Provider smoking cessation advice among California Asian-American smokers.
Provider smoking cessation advice among California Asian-American smokers.
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DOI：
10.4278/ajhp.100611-quan-186
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发表时间：
2011-05
期刊：
影响因子：
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通讯作者：
McPhee SJ
中科院分区：
文献类型：
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作者：
Tong EK;Tang H;Chen MS Jr;McPhee SJ
确定提供者为亚裔美国吸烟者提供戒烟建议的比例，并描述可能影响提供此类建议的因素。人口调查的二次数据分析。加利福尼亚州。来自加州烟草使用调查的当前吸烟者为华裔美国人（n = 2117，参与率 = 52%）、韩裔美国人（n = 2545，参与率 5·48%）和越南裔美国人（n = 2179，参与率 = 63.5%）。社会人口统计数据，包括保险状况、吸烟频率、过去一年的医疗服务提供者就诊情况以及医疗服务提供者的戒烟建议。多元逻辑回归模型检查了 (1) 过去一年提供者就诊和 (2) 提供者戒烟建议的相关结果。在我们的研究中，不到三分之一 (30.5%) 的吸烟者表示先看了医疗服务提供者 (50.8%)，然后又收到了戒烟建议 (60.1%)。与就诊相关的因素包括女性、45 岁或以上、有健康保险以及越南人。在看过医疗服务提供者的吸烟者中，与医疗服务提供者建议戒烟相关的因素包括拥有健康保险和每天吸烟。亚裔美国吸烟者报告说，过去一年中接受服务提供者建议戒烟的比例较低，这主要是因为只有一半的吸烟者看到了服务提供者。看到此类吸烟者的医疗服务提供者可能需要更多地认识到，一些有效的戒烟治疗不需要健康保险，并且间歇性吸烟者需要戒烟建议。
To determine proportions of provider advice to quit smoking for Asian-American smokers and to describe factors that may affect the provision of such advice. Secondary data analysis of population-based survey. California. Current smokers from the California Tobacco Use Surveys for Chinese-Americans (n = 2117, participation rate = 52%), Korean-Americans (n = 2545, participation rate 5 48%), and Vietnamese-Americans (n = 2179, participation rate = 63.5%). Sociodemographics including insurance status, smoking frequency, provider visit in past year, and provider advice to quit. Multivariate logistic regression models examined dependent outcomes of (1) provider visit in past year and (2) provider advice to quit. Less than a third (30.5%) of smokers in our study reported both seeing a provider (50.8%) and then receiving advice to quit (60.1%). Factors associated with provider visits included being female, being 45 years or older, having health insurance, and being Vietnamese. Among smokers who saw a provider, factors associated with provider advice to quit included having health insurance and being a daily smoker. Asian-American smokers reported low proportions of provider advice to quit in the past year, largely because only half of smokers saw a provider. Providers who see such smokers may need greater awareness that several effective cessation treatments do not require health insurance, and that intermittent smokers need advice to quit.