Association of substance use discussion by pediatric providers with the parent-provider relationship and maternal behavior change.
A cross-sectional study of data from a randomized, controlled trial was conducted to determine (1) provider and parent attributes associated with discussion of maternal substance use, (2) how substance use discussion related to the parent-provider relationship, and (3) whether discussion was associated with maternal attempts at behavior change. Of the 482 mothers, 34% reported discussing all 3 substance use items (smoking, alcohol, and drug use) with their child's provider. Mothers who discussed smoking were more likely to report discussing alcohol and other drug use (P < .001). Parent-provider relationship scores, measured by a modified version of the Primary Care Assessment Survey, were positively associated with discussion of each substance (P < .001). Discussion of smoking and drug use were significantly associated with attempted behavior change. Our findings suggest that discussion of parental substance use by pediatricians is positively associated with the parent-provider relationship and may lead to behavior change.
Division of General Pediatrics and Adolescent Medicine, The Floating Hospital for Children at Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA. agarg@tuftsmedicalcenter.org
Arvin
A
Garg
Catherine S
CS
Nelson
Lori
L
Burrell
Anne K
AK
Duggan
Calvin
C
Sia
D000328:Adult; D019973:Alcohol-Related Disorders / Q000523:psychology; D002648:Child; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D006254:Hawaii; D006801:Humans; D008297:Male; D008425:Maternal Behavior / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D010372:Pediatrics / Q000379:methods*; D010819:Physician's Role; D011320:Primary Health Care; D011368:Professional-Family Relations; D012307:Risk Factors; D012907:Smoking / Q000523:psychology; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000523:psychology*; D055815:Young Adult