Healthcare Provider Screening for Tobacco Product and Electronic Cigarette Use Among Youth in the United States.
Citation: Journal of Adolescent Health. 72(5):819-822, 2023 05.PMID: 36621392Institution: MedStar Union Memorial HospitalDepartment: Internal Medicine ResidencyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Electronic Nicotine Delivery Systems | *Tobacco Products | *Vaping | Adolescent | Ethnicity | Female | Health Personnel | Humans | Male | Minority Groups | Tobacco | Tobacco Use/ep [Epidemiology] | United States/ep [Epidemiology] | Vaping/px [Psychology] | Year: 2023ISSN:- 1054-139X
DISCUSSION: There are missed opportunities in tobacco screening by healthcare providers, particularly among males, middle schoolers, and racial/ethnic minority youth. Copyright � 2022 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
METHODS: We used 2020 National Youth Tobacco Survey data to examine the prevalence of healthcare provider screening for tobacco and e-cigarette use among US youth. Using multivariable logistic regression, we examined the factors associated with being screened for tobacco use.
PURPOSE: Healthcare providers play a critical role in curbing youth tobacco use through screening and counseling. Current rates of tobacco use screening by healthcare providers among US youth are unknown.
RESULTS: Of 13,434 individuals who reported past 12-month visits to any healthcare professional, 47.5% (44.8%-50.1%) reported being screened for any tobacco use, while 31.5% (29.2%-40.0%) reported e-cigarette-specific screening. The odds of tobacco use screening were lower among males (odds ratio [OR]: 0.81 [0.73-0.89]) and middle schoolers (OR: 0.39 [0.33-0.44]) compared to females and high schoolers, respectively. In addition, non-Hispanic Black (OR: 0.71 [0.56-0.89]), Hispanic (OR: 0.76 [0.63-0.92]), and Asian youth (OR: 0.48 [0.37-0.63]) had lower odds of being screened than non-Hispanic White youth.
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