{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T11:54:46Z","timestamp":1791028486987,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:00:00Z","timestamp":1790985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:00:00Z","timestamp":1790985600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adolescent vaping is rising globally and in Australia, and evidence on paediatricians' cessation support is scarce. This study examined predictors of paediatricians' engagement in vaping cessation among adolescents, focusing on disparities in knowledge, attitudes, practices and barriers across various sociodemographic and professional factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A nationwide cross\u2010sectional, web\u2010based survey was conducted among paediatricians and paediatric registrars practising across Australia between May and October 2023. Data were collected using a structured questionnaire on demographics, knowledge, attitudes and barriers (28\u2010item Likert scale) and practices adapted from the WHO 5A framework. Multivariable logistic regression was conducted to investigate the association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 90 paediatricians participated, of whom 67.5% were female and 78.8% practised in metropolitan areas. A vast majority (90%) recognised its addictive nature and nearly all (97.7%) of them viewed vaping among adolescents as a gateway to tobacco and other substance use. Only one in three were aware of referral options for cessation, over two\u2010thirds routinely advised against vaping, one in five provided cessation support and one\u2010third arranged follow\u2010up care. Some variation was observed by age and gender; however, evidence of systematic differences by geographic location or primary medical training was limited after adjustment. Senior paediatricians were more likely to recognise EVALI symptoms and less likely to report time constraints. Key barriers included limited referral knowledge, insufficient time and discomfort, which significantly impeded engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although paediatricians recognised vaping as a major concern, their support rarely extended to routine cessation care, demonstrating the need for clearer referral pathways and targeted training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70605","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T11:25:19Z","timestamp":1791026719000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Paediatricians' Support for Adolescent Vaping Cessation in Australia: A National Cross\u2010Sectional Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7863-4685","authenticated-orcid":false,"given":"Naima","family":"Nimmi","sequence":"first","affiliation":[{"name":"Institute of Health and Wellbeing Federation University Australia  Berwick Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2872-1892","authenticated-orcid":false,"given":"Bindu","family":"Joseph","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing Federation University Australia  Berwick Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5114-9380","authenticated-orcid":false,"given":"Habib","family":"Bhurawala","sequence":"additional","affiliation":[{"name":"Paediatric Department, Nepean Hospital Nepean Blue Mountains Local Health District  Penrith New South Wales Australia"},{"name":"School of Medicine The University of Notre Dame Australia  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health, Nepean Clinical School University of Sydney  Kingswood New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7675-1834","authenticated-orcid":false,"given":"Smita","family":"Shah","sequence":"additional","affiliation":[{"name":"The Woolcock Institute of Medical Research Macquarie University  Sydney New South Wales Australia"},{"name":"Prevention Education and Research Unit Western Sydney Local Health District  North Parramatta New South Wales Australia"},{"name":"Faculty of Medicine and Health, School of Public Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2231-4258","authenticated-orcid":false,"given":"Anita","family":"Munoz","sequence":"additional","affiliation":[{"name":"Healthcare on Collins  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1665-7966","authenticated-orcid":false,"given":"Muhammad Aziz","family":"Rahman","sequence":"additional","affiliation":[{"name":"Institute of Health and Wellbeing Federation University Australia  Berwick Victoria Australia"},{"name":"Faculty of Public Health Universitas Airlangga  Surabaya Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,3]]},"reference":[{"issue":"4","key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s13312-021-2188-4","article-title":"E\u2010Cigarettes and Vaping: A Global Risk for Adolescents","volume":"58","author":"Bhave S. 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