Disparities in Receipt of Advice to Quit Smoking From Health Care Providers: 2010 National Health Interview Survey

Danesh, David; Paskett, Electra D.; Ferketich, Amy K.

doi:10.5888/pcd11.140053

Cited by 53 publications

(68 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings are very similar to those recently released in Australia, which also found a wide discrepancy between acknowledgments of the benefits of smoking cessation and providing active smoking cessation treatment 11 . The lack of knowledge and formal training was compounded by a number of additional perceived barriers to recommending treatment including a lack of time, resources, and perceived importance of quitting smoking.…”

Section: References Discussionsupporting

confidence: 88%

“…This figure is even lower than that reported recently, which indicated that 11% of smokers receive cessation information from their dentists 11 . In the USA, where smoking cessation services in dental practices are much more established, the rate of referral to specialist services and/or offering cessation prescriptions can be as high as 35% 12 .…”

Section: References Discussioncontrasting

confidence: 59%

See 1 more Smart Citation

Dental Practitioners and Smoking Cessation in Ireland

Keogan¹,

Burns²,

Babineau³

et al. 2015

Tob. Prev. Cessation

View full text Add to dashboard Cite

IntroductIon As the Irish government works towards their stated goal of a 'tobacco free society' in 2025, treatment offered to smokers must be expanded and improved. As such, it is inadequate to confine smoking cessation to a limited group of specialists and rather, it should be widely embraced by all health care professionals. In that regard, dentists could play a significant and crucial role.PurPose To examine smoking prevalence, training in smoking cessation treatment, and awareness of smoking cessation services available to smokers in Ireland among dentists practicing in Ireland.Methods We used an internet based, cross-sectional online survey to measure beliefs and behaviours among 289 dentists in Ireland in 2013. The instrument included items on personal tobacco use, training, and awareness of smoking cessation treatments and services. Descriptive statistics were generated for all variables and chi-squared tests examined potential gender differences in providing smoking cessation treatment.results Nine percent of dentists were current smokers, 7% reported receiving formal training in smoking cessation, and 5.6% refer their patients to specialist cessation services. Over 65% of dentists surveyed felt they did not have adequate training in smoking cessation. Female dentists were significantly more likely to give advice than male dentists (P < 0.005) and more likely to record the smoking status of their patients than male dentists (P < 0.001).conclusIons The prevalence of smoking among dentists at 9% is well below the national rate of 19.5%. There is a large discrepancy between the number of dentists who feel they should provide advice and those who actually do. Overall, dentists feel they lack adequate training, time and resources to provide smoking cessation services and most were not aware of existing referral pathways to specialist smoking cessation services. IntroductIonIn Ireland between the years of 1950 -2000, approximately 235,000 deaths were attributed to tobacco use. Half of the deaths occurred in middle age (35-69yrs) and on average, approximately 22 years of life are lost by those killed in middle age by smoking Despite being the first country in the world to introduce a comprehensive smoke free workplace legislation and having one of the highest tobacco product prices in the world, Ireland has a sizable adult smoking prevalence of 19.5% 3 . Previous research has found that improvement in smoking cessation and increased resource allocation to media campaigns are the highest priority for Ireland's tobacco control interventions at present 4 . While measures have been implemented to discourage people from smoking initiation, attention must also be given to smoking cessation in order to achieve an appreciable reduction in smoking related mortality. Tobacco dependence is a recognized disease with its own international classification of diseases (ICD) code. The treatment of tobacco dependence is a highly cost-effective medical intervention 5 . It is essential that misconceptions about the effect...

show abstract

Section: References Discussionsupporting

confidence: 88%

Section: References Discussioncontrasting

confidence: 59%

Dental Practitioners and Smoking Cessation in Ireland

Keogan¹,

Burns²,

Babineau³

et al. 2015

Tob. Prev. Cessation

View full text Add to dashboard Cite

show abstract

“…Not surprisingly, being uninsured was related to smoking among both female and male survivors and controls. In the general population, the uninsured are significantly less likely to receive smoking cessation counseling from a physician, but this issue has not been studied explicitly among AYA survivors [23]. Moreover, similar to the general population [23], healthcare providers may be missing key opportunities to provide smoking cessation counseling to AYA cancer survivors [24] due to lack of time and focus on managing other health conditions.…”

Section: Discussionmentioning

confidence: 99%

“…In the general population, the uninsured are significantly less likely to receive smoking cessation counseling from a physician, but this issue has not been studied explicitly among AYA survivors [23]. Moreover, similar to the general population [23], healthcare providers may be missing key opportunities to provide smoking cessation counseling to AYA cancer survivors [24] due to lack of time and focus on managing other health conditions. The Patient Protection and Affordable Care Act includes smoking cessation counseling as an essential preventive service [25], meaning that survivors who are in need of smoking cessation services can potentially benefit from this new coverage.…”

Section: Discussionmentioning

confidence: 99%

Health behaviors, quality of life, and psychosocial health among survivors of adolescent and young adult cancers

et al. 2015

View full text Add to dashboard Cite

Purpose Survivors of adolescent and young adult (AYA) cancer may engage in unhealthy lifestyles (e.g., smoking), potentially heightening their risk for long-term health problems. We assessed health behaviors and constructs including quality of life (QOL) and psychosocial well-being among survivors of AYA cancer compared to the general population. Methods We used 2009 Behavioral Risk Factor Surveillance System data to evaluate health behaviors for survivors of AYA cancer compared to AYAs without cancer. Multivariable regressions assessed health behaviors (smoking, binge drinking, physical inactivity, and low fruit/vegetable intake) by sex and age between AYA survivors and controls, and among survivors to determine the effects of demographic, QOL, psychosocial, and cancer factors on behaviors. Results A greater proportion of female survivors of AYA cancer smoked than controls (currently aged 20–39: 27 vs. 14.3%, respectively; currently aged 40–64: 29.3 vs. 18.4%, respectively). Generally, survivors and controls were non-adherent to national health behavior guidelines. Uninsured survivors were at greater risk of smoking vs. insured (females, Relative Risk (RR)=1.64, 95 % confidence interval (CI) 1.43–1.90; males, RR=2.62, 95 % CI 1.71–4.02). Poor social/emotional support was associated with smoking (RR= 1.26, 95 % CI 1.07–1.48) among female survivors and was associated with low fruit/vegetable intake among male (RR= 1.12, 95 % CI 1.01–1.23) and female (RR=1.12, 95 % CI 1.05–1.19) survivors. Female survivors >10 years from diagnosis had higher risk of smoking (RR=1.26–1.91, all p<0.01) than survivors 5–10 years from diagnosis. Conclusions Unhealthy lifestyle behaviors are common in survivors of AYA cancer. Implications for Cancer Survivors AYA survivors require health behavior support.

show abstract

“…National data from 2010 showed lower smoker counseling rates among Latinos than among non-Latino whites (34). African Americans report lower use of pharmacotherapy and greater skepticism toward those types of medications (121).…”

Section: Preventive Carementioning

confidence: 99%

Racial and Ethnic Disparities in the Quality of Health Care

Fiscella

Sanders

2016

Annu. Rev. Public Health

388

232

View full text Add to dashboard Cite

The annual National Healthcare Quality and Disparities Reports document widespread and persistent racial and ethnic disparities. These disparities result from complex interactions between patient factors related to social disadvantage, clinicians, and organizational and health care system factors. Separate and unequal systems of health care between states, between health care systems, and between clinicians constrain the resources that are available to meet the needs of disadvantaged groups, contribute to unequal outcomes, and reinforce implicit bias. Recent data suggest slow progress in many areas but have documented a few notable successes in eliminating these disparities. To eliminate these disparities, continued progress will require a collective national will to ensure health care equity through expanded health insurance coverage, support for primary care, and public accountability based on progress toward defined, time-limited objectives using evidence-based, sufficiently resourced, multilevel quality improvement strategies that engage patients, clinicians, health care organizations, and communities.

show abstract

Disparities in Receipt of Advice to Quit Smoking From Health Care Providers: 2010 National Health Interview Survey

Cited by 53 publications

References 11 publications

Dental Practitioners and Smoking Cessation in Ireland

Dental Practitioners and Smoking Cessation in Ireland

Health behaviors, quality of life, and psychosocial health among survivors of adolescent and young adult cancers

Racial and Ethnic Disparities in the Quality of Health Care

Contact Info

Product

Resources

About