Factors Associated With Smoking Cessation Counseling at Clinical Encounters: The Behavioral Risk Factor Surveillance System (BRFSS) 2000

Lucan, Sean C.; Katz, David L.

doi:10.4278/0890-1171-21.1.16

Cited by 20 publications

(8 citation statements)

References 29 publications

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“…In comparison, the prevalence of advice to quit by physicians was comparable to our result (51.6% vs 50.7%). Other studies on the topic reported a similar prevalence (17) or a slightly higher prevalence (7) of physician advising. What smokers report and what HCPs report with respect to delivering advice to quit varies widely.…”

Section: Discussionmentioning

confidence: 69%

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

Danesh¹,

Paskett²,

Ferketich³

2014

Prev. Chronic Dis.

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IntroductionNot all smokers receive tobacco cessation advice from health care providers (HCPs) and, although factors associated with receiving HCP advice to quit smoking and the effectiveness of such advice have been examined, no recent study has explored differences between types of HCPs (eg, physicians vs dentists). Our objective was to determine the prevalence of HCP-delivered advice and the characteristics of patients who receive advice to quit smoking from any HCP and, separately, from a physician or a dentist.MethodsThis study used data from the Sample Adult Core questionnaire, Sample Family Core questionnaire, and Sample Adult Cancer Control Module of the 2010 National Health Interview Survey. The sample for the analysis was limited to current smokers who saw an HCP in the previous 12 months. The characteristics of smokers who received advice to quit were compared with those who did not receive advice and further analyzed by which type of HCP delivered the advice.ResultsHalf of current smokers reported receiving advice to quit smoking from any HCP, but only 1 in 10 smokers who visited a dentist received advice to quit. Receipt of advice was associated with sex, age, race, marital status, region, type of health insurance, quit attempts in the previous 12 months, and extent of tobacco use.ConclusionOnly half of all smokers receive advice to quit from any HCP and even fewer from dentists. Changes in professional organizations’ policies, health profession education curriculum, and continuing education requirements are needed to improve compliance with the Clinical Practice Guideline.

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Section: Discussionmentioning

confidence: 69%

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

Danesh¹,

Paskett²,

Ferketich³

2014

Prev. Chronic Dis.

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“…The BRFSS data sets have been widely utilized in a milieu of reports and articles. Of recent, these data have been used in studies associated with cardiovascular heart diseases [15], physical activity [16], cancer screenings [17], mental health [18] obesity [19], diabetes mellitus [20], and multiple preventive health behaviors [21, 22]. …”

Section: Methodsmentioning

confidence: 99%

Diabetes in US women on the rise independent of increasing BMI and other risk factors; a trend investigation of serial cross-sections

Ibe¹,

Smith²

2014

BMC Public Health

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BackgroundThe epidemic of diabetes continues leaving an enormous and growing burden of chronic disease to public health. This study investigates this growing burden of diabetes independent of increasing BMI in a large population based female sample, 2006–2010.MethodsSerial cross-sectional data using the Behavioral Risk Factor Surveillance System (BRFSS) 2006–2010 surveys from 1,168,418 women. Diabetes was assessed by self-report of a physician diagnosis, and body mass index (BMI) was calculated based on self-reported height and weight.ResultsAlmost 60% of women responders had a BMI > 25 (defined as overweight or obese). Diabetes was reported in 16% of respondents whose BMI > 25, and in 4% of respondents with reported BMI ≤ 25. Overall, 11% of the women in this sample reported being diagnosed with diabetes, of whom 83% had a BMI > 25. BMI, physical activity, age, and race were each independently associated with diabetes (p-value < 0.05). The odds of reported diabetes increased each year independent of BMI, physical activity, age, and race.ConclusionsAfter adjusting for age, race, physical activity, and year of survey response, results indicate a threefold increase in diabetes among respondents with a BMI > 25 (OR = 3.57; 95% CI = 3.52-3.63). Potentially more alarming was a notable increase in odds of diabetes across the years of study among women, implying a near 30 percent projected increase in odds of diabetes diagnoses by 2020. This is likely due to advances in diagnosis and treatment but also highlights a burden of disease that will have a growing and sustained impact on public health and healthcare systems.

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“…Physicians may be more likely to advise quitting to those who are sicker or who have diseases that are considered "smoking-related" (e.g., cardiac, respiratory, or cerebrovascular conditions). [11][12][13][14][15] However, much of this literature is outdated, is focused exclusively on cigarette smoking, and does not examine how advice varies as a function of type of chronic condition and/or tobacco product. Physician behavior surrounding non-cigarette tobacco use is especially understudied.…”

Section: Introductionmentioning

confidence: 99%

Disparities in US Healthcare Provider Screening and Advice for Cessation Across Chronic Medical Conditions and Tobacco Products

et al. 2017

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Factors Associated With Smoking Cessation Counseling at Clinical Encounters: The Behavioral Risk Factor Surveillance System (BRFSS) 2000

Abstract: Smoking cessation counseling may be provided preferentially on the basis of patient demographics, and often is not provided at all. In a given year, just over half of smoking patients are advised to quit, and such counseling is provided at less than a quarter of clinical encounters.

Cited by 20 publications

References 29 publications

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

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

Diabetes in US women on the rise independent of increasing BMI and other risk factors; a trend investigation of serial cross-sections

Disparities in US Healthcare Provider Screening and Advice for Cessation Across Chronic Medical Conditions and Tobacco Products

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