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You Can Reduce Secondhand Smoke Exposure! Prescribing Nicotine Replacement in the Pediatrician's Office
Insights
Pediatricians should screen families for secondhand smoke exposure. Prescribing nicotine replacement therapy (NRT) offers direct support for parents to quit smoking, improving child health.
Area of Science:
- Pediatrics
- Public Health
- Tobacco Control
Background:
- Secondhand smoke (SHS) poses significant health risks to children.
- Thirdhand smoke (THS) is an emerging area of concern.
- Pediatricians often overlook family smoking's impact on child health.
Purpose of the Study:
- To encourage pediatricians to screen for SHS exposure.
- To advocate for pediatricians prescribing nicotine replacement therapy (NRT) to family members.
- To highlight the pediatrician's unique role in promoting smoking cessation within families.
Main Methods:
- Review of current pediatric practices regarding SHS exposure.
- Discussion of the benefits of NRT for smoking cessation.
- Emphasis on the pediatrician-family relationship as a platform for intervention.
Main Results:
- Low screening rates for SHS exposure exist.
- Pediatricians are comfortable counseling but often lack NRT prescribing knowledge.
- NRT offers tangible support for families aiming to be smoke-free.
Conclusions:
- Pediatricians should integrate SHS screening into routine care.
- Prescribing NRT empowers pediatricians to provide direct smoking cessation treatment.
- Leveraging frequent pediatric visits can motivate family members to quit smoking for the child's well-being.
Abstract:
It is universally known that secondhand smoke is detrimental to children's health. There is emerging research about the negative effects of thirdhand smoke as well. Most pediatricians focus on the child's medical evaluation and treatment, without considering other family members as it impacts the child's health. Screening rates for secondhand smoke exposure are low to begin with, and when we find a family member who is smoking, most pediatricians feel comfortable counseling and referring, but many do not know how to prescribe nicotine replacement therapy (NRT). In offering a prescription for NRT, pediatricians can offer tangible, timely treatment to help the family get one step closer to being smoke-free. Additionally, families may see their pediatrician more frequently than their own adult physician, and pediatricians have a unique perspective on how smoking may affect the child's health, and can use this as a motivator for quitting. This article encourages pediatricians to screen for secondhand smoke exposure and prescribe NRT to their patient's family members. [Pediatr Ann. 2017;46(9):e315-e318.].
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