National Trends in Cessation Counseling, Prescription Medication Use, and Associated Costs Among US Adult Cigarette Smokers

Tibuakuu, Martin; Okunrintemi, Victor; Jirru, Ermias; Tcheugui, Justin B Echouffo; Orimoloye, Olusola A.; Mehta, Puja K.; DeFilippis, Andrew P.; Blaha, Michael J.; Michos, Erin D.

doi:10.1001/jamanetworkopen.2019.4585

Cited by 49 publications

(40 citation statements)

References 28 publications

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“…More broadly, equitable access to and coverage of tobacco-cessation treatment is needed to serve minorities and vulnerable populations ( 105 , 106 ). Although racial and ethnic minority groups are more likely than white individuals to attempt smoking cessation, they are less likely to be advised to quit smoking and to be offered behavioral counseling and pharmacotherapy and thus have lower odds of success ( 107 ).…”

Section: Resultsmentioning

confidence: 99%

Addressing Disparities in Lung Cancer Screening Eligibility and Healthcare Access. An Official American Thoracic Society Statement

Rivera¹,

Katki²,

Tanner³

et al. 2020

Am J Respir Crit Care Med

159

143

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Background: There are well-documented disparities in lung cancer outcomes across populations. Lung cancer screening (LCS) has the potential to reduce lung cancer mortality, but for this benefit to be realized by all high-risk groups, there must be careful attention to ensuring equitable access to this lifesaving preventive health measure. Objectives: To outline current knowledge on disparities in eligibility criteria for, access to, and implementation of LCS, and to develop an official American Thoracic Society statement to propose strategies to optimize current screening guidelines and resource allocation for equitable LCS implementation and dissemination. Methods: A multidisciplinary panel with expertise in LCS, implementation science, primary care, pulmonology, health behavior, smoking cessation, epidemiology, and disparities research was convened. Participants reviewed available literature on historical disparities in cancer screening and emerging evidence of disparities in LCS. Results: Existing LCS guidelines do not consider racial, ethnic, socioeconomic, and sex-based differences in smoking behaviors or lung cancer risk. Multiple barriers, including access to screening and cost, further contribute to the inequities in implementation and dissemination of LCS. Conclusions: This statement identifies the impact of LCS eligibility criteria on vulnerable populations who are at increased risk of lung cancer but do not meet eligibility criteria for screening, as well as multiple barriers that contribute to disparities in LCS implementation. Strategies to improve the selection and dissemination of LCS in vulnerable groups are described.

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Section: Resultsmentioning

confidence: 99%

Addressing Disparities in Lung Cancer Screening Eligibility and Healthcare Access. An Official American Thoracic Society Statement

Rivera¹,

Katki²,

Tanner³

et al. 2020

Am J Respir Crit Care Med

159

143

View full text Add to dashboard Cite

show abstract

“…In an analysis of the changes in cigarette smoking cessation counseling among US adult cigarette smokers, the proportion who reported receiving physician advice to quit smoking has increased. 5 Cancer diagnosis represents a teachable moment 3 , 4 , 23 : advice from a clinician about the health benefits of quitting can promote cigarette smoking cessation. Despite this progress at the population level, smoking prevalence among cancer survivors remains high.…”

Section: Discussionmentioning

confidence: 99%

“… 3 , 4 Considerable progress has been made in reducing cigarette smoking in the United States, and the proportion of smokers who reported receiving physician advice to quit has increased over the last decades. 5 However, the prevalence of cigarette smoking among cancer survivors remains high. 2 , 6 , 7 A recent cross-sectional analysis of the 2017 National Health Interview Survey (NHIS) data reported that 13.2% of US adult cancer survivors were current smokers, 7 but trends in cigarette smoking cessation among cancer survivors have not yet been fully investigated.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Trends in Cigarette Smoking Cessation After Cancer Diagnosis Among US Adults, 2000 to 2017

et al. 2020

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“…For example, while in USA, it was not common for physicians to address patients' smoking in 1990s and 2000s, 21 then in 2018, 65% of patients were asked about smoking status. 22 In Romania in 2011, more than 80% of patients were asked about their smoking status. 1 In 2009-2010, in Poland, 57.2% and in Russia, 45.4% of patients reported that they were asked if they smoked by a health care provider.…”

Section: Discussionmentioning

confidence: 99%

Changes in Addressing Patients’ Smoking: Cross-Sectional Data from 2002 and 2014 among Physicians in Estonia

Põld

Pärna

2020

Tob Use Insights

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Background: For health professionals, personal and contextual factors influence addressing patients’ smoking habits. The objective of the study was to describe frequency of addressing patients’ smoking in 2002 and 2014 and to analyse factors related to addressing patients’ smoking habits. Methods: Data of physicians from 2 postal cross-sectional surveys were used (n = 4140 in 2002, n = 5666 in 2014). The number of respondents was 2747 in 2002 and 2903 in 2014. The corrected response rate was 67.8% and 53.1%, respectively. Age-standardized frequency of addressing patients’ smoking during the last 7 days was determined. Distribution of other variables along with confidence intervals (CI) was calculated. Logistic regression was used to analyse association of addressing patients’ smoking with attitudes and perceived barriers regarding addressing patients’ smoking and with background factors. Fully adjusted odds ratios (OR) with 95% CIs were calculated. Results: The age-standardized prevalence of addressing patients’ smoking habits among men was 84.4% (95% CI 80.3–88.5) in 2002 and 88.3% (95% CI (84.5–92.2) in 2014, among women 82.1% (95% CI 80.2–83.9) and 89.0% (95% CI 87.2–90.8), respectively. According to logistic regression analysis, in 2014, significantly more physicians agreed that it is doctors’ responsibility to convince people to stop smoking (among men, OR 2.32; 95% CI 1.19–4.54, among women OR 1.41; 95% CI 1.06–1.88), that smoking prevention should form part of health professionals’ training, that physicians should have smoking related hand-out materials, and that lack of time was a barrier to addressing patients’ smoking. Addressing patients’ smoking was significantly associated with attitudes and perceived barriers regarding addressing patients’ smoking, age, and other background factors (among women only). Conclusions: Addressing patients’ smoking habits was more common in 2014 than in 2002, but the change was significant among women only. Compared to 2002, in 2014 physicians’ attitudes regarding addressing patients’ smoking were more approving. Results of this study are useful for policymakers and institutions involved in organization and development of smoking prevention training and cessation services.

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National Trends in Cessation Counseling, Prescription Medication Use, and Associated Costs Among US Adult Cigarette Smokers

Cited by 49 publications

References 28 publications

Addressing Disparities in Lung Cancer Screening Eligibility and Healthcare Access. An Official American Thoracic Society Statement

Addressing Disparities in Lung Cancer Screening Eligibility and Healthcare Access. An Official American Thoracic Society Statement

Assessment of Trends in Cigarette Smoking Cessation After Cancer Diagnosis Among US Adults, 2000 to 2017

Changes in Addressing Patients’ Smoking: Cross-Sectional Data from 2002 and 2014 among Physicians in Estonia

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