Primary care physician smoking screening and counseling for patients with chronic disease
| Autor: | Michael D. Cabana, Adam L. Hersh, Flory L. Nkoy, Kevin E. Nelson, Judy Maselli, Raj Srivastava |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Counseling Male medicine.medical_specialty Adolescent Epidemiology medicine.medical_treatment Smoking Prevention Disease Physicians Primary Care Young Adult Age Distribution Internal medicine medicine Humans Practice Patterns Physicians' Child Aged Asthma Cardiopulmonary disease Physician-Patient Relations COPD Primary Health Care business.industry Public Health Environmental and Occupational Health Primary care physician Infant Odds ratio Guideline Middle Aged medicine.disease Health Surveys United States Child Preschool Chronic Disease Multivariate Analysis Physical therapy Smoking cessation Female Smoking Cessation business |
| Zdroj: | Preventive Medicine. 71:77-82 |
| ISSN: | 0091-7435 |
| DOI: | 10.1016/j.ypmed.2014.11.010 |
| Popis: | Background Evidence-based guidelines recommend smoking cessation treatment, including screening and counseling, for all smokers, including those with chronic diseases exacerbated by smoking. Physician treatment improves smoking cessation. Little data describes smoking treatment guideline uptake for patients with chronic cardiopulmonary smoking-sensitive diseases. Objective Describe U.S. primary care physician (PCP) smoking cessation treatment during patient visits for chronic cardiopulmonary smoking-sensitive diseases. Methods The National (Hospital) Ambulatory Medical Care Survey captured PCP visits. We examined smoking screening and counseling time trends for smokers with chronic diseases. Multivariable logistic regression assessed factors associated with smoking counseling for smokers with chronic smoking-sensitive diseases. Results From 2001–2009 smoking screening and counseling for smokers with chronic smoking-sensitive cardiopulmonary diseases were unchanged. Among smokers with chronic smoking-sensitive diseases, 50%–72% received no counseling. Smokers with chronic obstructive pulmonary disease (COPD) (odds ratio (OR) = 6.54, 95% confidence interval (CI) 4.85–8.83) and peripheral vascular disease (OR = 4.50, 95% CI 1.72–11.75) were more likely to receive smoking counseling at chronic/preventive care visits, compared with patients without smoking-sensitive diseases. Other factors associated with increased smoking counseling included non-private insurance, preventive and longer visits, and an established PCP. Asthma and cardiovascular disease showed no association with counseling. Conclusions Smoking cessation counseling remains infrequent for smokers with chronic smoking-sensitive cardiopulmonary diseases. New strategies are needed to encourage smoking cessation counseling. |
| Databáze: | OpenAIRE |
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