The Influence of Increasing Levels of Provider-Patient Discussion on Quit Behavior: An Instrumental Variable Analysis of a National Survey
| Autor: | Bian Liu, Serena Zhan, Karen M. Wilson, Lihua Li, Madhu Mazumdar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Health Toxicology and Mutagenesis medicine.medical_treatment Intention Logistic regression 01 natural sciences Article 03 medical and health sciences 0302 clinical medicine Tobacco Smoking medicine Humans National Health Interview Survey 030212 general & internal medicine 0101 mathematics Smokers provider–patient communication intent to quit business.industry Smoking 010102 general mathematics Instrumental variable Public Health Environmental and Occupational Health instrumental variable smoking cessation Propensity score matching Medicine Smoking cessation business attempt to quit Demography |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 9 International Journal of Environmental Research and Public Health, Vol 18, Iss 4593, p 4593 (2021) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph18094593 |
| Popis: | Objective: We aimed to examine the influence of increasing levels of discussion (both asked and advised, either asked or advised but not both, and neither asked nor advised) on quit behavior. Methods: We included 4133 adult current smokers from the 2015 National Health Interview Survey. The primary outcomes were quit intent and quit attempt, and the secondary outcomes were methods used for quitting. We used an instrumental variable analysis, as well as propensity score weighted and multivariable logistic regressions. Results: Compared to no discussion, having both or only one discussion, respectively, increased quit intent (OR = 1.65, 95% CI = 1.63–1.66 and OR = 1.02, 95% CI = 0.99–1.05), quit attempt (OR = 1.76, 95% CI = 1.75–1.77 and OR = 1.60, 95% CI = 1.57–1.63). Among those who attempted to quit (n = 1536), having both or only one discussion increased the use of pharmacologic (OR = 1.99, 95% CI = 1.97–2.02 and OR = 1.56, 95% CI = 1.49–1.63) or behavioral (OR = 2.01, 95% CI = 1.94–2.08 and OR = 2.91, 95% CI = 2.74–3.08) quit methods. Conclusions: Increasing levels of provider–patient discussion encourages quit behavior, and should be an integral part of reducing the health and economic burden of smoking. Strategies that promote the adherence and compliance of providers to communicate with patients may help increase the success of smoking cessation. |
| Databáze: | OpenAIRE |
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