Disparities in Smoking Cessation Assistance in US Primary Care Clinics

Autor:	R. Lorie Jacob, Miguel Marino, Jon Puro, John Heintzman, Steffani R. Bailey
Rok vydání:	2018
Předmět:	Adult Male medicine.medical_specialty Adolescent Ethnic group MEDLINE Health Promotion AJPH Research Ambulatory Care Facilities Odds Young Adult 03 medical and health sciences 0302 clinical medicine Diabetes mellitus medicine Humans 030212 general & internal medicine Healthcare Disparities Young adult Aged Asthma 030505 public health Primary Health Care business.industry Public Health Environmental and Occupational Health Odds ratio Middle Aged medicine.disease United States Confidence interval Family medicine Female Smoking Cessation 0305 other medical science business
Zdroj:	American Journal of Public Health. 108:1082-1090
ISSN:	1541-0048 0090-0036
Popis:	Objectives. To examine associations between patient factors and smoking cessation assistance in US safety-net clinics. Methods. Using electronic health record data from the OCHIN network, we identified adults with at least 1 primary care visit to a study clinic (n = 143 clinics in 12 states) with at least 1 documented “current smoker” status during 2014 to 2016 (n = 136 314; 29.8%). We estimated odds ratios (ORs) of smoking cessation assistance receipt (none [reference], counseling, medication, or both) by patient covariates. Results. For all cessation assistance categories, odds of assistance were higher among women, those with more visits, those assessed and ready to quit, and patients with asthma or chronic obstructive pulmonary disease and hyperlipidemia. Odds of receiving both counseling and medication were lower among uninsured patients (OR = 0.56; 95% confidence interval [CI] = 0.48, 0.64), those of a race/ethnicity other than non-Hispanic White (OR range = 0.65–0.82), and those with diabetes (OR = 0.85; 95% CI = 0.79, 0.92), and higher among older patients and those with a comorbidity, with few exceptions. Conclusions. Disparities in smoking cessation assistance receipt exist in safety-net settings, in particular by health insurance coverage and across race/ethnicity, even after control for other socioeconomic and demographic factors.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fe894f94f9e7c62e78d8848f0d5e1e32 https://doi.org/10.2105/ajph.2018.304492 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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