Dataset Information

Cross-sectional online survey of clinicians' knowledge, attitudes and challenges to screening and counselling adolescents and young adults for substance use.

ABSTRACT:

Objective

To examine adolescent healthcare clinicians' self-reported screening practices as well as their knowledge, attitudes, comfort level and challenges with screening and counselling adolescents and young adults (AYA) for cigarette, e-cigarette, alcohol, marijuana, hookah and blunt use.

Design

A 2016 cross-sectional survey.

Setting

Academic departments and community-based internal medicine, family medicine and paediatrics practices.

Participants

Adolescent healthcare clinicians (N=771) from 12 US medical schools and respondents to national surveys. Of the participants, 36% indicated male, 64% female, mean age was 44 years (SD=12.3); 12.3% of participants identified as Asian, 73.7% as white, 4.8% as black, 4.2% as Hispanic and 3.8% as other.

Primary and secondary outcome measures

Survey items queried clinicians about knowledge, attitudes, comfort level, self-efficacy and challenges with screening and counselling AYA patients about marijuana, blunts, cigarettes, e-cigarettes, hookah and alcohol.

Results

Participants were asked what percentage of their 10-17 years old patients they screened for substance use. The median number of physicians reported screening 100% of their patients for cigarette (1st, 3rd quartiles; 80, 100) and alcohol use (75, 100) and 99.5% for marijuana use (50,100); for e-cigarettes, participants reported screening half of their patients and 0.0% (0, 50), (0, 75)) reported screening for hookah and blunts, respectively. On average (median), clinicians estimated that 15.0% of all 10-17 years old patients smoked cigarettes, 10.0% used e-cigarettes, 20.0% used marijuana, 25.0% drank alcohol and 5.0% used hookah or blunts, respectively; yet they estimated lower than national rates of use of each product for their own patients. Clinicians reported greater comfort discussing cigarettes and alcohol with patients and less comfort discussing e-cigarettes, hookah, marijuana and blunts.

Conclusions

This study identified low rates of screening and counselling AYA patients for use of e-cigarettes, hookahs and blunts by adolescent healthcare clinicians and points to potential missed opportunities to improve prevention efforts.

SUBMITTER: Gorukanti AL

PROVIDER: S-EPMC9685226 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature

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Publications

Cross-sectional online survey of clinicians' knowledge, attitudes and challenges to screening and counselling adolescents and young adults for substance use.

Gorukanti Anu L AL Kimminau Kim S KS Tindle Hilary A HA Klein Jonathan D JD Gorzkowski Julie J Kaseeska Kristen K Ali Raabiah R Singh Lavisha L David Sean P SP Halpern-Felsher Bonnie B

BMJ open 20221122 11

<h4>Objective</h4>To examine adolescent healthcare clinicians' self-reported screening practices as well as their knowledge, attitudes, comfort level and challenges with screening and counselling adolescents and young adults (AYA) for cigarette, e-cigarette, alcohol, marijuana, hookah and blunt use.<h4>Design</h4>A 2016 cross-sectional survey.<h4>Setting</h4>Academic departments and community-based internal medicine, family medicine and paediatrics practices.<h4>Participants</h4>Adolescent healt ...[more]

PMID: 36414284

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Dataset Information

Cross-sectional online survey of clinicians' knowledge, attitudes and challenges to screening and counselling adolescents and young adults for substance use.

Objective

Design

Setting

Participants

Primary and secondary outcome measures

Results

Conclusions

Publications

Cross-sectional online survey of clinicians' knowledge, attitudes and challenges to screening and counselling adolescents and young adults for substance use.

Similar Datasets

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