PMID- 24881828
OWN - NLM
STAT- MEDLINE
DCOM- 20150129
LR  - 20231111
IS  - 1097-6868 (Electronic)
IS  - 0002-9378 (Print)
IS  - 0002-9378 (Linking)
VI  - 211
IP  - 6
DP  - 2014 Dec
TI  - Screening practices and attitudes of obstetricians-gynecologists toward new and 
      emerging tobacco products.
PG  - 695.e1-7
LID - S0002-9378(14)00509-2 [pii]
LID - 10.1016/j.ajog.2014.05.041 [doi]
AB  - OBJECTIVE: We examined screening practices and attitudes of 
      obstetricians-gynecologists toward the use of noncombustible tobacco products 
      (chewing tobacco, snuff/snus, electronic cigarettes, and dissolvables) during 
      pregnancy. STUDY DESIGN: The authors mailed a survey in 2012 to 1024 members of 
      the American College of Obstetricians and Gynecologists, including Collaborative 
      Ambulatory Research Network (CARN) and non-CARN members. Stratified random 
      selection was used to generate CARN and non-CARN samples. RESULTS: Response rates 
      were 52% and 31% for CARN and non-CARN members, respectively. Of 252 total 
      eligible respondents (those currently providing obstetrics care) 53% reported 
      screening pregnant women at intake for noncombustible tobacco product use all or 
      some of the time, and 40% reported none of the time. Respondents who reported 
      that noncombustible products have adverse health effects during pregnancy, but 
      are safer than cigarettes, ranged from 20.2% (dissolvables) to 29% (electronic 
      cigarettes) and that the health effects are the same as those of cigarettes from 
      13.5% (electronic cigarettes) to 53.6% (chewing tobacco). Approximately 14% 
      reported that electronic cigarettes have no adverse health effects; <1% reported 
      no health effects for the remaining products. Two-thirds of the respondents 
      wanted to know more about the potential health effects of noncombustible tobacco 
      products; only 5% believed themselves to be fully informed. CONCLUSION: A large 
      proportion of obstetrician-gynecologists reported never or inconsistently 
      screening their pregnant patients for the use of noncombustible tobacco products. 
      Responses regarding the harms of these products relative to cigarettes were mixed 
      and most respondents wanted more information. Development and dissemination of 
      guidance for providers is needed to improve decision-making regarding 
      noncombustible tobacco products.
CI  - Published by Elsevier Inc.
FAU - England, Lucinda Jane
AU  - England LJ
AD  - National Center for Chronic Disease Prevention and Health Promotion, Centers for 
      Disease Control and Prevention, Atlanta, GA. Electronic address: lbe9@cdc.gov.
FAU - Anderson, Britta Louise
AU  - Anderson BL
AD  - American College of Obstetricians and Gynecologists, Washington, DC.
FAU - Tong, Van Thi Ky
AU  - Tong VT
AD  - National Center for Chronic Disease Prevention and Health Promotion, Centers for 
      Disease Control and Prevention, Atlanta, GA.
FAU - Mahoney, Jeanne
AU  - Mahoney J
AD  - American College of Obstetricians and Gynecologists, Washington, DC.
FAU - Coleman-Cowger, Victoria Hope
AU  - Coleman-Cowger VH
AD  - Chestnut Health Systems, Normal, IL.
FAU - Melstrom, Paul
AU  - Melstrom P
AD  - National Center for Chronic Disease Prevention and Health Promotion, Centers for 
      Disease Control and Prevention, Atlanta, GA.
FAU - Schulkin, Jay
AU  - Schulkin J
AD  - American College of Obstetricians and Gynecologists, Washington, DC.
LA  - eng
GR  - CC999999/Intramural CDC HHS/United States
GR  - UA6MC19010/PHS HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
DEP - 20140529
PL  - United States
TA  - Am J Obstet Gynecol
JT  - American journal of obstetrics and gynecology
JID - 0370476
SB  - IM
MH  - *Attitude of Health Personnel
MH  - *Electronic Nicotine Delivery Systems
MH  - Female
MH  - *Gynecology
MH  - Humans
MH  - Male
MH  - Mass Screening
MH  - *Obstetrics
MH  - Practice Patterns, Physicians'/*statistics & numerical data
MH  - Pregnancy
MH  - Prenatal Care/*statistics & numerical data
MH  - *Smoking Cessation
MH  - *Tobacco, Smokeless
PMC - PMC4602388
MID - NIHMS724919
OID - NLM: HHSPA724919
OTO - NOTNLM
OT  - electronic cigarette
OT  - obstetrician-gynecologist
OT  - pregnancy
OT  - smokeless tobacco
EDAT- 2014/06/03 06:00
MHDA- 2015/01/30 06:00
PMCR- 2015/10/13
CRDT- 2014/06/03 06:00
PHST- 2014/03/13 00:00 [received]
PHST- 2014/04/22 00:00 [revised]
PHST- 2014/05/28 00:00 [accepted]
PHST- 2014/06/03 06:00 [entrez]
PHST- 2014/06/03 06:00 [pubmed]
PHST- 2015/01/30 06:00 [medline]
PHST- 2015/10/13 00:00 [pmc-release]
AID - S0002-9378(14)00509-2 [pii]
AID - 10.1016/j.ajog.2014.05.041 [doi]
PST - ppublish
SO  - Am J Obstet Gynecol. 2014 Dec;211(6):695.e1-7. doi: 10.1016/j.ajog.2014.05.041. 
      Epub 2014 May 29.