title: Reducing the exposure of children to environmental tobacco smoke. An office-based intervention program.
abstract: It is important for the family physician to consider a spectrum of screening tests, counseling topics, and childhood immunizations when providing acute and chronic care, in addition to well-child care. The effectiveness of specific clinical preventive services in eliciting positive health outcomes and age-related guidelines to prioritize health promotion activity have recently been reviewed by the US Preventive Services Task Force. Given recent studies identifying environmental tobacco smoke as a risk factor for children by being associated with an increase in the incidence and severity of respiratory tract and ear infections, family physicians should be routinely screening parents, especially during visits that provide teachable moments for counseling and intervention. Family physicians need to be aware of possible responses parents may have to their counseling and provide nonjudgmental information and guidance throughout a child's early years of development.
authors.affiliation: Department of Family and Community Medicine, University of Arizona Health Sciences Center, Tucson.
authors.forename: E W
authors.initials: EW
authors.lastname: Kligman
authors.forename: S
authors.initials: S
authors.lastname: Narce-Valente
mesh_terms: D002675:Child, Preschool; D003376:Counseling / Q000379:methods; D006801:Humans; D007223:Infant; D010290:Parents / Q000193:education*; D010819:Physician's Role; D010821:Physicians, Family / Q000193:education; D011368:Professional-Family Relations; D012140:Respiratory Tract Diseases / Q000209:etiology; D012307:Risk Factors; D012380:Role; D012381:Role Playing; D014028:Tobacco Smoke Pollution / Q000009:adverse effects
chemical_list: D014028:Tobacco Smoke Pollution