title: Chinese Pediatrician Attitudes and Practices Regarding Child Exposure to Secondhand Smoke (SHS) and Clinical Efforts against SHS Exposure.
abstract: BACKGROUND
  Secondhand Smoke (SHS) exposure is a leading cause of childhood illness and premature death. Pediatricians play an important role in helping parents to quit smoking and reducing children's SHS exposure. This study examined Chinese pediatricians' attitudes and practices regarding children's exposure to SHS and clinical efforts against SHS exposure.
  
  
  METHODS
  A cross-sectional survey of pediatricians was conducted in thirteen conveniently selected hospitals in southern China, during September to December 2013. Five hundred and four pediatricians completed self-administered questionnaires with a response rate of 92%. χ² tests were used to compare categorical variables differences between smokers and non-smokers and other categorical variables.
  
  
  RESULTS
  Pediatricians thought that the key barriers to encouraging parents to quit smoking were: lack of professional training (94%), lack of time (84%), resistance to discussions about smoking (77%). 94% of the pediatricians agreed that smoking in enclosed public places should be prohibited and more than 70% agreed that smoking should not be allowed in any indoor places and in cars. Most of the pediatricians thought that their current knowledge on helping people to quit smoking and SHS exposure reduction counseling was insufficient.
  
  
  CONCLUSIONS
  Many Chinese pediatricians did not have adequate knowledge about smoking and SHS, and many lacked confidence about giving cessation or SHS exposure reduction counseling to smoking parents. Lack of professional training and time were the most important barriers to help parents quit smoking among the Chinese pediatricians. Intensified efforts are called for to provide the necessary professional training and increase pediatricians' participation in the training.
authors.affiliation: School of Public Health, Guangxi Medical University, Nanning, Guangxi 530021, China. huangka0319@sina.com.
authors.forename: Kaiyong
authors.initials: K
authors.lastname: Huang
authors.affiliation: Global Health Program, Duke Kunshan University, Kunshan, Jiangsu 215347, China. asm.abdullah@graduate.hku.hk.|Duke Global Health Institute, Duke University, Durham, NC 27708, USA. asm.abdullah@graduate.hku.hk.|School of Medicine, Boston Medical Center, Boston University, Boston, MA 02118, USA. asm.abdullah@graduate.hku.hk.
authors.forename: Abu S
authors.initials: AS
authors.lastname: Abdullah
authors.affiliation: School of Public Health, Guangxi Medical University, Nanning, Guangxi 530021, China. huohy0117@126.com.
authors.forename: Haiying
authors.initials: H
authors.lastname: Huo
authors.affiliation: Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China. gxlmd@126.com.
authors.forename: Jing
authors.initials: J
authors.lastname: Liao
authors.affiliation: School of Public Health, Guangxi Medical University, Nanning, Guangxi 530021, China. yangli8290@hotmail.com.
authors.forename: Li
authors.initials: L
authors.lastname: Yang
authors.affiliation: School of Public Health, Guangxi Medical University, Nanning, Guangxi 530021, China. rpazz@163.com.
authors.forename: Zhiyong
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: School of Public Health, Guangxi Medical University, Nanning, Guangxi 530021, China. chlq869007621@163.com.
authors.forename: Hailian
authors.initials: H
authors.lastname: Chen
authors.affiliation: Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China. ngm8525@hotmail.com.
authors.forename: Guangmin
authors.initials: G
authors.lastname: Nong
authors.affiliation: Massachusetts General Hospital (MGH) Center for Child and Adolescent Health Research and Policy, Harvard Medical School, Boston, MA 02114, USA. jwinickoff@partners.org.
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Winickoff
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002648:Child; D002681:China; D003376:Counseling / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D006801:Humans; D008297:Male; D010290:Parents / Q000193:education*; D010820:Physicians; D012907:Smoking / Q000009:adverse effects*; D016540:Smoking Cessation; D011795:Surveys and Questionnaires; D014028:Tobacco Smoke Pollution / Q000706:statistics & numerical data
chemical_list: D014028:Tobacco Smoke Pollution
keywords: exposure; pediatrician; secondhand smoke; smoking cessation