Healthcare Provider Screening for Tobacco Product and Electronic Cigarette Use among Youth in the Un
Thursday, January 19, 2023
Posted by: Natalia Gromov
Boakye
E, Osuji N, Erhabor J, Obisesan O, Osei AD, El Shahawy O, Blaha MJ.
Healthcare Provider
Screening for Tobacco Product and Electronic Cigarette Use among Youth in the
United States.
J Adolesc Health. 2023 Jan 6:S1054-139X(22)01045-X. doi:
10.1016/j.jadohealth.2022.12.004. Epub ahead of print. PMID: 36621392.
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.
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.
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.
Discussion. There
are missed opportunities in tobacco screening by healthcare providers,
particularly among males, middle schoolers, and racial/ethnic minority youth.
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