Preventing Chronic Disease | Disparities in Receipt of Advice to Quit Smoking From Health Care Providers: 2010 National Health Interview Survey - CDC

full-text ►

Preventing Chronic Disease | Disparities in Receipt of Advice to Quit Smoking From Health Care Providers: 2010 National Health Interview Survey - CDC

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

Navigate This Article

• Abstract
• Introduction
• Methods
• Results
• Discussion
• Acknowledgments
• Author Information
• References
• Tables

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

Suggested citation for this article: Danesh D, Paskett ED, Ferketich AK. Disparities in Receipt of Advice to Quit Smoking From Health Care Providers: 2010 National Health Interview Survey. Prev Chronic Dis 2014;11:140053. DOI:http://dx.doi.org/10.5888/pcd11.140053.

PEER REVIEWED

Abstract

Introduction
Not 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.

Methods
This 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.

Results
Half 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.

Conclusion
Only 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.

Acknowledgments

This study was supported by The Ohio State University Comprehensive Cancer Center, Center for Population Health and Health Disparities, and funded by the National Cancer Institute grant 5P50CA105632-08.

Top of Page

Author Information

Corresponding Author: Amy K. Ferketich, PhD, 310 Cunz Hall, 1841 Neil Ave, Columbus, OH 43210. Telephone: 614-292-7326. E-mail:aferketich@cph.osu.edu.

Author Affiliations: David Danesh, Electra D. Paskett, Amy K. Ferketich, The Ohio State University, Columbus, Ohio.

Top of Page

References

1. Centers for Disease Control and Prevention. Smoking-attributable mortality, years of potential life lost, and productivity losses — United States, 2000–2004. MMWR Morb Mortal Wkly Rep 2008;57(45):1226–8. PubMed
2. Centers for Disease Control and Prevention. Current cigarette smoking among adults — United States, 2011. MMWR Morb Mortal Wkly Rep 2012;61(44):889–94. PubMed
3. The health consequences of smoking: a report of the Surgeon General. Atlanta (GA): US Department of Health and Human Services, Centers for Disease Control and Prevention; 2004.
4. Fiore MC, Jaen CR, Baker TB, Bailey WC, Benowitz NL, Curry SJ, et al. Treating tobacco use and dependence: 2008 update. Clinical Practice Guideline. Rockville (MD): US Department of Health and Human Services, Public Health Service; 2008. http://www.ncbi.nlm.nih.gov/books/NBK63954. Accessed January 22, 2014.
5. Tong EK, Strouse R, Hall J, Kovac M, Schroeder S. National survey of U.S. health professionals' smoking prevalence, cessation practices, and beliefs. Nicotine Tob Res 2010;12(7):724–33. CrossRef PubMed
6. Tomar SL, Husten CG, Manley MW. Do dentists and physicians advise tobacco users to quit? J Am Dent Assoc 1996;127(2):259–65. CrossRefPubMed
7. Quinn VP, Stevens VJ, Hollis JF, Rigotti NA, Solberg LI, Gordon N, et al. Tobacco-cessation services and patient satisfaction in nine nonprofit HMOs. Am J Prev Med 2005;29(2):77–84. CrossRef PubMed
8. Kruger J, Shaw L, Kahende J, Frank E. Health care providers’ advice to quit smoking, National Health Interview Survey, 2000, 2005, and 2010. Prev Chronic Dis 2012;9:E130. http://www.cdc.gov/pcd/issues/2012/11_0340.htm. Accessed January 23, 2014. PubMed
9. Cokkinides VE, Halpern MT, Barbeau EM, Ward E, Thun JJ. Racial and ethnic disparities in smoking-cessation interventions: analysis of the 2005 National Health Interview Survey. Am J Prev Med 2008;34(5):404–12. CrossRef PubMed
10. Houston TK, Scarinci IC, Person SD, Greene PG. Patient smoking cessation advice by health care providers: the role of ethnicity, socioeconomic status, and health. Am J Public Health 2005;95(6):1056–61. CrossRef PubMed
11. Data File Documentation, National Health Interview Survey, 2010. (machine readable data file and documentation). Hyattsville (MD): National Center for Health Statistics, Centers for Disease Control and Prevention; 2011. ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHIS/2010/srvydesc.pdf. Accessed January 23, 2014.
12. Victoroff KZ, Lewis R, Ellis E, Ntragatakis M. Patient receptivity to tobacco cessation counseling in an academic dental clinic: a patient survey. J Public Health Dent 2006;66(3):209–11. CrossRef PubMed
13. Campbell HS, Sletten M, Petty T. Patient perceptions of tobacco cessation services in dental offices. J Am Dent Assoc 1999;130(2):219–26. CrossRef PubMed
14. US Department of Health and Human Services. Decision memo for smoking and tobacco use cessation counseling (CAG-00241N). Baltimore (MD): Centers for Medicare and Medicaid Services; 2005. http://www.cms.gov/mcd/viewdecisionmemo.asp?from2=viewdecisionmemo.asp&id=242&. Accessed April 22, 2014.
15. Spangler JG, George G, Foley KL, Crandall SJ. Tobacco intervention training: current efforts and gaps in US medical schools. JAMA 2002;288(9):1102–9. CrossRef PubMed
16. Vogt F, Hall S, Marteau TM. General practitioners' and family physicians’ negative beliefs and attitudes towards discussing smoking cessation with patients: a systematic review. Addiction 2005;100(10):1423–31. CrossRef PubMed
17. Lucan SC, Katz DL. Factors associated with smoking cessation counseling at clinical encounters: the Behavioral Risk Factor Surveillance System (BRFSS) 2000. Am J Health Promot 2006;21(1):16–23. CrossRef PubMed