nach oben

International Journal of Public Health

Erschienen in:

20.04.2018 | Original Article

The practices of French general practitioners regarding screening and counselling pregnant women for tobacco smoking and alcohol drinking

verfasst von: Raphaël Andler, Chloé Cogordan, Anne Pasquereau, Jean-François Buyck, Viêt Nguyen-Thanh

Erschienen in: International Journal of Public Health | Ausgabe 5/2018

Einloggen, um Zugang zu erhalten

Abstract

Objectives

Our study aims to describe French general practitioners’ (GPs’) practices toward pregnant patients regarding alcohol consumption and smoking and to highlight factors associated with specific practices.

Methods

In 2015, a representative sample of 1414 French GPs completed a telephone survey based on a stratified random sampling.

Results

61% of GPs declared screening for alcohol use and 82% for smoking at least once with each pregnant patient; quitting was not systematically advised either for alcohol or for smoking. GPs’ practices were significantly better among those who had more recent ongoing training. GPs who drank regularly were less likely to screen for alcohol use and GPs’ drinking frequency was inversely related to recommending quitting. Current and former smokers were less likely to recommend quitting to pregnant patients smoking over five cigarettes per day.

Conclusions

Screening and counselling practices for substance use during pregnancy are heterogeneous among French GPs and are notably related to their personal consumption. GP’s role in preventing substance use during pregnancy could be strengthened by actions regarding their own consumption and by modifications in their initial and ongoing training.

Nur mit Berechtigung zugänglich

Ampt AJ, Amoroso C, Harris MF, McKenzie SH, Rose VK, Taggart JR (2009) Attitudes, norms and controls influencing lifestyle risk factor management in general practice. BMC Fam Pract 10:59. https://doi.org/10.1186/1471-2296-10-59 CrossRefPubMedPubMedCentral

Andler R et al (2016) Tobacco consumption and e-cigarette use in France in 2015: preliminary results from the 2015 cancer barometer. Bull Épidémiol Hebd 30–31:502–507

Barlet M, Coldefy M, Collin C, Lucas-Gabrielli V (2012) L’Accessibilité potentielle localisée (APL): une nouvelle mesure de l’accessibilité aux médecins généralistes libéraux. Questions d’économie de la santé. IRDES, Paris

Beck F, Guignard R, Obradovic I, Gautier A, Karila L (2011) Increasing trends in screening for addictives behaviors among general practitioners in France. Rev D’epidemiol Sante Publique 59:285–294. https://doi.org/10.1016/j.respe.2011.03.059 CrossRef

Bloch J, Cans C, de Vigan C, de Brosses L, Doray B, Larroque B, Perthus I (2008) Feasibility of the foetal alcohol syndrome surveillance. Arch Pediatr 15:507–509. https://doi.org/10.1016/s0929-693x(08)71814-1 CrossRefPubMed

Blondel B, Lelong N, Kermarrec M, Goffinet F (2012) Trends in perinatal health in France from 1995 to 2010. Results from the French National Perinatal Surveys. J Gynecol Obstet Biol Reprod 41:e1–e15. https://doi.org/10.1016/j.jgyn.2012.04.014 CrossRef

BMA (2016) Alcohol and pregnancy—preventing and managing fetal alcohol spectrum disorders. British Medical Association, BMA House, Tavistock Square, London

Bohn MJ, Babor TF, Kranzler HR (1995) The alcohol use disorders identification test (AUDIT): validation of a screening instrument for use in medical settings. J Stud Alcohol 56:423–432CrossRefPubMed

Brown J et al (2016) Comparison of brief interventions in primary care on smoking and excessive alcohol consumption: a population survey in England. Br J Gen Pract 66:e1–9. https://doi.org/10.3399/bjgp16x683149 CrossRefPubMed

Buyck J-F et al (2016) Attitudes et pratiques des médecins généralistes dans le cadre du suivi de la grossesse. DREES (0977), 8p

Castles A, Adams EK, Melvin CL, Kelsch C, Boulton ML (1999) Effects of smoking during pregnancy five meta-analyses. Am J Prev Med 16:208–215CrossRefPubMed

Chamberlain C, O’Mara-Eves A, Porter J, Coleman T, Perlen SM, Thomas J, McKenzie JE (2017) Psychosocial interventions for supporting women to stop smoking in pregnancy. Cochrane Database Syst Rev 2:Cd001055. https://doi.org/10.1002/14651858.cd001055.pub5 PubMedCrossRef

Cogordan C, Nguyen-Thanh V, Richard J-B (2016) Alcool et grossesse: connaissances et perception des risques. Alcool Addictol 38:181–190

Collange F, Fressard L, Pulcini C, Sebbah R, Peretti-Watel P, Verger P (2016) General practitioners’ attitudes and behaviors toward HPV vaccination: a French national survey. Vaccine 34:762–768. https://doi.org/10.1016/j.vaccine.2015.12.054 CrossRefPubMed

Crawford-Williams F, Steen M, Esterman A, Fielder A, Mikocka-Walus A (2015) “If you can have one glass of wine now and then, why are you denying that to a woman with no evidence”: knowledge and practices of health professionals concerning alcohol consumption during pregnancy Women. Birth 28:329–335. https://doi.org/10.1016/j.wombi.2015.04.003 CrossRef

De Col P, Baron C, Guillaumin C, Bouquet E, Fanello S (2010) Influence of smoking among family physicians on their practice of giving minimal smoking cessation advice in 2008. A survey of 332 general practitioners in Maine-et-Loire. Rev Mal Respir 27:431–440. https://doi.org/10.1016/j.rmr.2010.03.001 CrossRefPubMed

Dumas A (2015) Smoking, pregnancy and breastfeeding: exposure, knowledge and risk perceptions. Bull Épidémiol Hebd 17–18:301–307

Engdahl B, Nilsen P (2011) Receiving an alcohol enquiry from a physician in routine health care in Sweden: a population-based study of gender differences and predictors. Int J Environ Res Public Health 8:1296–1307. https://doi.org/10.3390/ijerph8051296 CrossRefPubMedPubMedCentral

Euro-Peristat (2013) Project with SCPE and EUROCAT. European Perinatal Health Report. The health and care of pregnant women and babies in Europe in 2010. https://www.europeristat.com

Feodor Nilsson S, Andersen PK, Strandberg-Larsen K, Nybo Andersen AM (2014) Risk factors for miscarriage from a prevention perspective: a nationwide follow-up study. BJOG 121:1375–1384. https://doi.org/10.1111/1471-0528.12694 CrossRefPubMed

French Reitox National Focal Point (2015) France, new developments, trends. In: Beck F (ed) 2014 national report (2013 data) to the EMCDDA by the Reitox National Focal Point France. New development, trends. OFDT, Saint-Denis

Gautier A (2005) General practitioners/pharmacists health barometer 2003. Health barometers. INPES, Saint-Denis

Gautier A (2011) General practitioners health barometer 2009. Health barometers. INPES, Saint-Denis

Geirsson M, Bendtsen P, Spak F (2005) Attitudes of Swedish general practitioners and nurses to working with lifestyle change, with special reference to alcohol consumption. Alcohol Alcohol 40:388–393. https://doi.org/10.1093/alcalc/agh185 CrossRefPubMed

Gelly J et al (2014) Profile of French general practitioners providing opportunistic primary preventive care–an observational cross-sectional multicentre study. Fam Pract 31:445–452. https://doi.org/10.1093/fampra/cmu032 CrossRefPubMed

Herrmann M, King K, Weitzman M (2008) Prenatal tobacco smoke and postnatal secondhand smoke exposure and child neuro development. Curr Opin Pediatr 20:184–190. https://doi.org/10.1097/mop.0b013e3282f56165 CrossRefPubMed

Hughes JR, Keely J, Naud S (2004) Shape of the relapse curve and long-term abstinence among untreated smokers. Addiction 99:29–38CrossRefPubMed

Ifop, Santé publique France (2013) Counseling for alcohol consumption and smoking among pregnant women (Unpublished study)

Kesmodel US (2016) Risks and guidelines for the consumption of alcohol during pregnancy. World J Obstet Gynecol 5:162–174CrossRef

Ketterer F et al (2014) What factors determine Belgian general practitioners’ approaches to detecting and managing substance abuse? A qualitative study based on the I-Change Model. BMC Fam Pract 15:119. https://doi.org/10.1186/1471-2296-15-119 CrossRefPubMedPubMedCentral

Le Maréchal M et al (2015) Design of a national and regional survey among French general practitioners and method of the first wave of survey dedicated to vaccination. Méd Maladies Infectieuses 45:403–410. https://doi.org/10.1016/j.medmal.2015.09.005 CrossRef

Malloy MH, Hoffman HJ, Peterson DR (1992) Sudden infant death syndrome and maternal smoking. Am J Public Health 82:1380–1382CrossRefPubMedPubMedCentral

McNeill A, Guignard R, Beck F, Marteau R, Marteau TM (2015) Understanding increases in smoking prevalence: case study from France in comparison with England 2000–10. Addiction 110:392–400. https://doi.org/10.1111/add.12789 CrossRefPubMed

Miyake Y, Tanaka K, Okubo H, Sasaki S, Arakawa M (2014) Alcohol consumption during pregnancy and birth outcomes: the Kyushu Okinawa Maternal and Child Health Study. BMC Pregnancy Childbirth 14:79. https://doi.org/10.1186/1471-2393-14-79 CrossRefPubMedPubMedCentral

Raude J, Fressard L, Gautier A, Pulcini C, Peretti-Watel P, Verger P (2016) Opening the ‘Vaccine Hesitancy’ black box: how trust in institutions affects French GPs’ vaccination practices. Exp Rev Vaccines 15:937–948. https://doi.org/10.1080/14760584.2016.1184092 CrossRef

Richard JB, Beck F (2016) Long-term trends in tobacco and alcohol consumption in France through the lens of gender and social inequalities. Bull Épidémiol Hebd 7–8:126–133

Santé Publique France (2018a) Grossesse Sans Tabac http://www.tabac-info-service.fr/J-arrete-de-fumer/Grossesse-sans-tabac. Accessed 01 Mar 2018

Santé publique France (2018b) L’alcool et la grossesse http://www.alcool-info-service.fr/alcool/consequences-alcool/grossesse-femme-enceinte. Accessed 01 Mar 2018

Saurel-Cubizolles MJ, Prunet C, Blondel B (2013) Alcohol consumption during pregnancy and perinatal health in France in 2010. Bull Épidémiol Hebd 16–18:180–185

Tam CW, Zwar N, Markham R (2013) Australian general practitioner perceptions of the detection and screening of at-risk drinking, and the role of the AUDIT-C: a qualitative study. BMC Fam Pract 14:121. https://doi.org/10.1186/1471-2296-14-121 CrossRefPubMedPubMedCentral

Underner M, Ingrand P, Allouch A, Laforgue AV, Migeot V, Defossez G, Meurice JC (2006) Influence of smoking among family physicians on their practice of giving minimal smoking cessation advice. Rev Mal Respir 23:426–429CrossRefPubMed

U.S. Department of Health and Human Services (2014) The health consequences of smoking: 50 years of progress. A report of the surgeon general. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health

Valero De Bernabe J, Soriano T, Albaladejo R, Juarranz M, Calle ME, Martinez D, Dominguez-Rojas V (2004) Risk factors for low birth weight: a review. Eur J Obstet Gynecol Reprod Biol 116:3–15. https://doi.org/10.1016/j.ejogrb.2004.03.007 CrossRefPubMed

Verger P et al (2015) Vaccine hesitancy among general practitioners and its determinants during controversies: a national cross-sectional survey in France. EBio Med 2:891–897. https://doi.org/10.1016/j.ebiom.2015.06.018 CrossRef

WHO (2013) WHO guidelines approved by the guidelines review committee. In: WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy. World Health Organization, Geneva

WHO (2014) WHO guidelines approved by the guidelines review committee. In: Guidelines for the identification and management of substance use and substance use disorders in pregnancy. World Health Organization, Geneva

Titel: The practices of French general practitioners regarding screening and counselling pregnant women for tobacco smoking and alcohol drinking
verfasst von: Raphaël Andler
Chloé Cogordan
Anne Pasquereau
Jean-François Buyck
Viêt Nguyen-Thanh
Publikationsdatum: 20.04.2018
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 5/2018
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-018-1103-9

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

The practices of French general practitioners regarding screening and counselling pregnant women for tobacco smoking and alcohol drinking

Abstract

Objectives

Methods

Results

Conclusions

Live-Webinar "Chronische Unterbauch- und Viszeralschmerzen in der Praxis managen"

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2018

eHealth as a facilitator of equitable access to primary healthcare: the case of caring for non-communicable diseases in rural and refugee settings in Lebanon

Sustaining success: aligning the public health workforce in South-Eastern Europe with strategic public health priorities

Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?

Attendance to cervical cancer screening among Roma and non-Roma women living in North-Western region of Romania

Local action on outdoor air pollution to improve public health

A framework for regional primary health care to organise actions to address health inequities