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Previous studies evaluating the history obtained during routine pediatric appointments have not focused on parental smoking history and counseling. In this study, seventy\u2013three (73) adolescents (mean age: 15.2 years; 77% female; 64% African\u2013American) seen for medical care in a primary care clinic and their accompanying parent(s) (mean age: 43.5 years; 91% female) were surveyed about smoking followed by a review of each chart measuring documentation of adolescent and parent smoking history and counseling. Although the majority of adolescents were questioned about smoking (92%), parents were rarely questioned (1%) (p &lt; 0.05). Adolescents were counseled about smoking (7%) and other risk\u2013taking behaviors (44%); however, no parents were counseled about smoking or smoking socialization. Physicians frequently overlook an important factor in the prevention of smoking initiation at a young age, parental smoking history and counseling.<\/jats:p>","DOI":"10.1080\/08897070209511494","type":"journal-article","created":{"date-parts":[[2009,12,16]],"date-time":"2009-12-16T00:47:35Z","timestamp":1260924455000},"page":"215-221","source":"Crossref","is-referenced-by-count":0,"title":["Missed opportunities for prevention: Failure to identify smoking in the parents of adolescent patients"],"prefix":"10.1177","volume":"23","author":[{"given":"Janice D.","family":"Key","sequence":"first","affiliation":[{"name":"The Department of Pediatrics, The Medical University of South Carolina, Charleston, South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda D.","family":"Marsh","sequence":"additional","affiliation":[{"name":"The Department of Pediatrics, The Medical University of South Carolina, Charleston, South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2002,12,1]]},"reference":[{"key":"e_1_2_1_2_2","unstructured":"U.S. Department of Health and Human Services Public Health Service National Center for Health Statistics. 1992. 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