TY  - JOUR
PY  - 2010//
TI  - Association of substance use discussion by pediatric providers with the parent-provider relationship and maternal behavior change
JO  - Clinical pediatrics
A1  - Garg, Arvin
A1  - Nelson, Catherine S.
A1  - Burrell, Lori
A1  - Duggan, Anne K.
A1  - Sia, Calvin
SP  - 240
EP  - 248
VL  - 49
IS  - 3
N2  - 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>
LA  - en
SN  - 0009-9228
UR  - http://dx.doi.org/10.1177/0009922809334351
ID  - ref1
ER  -