory variables influenced inclusion into a class. A P value <0.05 was considered significant. Results: The overall response rate was 71% (n=1,071/1,500). Three classes were identified: Class 1 "passive"(n=226, 21.10%); Class 2 "unmotivated"(n=124, 11.58%); and Class 3 "proactive"(n=721, 67.32%). Assuming Class 3 as reference, ever having been a smoker was borderline associated (P=0.052) with increased probability of inclusion into Class 1 (OR =1.43, 95% CI, 1.00-2.06). Having 6-15 or ≥15 years of work experience versus having less than five years was associated with decreased probability of being in the "passive"class (OR =0.46, 95% CI, 0.22-0.96 and OR =0.49, 95% CI, 0.27-0.87, respectively), as was discussing parents' addiction to alcohol/drugs (OR =0.50, 95% CI, 0.33-0.76). Conclusions: We identified three profiles among Italian paediatricians related to barriers and incentives for smoking cessation promotion. Tailored educational interventions for paediatricians are required to promote smoking cessation programs.
AB - Background: Paediatricians rarely devote any time to screening and treatment for parental tobacco use. The present project is part of a Global Alliance against Chronic Respiratory Diseases (GARD)-Italy Demonstration Project, aimed to increase the skills of primary care physicians and paediatricians as "promoter of smoking cessation". The aims of this study were: (I) to identify latent classes of barriers and incentives for smoking cessation counseling among paediatricians using latent class analysis (LCA); (II) to investigate risk factors for inclusion into the identified classes. Methods: In 2018, 1,500 Italian paediatricians were invited to complete an online survey on passive smoke exposure in children. LCA was used to discover underlying response patterns, and to identify respondent groups with similar attitudes toward passive smoke exposure in children. Multinomial logistic regression helped investigate which explanatory variables influenced inclusion into a class. A P value <0.05 was considered significant. Results: The overall response rate was 71% (n=1,071/1,500). Three classes were identified: Class 1 "passive"(n=226, 21.10%); Class 2 "unmotivated"(n=124, 11.58%); and Class 3 "proactive"(n=721, 67.32%). Assuming Class 3 as reference, ever having been a smoker was borderline associated (P=0.052) with increased probability of inclusion into Class 1 (OR =1.43, 95% CI, 1.00-2.06). Having 6-15 or ≥15 years of work experience versus having less than five years was associated with decreased probability of being in the "passive"class (OR =0.46, 95% CI, 0.22-0.96 and OR =0.49, 95% CI, 0.27-0.87, respectively), as was discussing parents' addiction to alcohol/drugs (OR =0.50, 95% CI, 0.33-0.76). Conclusions: We identified three profiles among Italian paediatricians related to barriers and incentives for smoking cessation promotion. Tailored educational interventions for paediatricians are required to promote smoking cessation programs.
KW - Barriers
KW - Incentives
KW - Latent class analysis (LCA)
KW - Paediatricians
KW - Smoking cessation
UR - http://www.scopus.com/inward/record.url?scp=85097146770&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85097146770&partnerID=8YFLogxK
U2 - 10.21037/jtd-gard-20-003
DO - 10.21037/jtd-gard-20-003
M3 - Article
AN - SCOPUS:85097146770
VL - 12
SP - 6868
EP - 6879
JO - Journal of Thoracic Disease
JF - Journal of Thoracic Disease
SN - 2072-1439
IS - 11
ER -