Monalisa Chandra, Rajesh Talluri, Joel Fokom Domgue, Sanjay Shete
{"title":"美国成年人接受戒烟医疗建议的普遍程度和差异","authors":"Monalisa Chandra, Rajesh Talluri, Joel Fokom Domgue, Sanjay Shete","doi":"10.3389/fpubh.2024.1383060","DOIUrl":null,"url":null,"abstract":"IntroductionEvidence suggests that advice from health care professionals (HCP) increases the likelihood of quit attempts and successful quitting of tobacco use. However, previous studies primarily focussed on cigarette smoking and did not include all forms of tobacco products. This study aimed to investigate the prevalence and disparities in receiving HCP’s advice to quit tobacco use (combustible or noncombustible) in the US adult population.MethodsUsing the 2022 National Health Information Survey (NHIS) data, we examined 4,424 adults who reported (i) any tobacco product use within the past 12 months and (ii) having seen an HCP within the past 12 months. The outcome variable included the receipt of advice to quit tobacco use from an HCP, and predictors included sociodemographic variables. Weighted prevalence estimates were calculated, and multivariable regression analyses were conducted.ResultsOver 38% of tobacco users who visited an HCP were advised to quit. The odds of receiving such advice were lower among Hispanics (AOR: 0.625; 95% confidence interval (CI) [0.464–0.843];<jats:italic>p</jats:italic> = 0.002), males (AOR: 0.767; 95% CI [0.659–0.893], <jats:italic>p</jats:italic> = 0.001), those above the poverty level (AOR: 0.795; 95% CI [0.641–0.987];<jats:italic>p</jats:italic> = 0.037), foreign-born (AOR: 0.664; 95% CI [0.496–0.888]; <jats:italic>p</jats:italic> = 0.006), those with a bachelor’s degree or higher educational level (AOR: 0.477; 95% CI [0.349–0.653]; <jats:italic>p</jats:italic> &lt; 0.001) and those aged less than 45 years (AOR: 0.404; 95% CI: [0.344–0.473]; <jats:italic>p</jats:italic> &lt; 0.001).ConclusionThe prevalence of receiving HCP’s advice to quit tobacco use remains suboptimal and disparate among sociodemographic groups. Our findings call for strategic implementation of the USPHS’s recommendation on treating tobacco use and taking further actions to equip HCPs with the training and resources needed to provide appropriate advice to quit tobacco.","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0000,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalence and disparities in receiving medical advice to quit tobacco use in the US adult population\",\"authors\":\"Monalisa Chandra, Rajesh Talluri, Joel Fokom Domgue, Sanjay Shete\",\"doi\":\"10.3389/fpubh.2024.1383060\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"IntroductionEvidence suggests that advice from health care professionals (HCP) increases the likelihood of quit attempts and successful quitting of tobacco use. However, previous studies primarily focussed on cigarette smoking and did not include all forms of tobacco products. This study aimed to investigate the prevalence and disparities in receiving HCP’s advice to quit tobacco use (combustible or noncombustible) in the US adult population.MethodsUsing the 2022 National Health Information Survey (NHIS) data, we examined 4,424 adults who reported (i) any tobacco product use within the past 12 months and (ii) having seen an HCP within the past 12 months. The outcome variable included the receipt of advice to quit tobacco use from an HCP, and predictors included sociodemographic variables. Weighted prevalence estimates were calculated, and multivariable regression analyses were conducted.ResultsOver 38% of tobacco users who visited an HCP were advised to quit. The odds of receiving such advice were lower among Hispanics (AOR: 0.625; 95% confidence interval (CI) [0.464–0.843];<jats:italic>p</jats:italic> = 0.002), males (AOR: 0.767; 95% CI [0.659–0.893], <jats:italic>p</jats:italic> = 0.001), those above the poverty level (AOR: 0.795; 95% CI [0.641–0.987];<jats:italic>p</jats:italic> = 0.037), foreign-born (AOR: 0.664; 95% CI [0.496–0.888]; <jats:italic>p</jats:italic> = 0.006), those with a bachelor’s degree or higher educational level (AOR: 0.477; 95% CI [0.349–0.653]; <jats:italic>p</jats:italic> &lt; 0.001) and those aged less than 45 years (AOR: 0.404; 95% CI: [0.344–0.473]; <jats:italic>p</jats:italic> &lt; 0.001).ConclusionThe prevalence of receiving HCP’s advice to quit tobacco use remains suboptimal and disparate among sociodemographic groups. Our findings call for strategic implementation of the USPHS’s recommendation on treating tobacco use and taking further actions to equip HCPs with the training and resources needed to provide appropriate advice to quit tobacco.\",\"PeriodicalId\":12548,\"journal\":{\"name\":\"Frontiers in Public Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-09-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3389/fpubh.2024.1383060\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fpubh.2024.1383060","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
导言有证据表明,医疗保健专业人员(HCP)的建议会增加戒烟尝试和成功戒烟的可能性。然而,以往的研究主要集中在卷烟方面,并不包括所有形式的烟草制品。本研究旨在调查美国成年人群中接受保健医生戒烟建议(可燃或不可燃烟草)的普遍程度和差异。方法利用2022年全国健康信息调查(NHIS)数据,我们对4424名报告(i)在过去12个月内使用过任何烟草制品和(ii)在过去12个月内看过保健医生的成年人进行了调查。结果变量包括是否接受过保健医生的戒烟建议,预测变量包括社会人口变量。计算了加权流行率估计值,并进行了多变量回归分析。西班牙裔(AOR:0.625;95% 置信区间 (CI) [0.464-0.843];P = 0.002)、男性(AOR:0.767;95% CI [0.659-0.893],p = 0.001)、贫困线以上者(AOR:0.795;95% CI [0.641-0.987];p = 0.037)、外国出生者(AOR:0.664;95% CI [0.496-0.888];p = 0.结论接受 HCP 戒烟建议的流行率仍不理想,且不同社会人口群体之间存在差异。我们的研究结果要求战略性地实施美国公共卫生协会(USPHS)关于治疗烟草使用的建议,并采取进一步行动,为卫生保健人员提供所需的培训和资源,以提供适当的戒烟建议。
Prevalence and disparities in receiving medical advice to quit tobacco use in the US adult population
IntroductionEvidence suggests that advice from health care professionals (HCP) increases the likelihood of quit attempts and successful quitting of tobacco use. However, previous studies primarily focussed on cigarette smoking and did not include all forms of tobacco products. This study aimed to investigate the prevalence and disparities in receiving HCP’s advice to quit tobacco use (combustible or noncombustible) in the US adult population.MethodsUsing the 2022 National Health Information Survey (NHIS) data, we examined 4,424 adults who reported (i) any tobacco product use within the past 12 months and (ii) having seen an HCP within the past 12 months. The outcome variable included the receipt of advice to quit tobacco use from an HCP, and predictors included sociodemographic variables. Weighted prevalence estimates were calculated, and multivariable regression analyses were conducted.ResultsOver 38% of tobacco users who visited an HCP were advised to quit. The odds of receiving such advice were lower among Hispanics (AOR: 0.625; 95% confidence interval (CI) [0.464–0.843];p = 0.002), males (AOR: 0.767; 95% CI [0.659–0.893], p = 0.001), those above the poverty level (AOR: 0.795; 95% CI [0.641–0.987];p = 0.037), foreign-born (AOR: 0.664; 95% CI [0.496–0.888]; p = 0.006), those with a bachelor’s degree or higher educational level (AOR: 0.477; 95% CI [0.349–0.653]; p < 0.001) and those aged less than 45 years (AOR: 0.404; 95% CI: [0.344–0.473]; p < 0.001).ConclusionThe prevalence of receiving HCP’s advice to quit tobacco use remains suboptimal and disparate among sociodemographic groups. Our findings call for strategic implementation of the USPHS’s recommendation on treating tobacco use and taking further actions to equip HCPs with the training and resources needed to provide appropriate advice to quit tobacco.
期刊介绍:
Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice.
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