Patient-reported recall of smoking cessation interventions from a health professional

King, Brian A.; Dube, Shanta R.; Babb, Stephen; McAfee, Tim

doi:10.1016/j.ypmed.2013.07.010

Cited by 50 publications

(46 citation statements)

References 10 publications

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“…Counseling rates may also be lower because limited research exists on effective cessation treatments for adolescents. 1 Compared with other nationally representative data on adult tobacco use screening and counseling, 21 the prevalence of clinician screening and counseling among established adolescent smokers in this study was lower (ask: 88% in adults smokers vs 65% in adolescent established smokers; advise: 66% in adult smokers vs 53% in adolescent established smokers). Prevalence of adolescent screening for and counseling about tobacco use was similar to nationally representative prevalence of screening and counseling adolescents about other preventive risk factors such as weight and hypertension.…”

Section: Discussioncontrasting

confidence: 67%

Health Care Provider Advice for Adolescent Tobacco Use: Results From the 2011 National Youth Tobacco Survey

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: Cigarette smoking during adolescence causes significant health problems. Health care providers play an important role in promoting tobacco use abstinence among adolescents, but recent data on the prevalence of provider screening and advice to adolescents are lacking. WHAT THIS STUDY ADDS:This study uses nationally representative surveillance data to provide current estimates of self-reported receipt of health professional screening and advice about tobacco use among US adolescents. Cessation behaviors and correlates of past-year quit attempts among smokers were also explored. abstract BACKGROUND: Health care providers play an important role in promoting tobacco use abstinence among adolescents. This study aimed to provide nationally representative data on the prevalence of provider tobacco use screening and advice delivered to adolescents. Cessation behaviors and correlates of past year quit attempts among current smokers are also explored. METHODS:Data came from the 2011 National Youth Tobacco Survey, a nationally representative school-based survey of adolescents in grades 6 through 12 (n = 18 385). Provider screening and advice were assessed by smoking status and demographic characteristics. Logistic regression was used to assess the association between advice and past year quit attempt. RESULTS:The overall prevalence of current tobacco use was 16.6%; 10.8% were current cigarette smokers (3.6% were established smokers, 7.2% were nonestablished smokers); 17.3% were former smokers; and 71.9% were never smokers (22.6% high susceptibility, 77.4% low susceptibility). Among all respondents, the prevalence of being asked about tobacco use by a health care provider was 32.2%; the prevalence of being advised to quit or avoid tobacco was 31.4%. Established smokers were more likely than other groups to report provider assessment of tobacco use and advice. Receipt of advice was associated with a higher adjusted odds of having made a past year quit attempt (odds ratio: 1.47, 95% confidence interval: 1.18-1.82).

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Section: Discussioncontrasting

confidence: 67%

Health Care Provider Advice for Adolescent Tobacco Use: Results From the 2011 National Youth Tobacco Survey

et al. 2014

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“…Counseling to encourage adult cessation is common. 51,56,57 We therefore created a no-cessation counseling scenario for adults by assigning all smokers to the no-assistance quit strategy.…”

Section: Effectiveness In Counseling Scenariosmentioning

confidence: 99%

Health Benefits and Cost-Effectiveness of Brief Clinician Tobacco Counseling for Youth and Adults

et al. 2017

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PURPOSE To help clinicians and care systems determine the priority for tobacco counseling in busy clinic schedules, we assessed the lifetime health and economic value of annually counseling youth to discourage smoking initiation and of annually counseling adults to encourage cessation. METHODSWe conducted a microsimulation analysis to estimate the health impact and cost effectiveness of both types of tobacco counseling in a US birth cohort of 4,000,000. The model used for the analysis was constructed from nationally representative data sets and structured literature reviews.RESULTS Compared with no tobacco counseling, the model predicts that annual counseling for youth would reduce the average prevalence of smoking cigarettes during adult years by 2.0 percentage points, whereas annual counseling for adults will reduce prevalence by 3.8 percentage points. Youth counseling would prevent 42,686 smoking-attributable fatalities and increase quality-adjusted life years (QALYs) by 756,601 over the lifetime of the cohort. Adult counseling would prevent 69,901 smoking-attributable fatalities and increase QALYs by 1,044,392. Youth and adult counseling would yield net savings of $225 and $580 per person, respectively. If annual tobacco counseling was provided to the cohort during both youth and adult years, then adult smoking prevalence would be 5.5 percentage points lower compared with no counseling, and there would be 105,917 fewer smoking-attributable fatalities over their lifetimes. Only one-third of the potential health and economic benefits of counseling are being realized at current counseling rates. CONCLUSIONSBrief tobacco counseling provides substantial health benefits while producing cost savings. Both youth and adult intervention are high-priority uses of limited clinician time.

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“…32 Receipt of a provider recommendation to quit smoking does not seem to be linked to sexual orientation. 33 As such, increasing access to health insurance through the Affordable Care Act (ACA) may help to eliminate this barrier to smoking cessation among SMW who have been more likely than their heterosexual counterparts to be uninsured. 34 In addition to advice to quit, best practices for healthcare providers in helping to reduce smoking among their patients include linking patients to available smoking cessation treatments.…”

Section: Matthews Et Almentioning

confidence: 99%

Demographic, Healthcare, and Contextual Factors Associated with Smoking Status Among Sexual Minority Women

et al. 2017

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Purpose: The study purpose was to examine demographic, healthcare, and contextual correlates of smoking among sexual minority women (SMW). Methods: Data were from the Chicago Health and Life Experiences of Women study (2010-2012, N = 726). Results: The rate of current smoking was 29.6%, with 29.5% and 40.9% former or nonsmokers, respectively. A history of ever smoking was associated with lower educational levels, having a partner who smokes, heavy drinking, illicit drug use, and a bisexual identity. Statistically significant correlates of former versus current smoker included higher education, having a nonsmoking partner, being from the newest recruited cohort, and less illicit drug use. A past-year quit attempt among current smokers was associated with higher levels of illicit drug use, longer time until first cigarette, and being from the original cohort. Conclusion: The study results highlight key correlates of smoking behaviors among SMW and make an important contribution to the literature on smoking disparities. Additional research is needed to inform smoking cessation prevention and control efforts to reduce known and persistent smoking disparities among SMW.

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Patient-reported recall of smoking cessation interventions from a health professional

Cited by 50 publications

References 10 publications

Health Care Provider Advice for Adolescent Tobacco Use: Results From the 2011 National Youth Tobacco Survey

Health Care Provider Advice for Adolescent Tobacco Use: Results From the 2011 National Youth Tobacco Survey

Health Benefits and Cost-Effectiveness of Brief Clinician Tobacco Counseling for Youth and Adults

Demographic, Healthcare, and Contextual Factors Associated with Smoking Status Among Sexual Minority Women

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