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

Raphaël Andler (), Chloé Cogordan, Anne Pasquereau, Jean-François Buyck and Viêt Nguyen-Thanh
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Raphaël Andler: Agence Nationale de Santé Publique, Santé Publique France, The National Public Health Agency
Chloé Cogordan: Agence Nationale de Santé Publique, Santé Publique France, The National Public Health Agency
Anne Pasquereau: Agence Nationale de Santé Publique, Santé Publique France, The National Public Health Agency
Jean-François Buyck: Hôtel de La Région
Viêt Nguyen-Thanh: Agence Nationale de Santé Publique, Santé Publique France, The National Public Health Agency

International Journal of Public Health, 2018, vol. 63, issue 5, No 10, 640 pages

Abstract: 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.

Keywords: General practitioners; Pregnancy; Alcohol consumption; Tobacco smoking; Screening; Counselling (search for similar items in EconPapers)
Date: 2018
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DOI: 10.1007/s00038-018-1103-9

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