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.
Garg
Arvin
A
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
Nelson
Catherine S
CS
Burrell
Lori
L
Duggan
Anne K
AK
Sia
Calvin
C
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