To assess United States pediatricians' attitudes
, beliefs, and perceived professional injunctive norms
A self-administered questionnaire was mailed to a nationwide random sample of 1500 pediatricians in the US, drawn from a database maintained by IMS Health. Four survey mailings were conducted and cash incentives of up to $20 were provided. The response rate was 53% (N = 787).
Most respondents were members of the American Academy of Pediatrics (85%), had been practicing physicians for 15 years or more (66%), and were white (69%) and female (59%). All US regions were represented. About 3-quarters of pediatricians did not support the use of spanking
, and most perceived that their colleagues did not support its use either. Pediatricians who were male, black, and/or sometimes spanked as children had more positive attitudes
and expected more positive outcomes from spanking
than their counterparts. Nearly 80% of pediatricians never or seldom expected positive outcomes from spanking
, and a majority (64%) expected negative outcomes some of the time.
The majority of pediatricians in the US do not support the use of spanking
with children and are aware of the empirical evidence linking spanking
with increased risk of poor health outcomes for children. Pediatricians are a key, trusted professional source in advising parents about child discipline
. These findings suggest that most pediatricians will discourage the use of spanking
with children, which over time could reduce its use and associated harms in the population. This is of clinical relevance because, despite strong and consistent evidence of the harms that spanking
raises for children, spanking
is still broadly accepted and practiced in the US