title: Screening for adolescent smoking among primary care physicians in California.
abstract: OBJECTIVE
  This study determined how often primary care physicians ask adolescents about smoking.
  
  
  METHODS
  We surveyed a stratified random sample of community-based, board-certified California physicians, using a mailed questionnaire.
  
  
  RESULTS
  Overall, physicians (n = 343; 77% response rate) screened younger adolescents for regular smoking during 71.4% (95% confidence interval [CI] = 67.9, 74.9) of routine physical exams and older adolescents during 84.8% (95% CI = 82.3, 87.4) of such visits. For acute-care visits, the screening rates were 24.4% (95% CI = 20.6, 28.1) for younger and 40.2% (95% CI = 36.4, 44.0) for older adolescents. Physicians asked 18.2% (95% CI = 15.2, 21.3) of younger and 35.6% (95% CI = 32.0, 39.1) of older adolescents about experimental smoking. Screening varied by specialty.
  
  
  CONCLUSIONS
  These data imply that physicians are missing opportunities to screen adolescents for smoking.
authors.affiliation: Department of Pediatrics, School of Medicine, University of California, San Francisco 94143, USA.
authors.forename: M
authors.initials: M
authors.lastname: Franzgrote
authors.forename: J M
authors.initials: JM
authors.lastname: Ellen
authors.forename: S G
authors.initials: SG
authors.lastname: Millstein
authors.forename: C E
authors.initials: CE
authors.lastname: Irwin
mesh_terms: D000293:Adolescent; D000295:Adolescent Medicine / Q000706:statistics & numerical data; D000328:Adult; D002140:California; D002648:Child; D005194:Family Practice / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007388:Internal Medicine / Q000706:statistics & numerical data; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data; D010372:Pediatrics / Q000706:statistics & numerical data; D010821:Physicians, Family / Q000706:statistics & numerical data; D011897:Random Allocation; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires