Do clinicians ask pregnant women about exposures to tobacco and cannabis smoking, second-hand-smoke and e-cigarettes? An Australian national cross-sectional survey

Gillian S Gould; Yael Bar Zeev; Laura Tywman; Christopher Oldmeadow; Simon Chiu; Marilyn Clarke; Billie Bonevski

doi:10.3390/ijerph14121585

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Do clinicians ask pregnant women about exposures to tobacco and cannabis smoking, second-hand-smoke and e-cigarettes? An Australian national cross-sectional survey

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Do clinicians ask pregnant women about exposures to tobacco and cannabis smoking, second-hand-smoke and e-cigarettes? An Australian national cross-sectional survey

Gillian S Gould, Yael Bar Zeev, Laura Tywman, Christopher Oldmeadow, Simon Chiu, Marilyn Clarke and Billie Bonevski

International Journal of Environmental Research and Public Health, Vol.14(12), p.1585

16/12/2017

DOI: https://doi.org/10.3390/ijerph14121585

PMCID: PMC5751003

PMID: 29258185

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Abstract

cannabis

smokeless tobacco

electronic cigarettes

pregnancy

smoking

Tobacco

Clinicians often ask pregnant women about tobacco smoking, but their practices of asking about other smoking and nicotine exposures are unknown. This study analysed how often clinicians ask pregnant women about their use of e-cigarettes, cannabis, chewing tobacco, and second-hand smoke (SHS) exposure. Two cross-sectional surveys were undertaken. A random sample of 500 General Practitioner (GP) members were invited from the National Faculty of Aboriginal and Torres Strait Islander Health (NFATSIH) to complete an on-line survey, and 5571 GP and Obstetrician (OBS) members of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) were sent a paper survey by mail. Questions on frequency of asking about the exposures used Likert Scales, later dichotomized to "often-always" and "never-sometimes". Logistic regressions estimated associations between clinician type and asking about cannabis, e-cigarettes, chewing tobacco, and SHS. An adjusted model reduced potential confounders of location, guidelines, gender and population. = 378 GPs and OBS participated (6.2% response). In total, 13-14% asked "often-always" about e-cigarettes; 58% cannabis; 38% cannabis with tobacco; 27% SHS, and 10% chewing tobacco-compared to 95% of the sample asking about cigarette smoking. After adjustment, the odds of RANZCOG GPs (OR 0.34) and OBS (OR 0.63) asking about cannabis were lower compared to NFATSIH GPs. Clinician type was non-significant for asking about e-cigarettes, chewing tobacco and SHS. Surveyed Australian GPs and obstetricians asked less frequently about e-cigarettes, chewing, SHS exposure, and cannabis, potentially missing important exposures for mother and child.

Details

Title: Do clinicians ask pregnant women about exposures to tobacco and cannabis smoking, second-hand-smoke and e-cigarettes? An Australian national cross-sectional survey
Creators: Gillian S Gould - School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia. Gillian.Gould@newcastle.edu.au
Yael Bar Zeev - School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia. Yael.BarZeev@uon.edu.au
Laura Tywman - School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia. laura.twyman@nswcc.org.au
Christopher Oldmeadow - Hunter Medical Research Institute, Newcastle, NSW 2305, Australia. christopher.oldmeadow@hmri.org.au
Simon Chiu - Hunter Medical Research Institute, Newcastle, NSW 2305, Australia. simon.chiu@hmri.org.au
Marilyn Clarke - Clarence Specialist Clinic, Grafton, NSW 2460, Australia. marilyn.clarke@clarencespecialistclinic.com.au
Billie Bonevski - School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia. billie.bonevski@newcastle.edu.au
Publication Details: International Journal of Environmental Research and Public Health, Vol.14(12), p.1585
Publisher: MDPI AG
Identifiers: 991012958198402368
Copyright: © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Academic Unit: Faculty of Health
Language: English
Resource Type: Journal article

Do clinicians ask pregnant women about exposures to tobacco and cannabis smoking, second-hand-smoke and e-cigarettes? An Australian national cross-sectional survey

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