{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:29:05Z","timestamp":1760984945670},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,12,16]],"date-time":"2013-12-16T00:00:00Z","timestamp":1387152000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Chronic rhinosinusitis (CRS) is a prevalent and costly disease that adversely impacts quality of life. As with other chronic diseases, individual and environmental factors impact the disease process. Smoking and secondhand tobacco (SHS) exposures are important risk factors for CRS. However, little is known about the role that physicians play in educating sinusitis patients about this preventable risk. The objective of this study was to characterize physician participation in SHS exposure screening and education.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was a community\u2010based, case\u2010control study of non\u2010current smokers in Washington County, MD. One hundred cases with CRS were matched with 100 controls for age, sex, and former smoking status. We interviewed participants using a validated questionnaire that included questions on physician inquiry and recommendations pertaining to smoking and SHS exposure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over 80% of participants with CRS recalled their physician inquiring about their current smoking status, whereas only 27% recalled being asked by their physician about SHS exposure and only 23% reported that their physician recommended avoiding SHS. In contrast, more asthma participants recalled that their physicians inquired about SHS exposure (39.6%, although the difference was borderline significant <jats:italic>p<\/jats:italic> = 0.12) and recommended reducing SHS exposure (45.8%, <jats:italic>p<\/jats:italic> = 0.005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite the increasing support for SHS exposure as a risk factor for CRS, relatively few physicians inquire about SHS and provide recommendations on SHS avoidance. Brief physician inquiry increases success of smoking cessation. Including SHS exposure in the medical history represents an opportunity for otolaryngologists to advise their patients about avoiding SHS and potentially alter disease outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.21251","type":"journal-article","created":{"date-parts":[[2013,12,16]],"date-time":"2013-12-16T16:58:58Z","timestamp":1387213138000},"page":"117-123","source":"Crossref","is-referenced-by-count":2,"title":["Physician screening and recommendations on secondhand smoke in chronic rhinosinusitis patients"],"prefix":"10.1002","volume":"4","author":[{"given":"Carrie L.","family":"Nieman","sequence":"first","affiliation":[{"name":"Johns Hopkins Sinus Center Johns Hopkins Medicine; Department of Otolaryngology\u2013Head and Neck Surgery  Baltimore MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Navas\u2010Acien","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Johns Hopkins University Bloomberg School of Public Health  Baltimore MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra Y.","family":"Lin","sequence":"additional","affiliation":[{"name":"Johns Hopkins Sinus Center Johns Hopkins Medicine; Department of Otolaryngology\u2013Head and Neck Surgery  Baltimore MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas D.","family":"Reh","sequence":"additional","affiliation":[{"name":"Johns Hopkins Sinus Center Johns Hopkins Medicine; Department of Otolaryngology\u2013Head and Neck Surgery  Baltimore MD"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941112000701"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/hn.2003.v128.amhn0312811"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3355"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-012-0249-4"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2011.07.049"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACI.0b013e3283423376"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1081-1206(10)62222-3"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1513\/pats.201003-027RN"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/08958378.2013.763314"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812439004"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2011.158"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e3283534821"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2009.23.3377"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21054"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jped.2012.11.001"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-012-0260-9"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2010.43"},{"issue":"2","key":"e_1_2_6_19_1","first-page":"CD000165","article-title":"Physician advice for smoking cessation","author":"Stead LF","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.126631"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2010.24.3369"},{"key":"e_1_2_6_22_1","first-page":"1","article-title":"Adult tobacco survey \u2013 19 states, 2003\u20132007","volume":"59","author":"McClave AK","year":"2010","journal-title":"MMWR Surveill Summ"},{"key":"e_1_2_6_23_1","volume-title":"The State of Health Care Quality 2012: Focus on Obesity and on Medicare Plan Improvement. 2012","author":"National Committee for Quality Assurance","year":"2013"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/1617-9625-10-10"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.07-2369"}],"container-title":["International Forum of Allergy &amp; 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