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JNCI Journal of the National Cancer Institute 1999 91(21):1795-1796; doi:10.1093/jnci/91.21.1795
© 1999 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 91, No. 21, 1795-1796, November 3, 1999
© 1999 Oxford University Press

EDITORIALS

Low Rates of Physicians Counseling Adolescents About Smoking: a Critical Wake-Up Call

Harry A. Lando, Dorothy K. Hatsukami

Affiliations of authors: H. A. Lando (Division of Epidemiology, School of Public Health), D. K. Hatsukami (Department of Psychiatry, Medical School, Tobacco Research Program), University of Minnesota, Minneapolis.

Correspondence to: Harry A. Lando, Ph.D., Division of Epidemiology, University of Minnesota, 1300 S. 2nd St., Suite 300, University of Minnesota, Minneapolis, MN 55454-1015 (e-mail: lando@epi.umn.edu).

The report by Thorndike et al. (1) in this issue of the Journal is an important wake-up call to physicians, academic teachers, and researchers. The overall results from this study are discouraging, especially given efforts in recent years to educate practicing physicians to identify and to treat smokers, to develop evidence-based guidelines for smoking cessation treatment (2), and to encourage the development of systems to identify smokers. Although smoking status was identified at approximately 70% of adolescent patient visits, counseling was provided at only 1.7% of all visits and 16.9% of visits of patients identified as smokers. Furthermore, and equally discouraging, there was no improvement in these percentages between 1991 through 1996 despite . . . [Full Text of this Article]

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