Table 5

Provider comfort level with and screening and referral practices for substances (median and quartiles)

CigaretteE-cigaretteHookahMarijuanaBluntsAlcoholP value*Significant post hoc tests†
Median (Q1/Q3)Median (Q1/Q3)Median (Q1/Q3)Median (Q1/Q3)Median (Q1/Q3)Median (Q1/Q3)
How comfortable do you feel talking to your adolescent/young adult patients about the following products?‡443434<0.0001a,c,d,e,f,g,h,i,j,k,l,m,n
How confident are you that you could explain the health effects of each of these products to your patients?§433434<0.0001a,c,d,e,f,g,h,i,j,k,l,m,n
What percentage of your patients 10–17 do you screen100 (80, 100)50 (0, 100)0 (0, 50)99.5 (50, 100)0 (0, 75)100 (75, 100)<0.0001c,d,e,f,g,h,i,j,k,l,m,n
What percentage of your patients between 18 and 26 do you screen100 (100, 100)75 (0, 100)0 (0, 50)100 (90, 100)0 (0, 100)100 (95, 100)<0.0001c,d,e,f,g,h,i,j,k,l,m,n
What percentage of your patients 10–17 do you counsel about:90 (50, 100)20 (0, 80)0 (0, 10)75 (25, 100)0 (0, 40)80 (50, 100)<0.0001c,d,e,f,g,h,i,j,k,l,m,n
What percentage of your patients 18–26 do you counsel about:100 (50, 100)30 (0, 100)0 (0, 20)90 (25, 100)0 (0, 50)100 (50, 100)<0.0001a,c,d,e,f,g,h,i,j,k,l,m,n
What percentage of your patients 10–17 do you refer for cessation treatment if they say they use any of the substances below1 (0, 50)0 (0, 3.5)0 (0, 0)2 (0, 25)0 (0, 5)5 (0, 30)<0.0001c,d,e,g,h,i,j,k,l
What percentage of your patients 18–26 do you refer for cessation treatment if they say they use any of the substances below?5 (0, 50)0 (0, 5)0 (0, 0)5 (0, 25)0 (0, 5)10 (0, 25)<0.0001b,c,d,e,f,g,h,i,j,k,l
  • a = alcohol vs marijuana, b = alcohol vs cigarette, c = alcohol vs e-cigarette, d = alcohol vs blunts, e = alcohol vs hookah, f = marijuana vs cigarette, g = marijuana vs e-cigarette, h = marijuana vs blunts, i = marijuana vs hookah, j = cigarette vs e-cigarette, k = cigarette vs blunts, l = cigarette vs hookah, m = e-cigarette vs blunts, n = e-cigarettes vs hookah, o = blunts vs hookah. Q1/Q3 = 1st and 3rd quartiles of IQR (25th–75th percentile), only calculated and presented for the continuous quantitative measures and not for the ordinal measures. Response rate ranged from n=431 to n=553. P values <0.05 were considered statistically significant.

  • *P values to compare providers’ comfort level, confidence, screening and referral practices for different substances were derived from Kruskal-Wallis test.

  • †Dwass-Steel-Critchlow-Fligner test was used to test for multiple pairwise comparisons between substance types.

  • ‡Ordinal measure, 1–4 with 1 = very uncomfortable to 4 = very vomfortable.

  • §Ordinal measure, 1–4 with 1=very unconfident to 4 = very vonfident.