@article{ref1,
title="Association of substance use discussion by pediatric providers with the parent-provider relationship and maternal behavior change",
journal="Clinical pediatrics",
year="2010",
author="Garg, Arvin and Nelson, Catherine S. and Burrell, Lori and Duggan, Anne K. and Sia, Calvin",
volume="49",
number="3",
pages="240-248",
abstract="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.<p /> <p>Language: en</p>",
language="en",
issn="0009-9228",
doi="10.1177/0009922809334351",
url="http://dx.doi.org/10.1177/0009922809334351"
}