Cigarette Smoking, Desire to Quit, and Tobacco-Related Counseling Among Patients at Adult Health Centers.

Objectives. We determined cigarette smoking prevalence, desire to quit, and tobacco-related counseling among a national sample of patients at health centers. Methods. Data came from the 2009 Health Center Patient Survey and the 2009 National Health Interview Survey. The analytic sample included 3949...

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Publicado en:American Journal of Public Health Vol. 105; no. 1; pp. 180 - 189
Autores principales: Lebrun-Harris, Lydie A., Fiore, Michael C., Naomi Tomoyasu, Ngo-Metzger, Quyen
Formato: Artículo
Publicado: American Public Health Association Jan2015
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2015
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      pub: American Public Health Association
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        10.2105/AJPH.2013.301691
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        atl: Cigarette Smoking, Desire to Quit, and Tobacco-Related Counseling Among Patients at Adult Health Centers.
      aug:
        au:
          Lebrun-Harris, Lydie A.
          Fiore, Michael C.
          Naomi Tomoyasu
          Ngo-Metzger, Quyen
        affil:
          Bureau of Primary Health Care, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD.
          Center for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison
      su:
        United States
        Community health services
        Counseling
        Confidence intervals
        Medical cooperation
        Multivariate analysis
        Research
        Research funding
        Smoking cessation
        Surveys
        Descriptive statistics
        Odds ratio
      sug:
        subj:
          Community health services
          Counseling
          United States
          Other Individual and Family Services
          Other local, municipal and regional public administration
          Residential Mental Health and Substance Abuse Facilities
          All Other Outpatient Care Centers
          Community health centres
          All Other Miscellaneous Ambulatory Health Care Services
          All other ambulatory health care services
          Confidence intervals
          Medical cooperation
          Multivariate analysis
          Research
          Research funding
          Smoking cessation
          Surveys
          Descriptive statistics
          Odds ratio
      ab: Objectives. We determined cigarette smoking prevalence, desire to quit, and tobacco-related counseling among a national sample of patients at health centers. Methods. Data came from the 2009 Health Center Patient Survey and the 2009 National Health Interview Survey. The analytic sample included 3949 adult patients at health centers and 27 731 US adults. Results. Thirty-one percent of health center patients were current smokers, compared with 21% of US adults in general. Among currently smoking health center patients, 83% desired to quit and 68% received tobacco counseling. In multivariable models, patients had higher adjusted odds of wanting to quit if they had indications of severe mental illness (adjusted odds ratio [AOR] = 3.26; 95% confidence interval [CI] = 1.19, 8.97) and lower odds if they had health insurance (AOR = 0.43; 95% CI = 0.22, 0.86). Patients had higher odds of receiving counseling if they had 2 or more chronic conditions (AOR = 2.05; 95% CI = 1.11, 3.78) and lower odds if they were Hispanic (AOR = 0.57; 95% CI = 0.34, 0.96). Conclusions. Cigarette smoking prevalence is substantially higher among patients at health centers than US adults in general. However, most smokers at health centers desire to quit. Continued efforts are warranted to reduce tobacco use in this vulnerable group.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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