Do parents who smoke underutilize health care services for their children? A cross sectional study within the longitudinal PIAMA study
2007

Do Parents Who Smoke Use Health Care Services for Their Children?

Sample size: 3564 publication 10 minutes Evidence: moderate

Author Information

Author(s): Monique AM Jacobs-van der Bruggen, Alet H Wijga, Bert Brunekreef, Johan C de Jongste, Caroline A Baan, Marjan Kerkhof, Henriette A Smit

Primary Institution: National Institute of Public Health and the Environment (RIVM), Bilthoven, The Netherlands

Hypothesis

Parents who smoke may underutilize health services for their children, especially for respiratory care.

Conclusion

Mothers who smoke appear to underutilize health care for their children with mild respiratory symptoms.

Supporting Evidence

  • Children with a mother who smokes are less likely to visit the GP for mild respiratory symptoms.
  • Maternal smoking is positively associated with mild respiratory symptoms in children.
  • The study found no significant differences in health care use for severe respiratory symptoms between smoking and non-smoking parents.

Takeaway

If a mom smokes, her kids with mild breathing problems might not see the doctor as much as they should.

Methodology

Data were collected from the PIAMA project using postal questionnaires and analyzed with multivariate logistic models.

Potential Biases

Self-reported smoking may be biased if parents underreport their smoking habits due to stigma.

Limitations

The study relied on self-reported data for smoking and health care visits, which may lead to underreporting.

Participant Demographics

The study included 3,564 children, with 23% having at least one parent who smoked.

Statistical Information

P-Value

0.006

Confidence Interval

1.19–1.91

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-7-83

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