Primary care providers advising smokers to quit: comparing effectiveness between those with and without alcohol, drug, or mental disorders.
Primary care providers advising smokers to quit: comparing effectiveness between those with and without alcohol, drug, or mental disorders.
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初级保健提供者建议吸烟者戒烟：比较患有和不患有酒精、药物或精神障碍的吸烟者的有效性。
DOI：
10.1093/ntr/ntr167
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发表时间：
2011
期刊：
影响因子：
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通讯作者：
Sung,Hai-Yen
中科院分区：
文献类型：
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作者：
Ong,MichaelK;Zhou,Qiong;Sung,Hai-Yen
IntroductionIndividuals与酒精，药物，或精神（ADM）障碍相结合，使超过40%的所有吸烟者在美国的初级保健提供者（PCP）在戒烟咨询中发挥着重要作用，但他们的有效性与这一人群尚不清楚。本研究评估了PCP戒烟咨询对ADM疾病吸烟者的有效性。MethodsProbit回归分析在2009-2010年进行，研究了过去一年PCP戒烟咨询与成功戒烟之间的关系，在1998-1999年社区跟踪研究调查中报告吸烟并在2000- 2009年随访中报告在过去一年中见过PCP的356名成年人2001年社区保健调查。过去一年的PCP运动咨询被用来作为一个工具变量，过去一年的PCP戒烟咨询占潜在的隐藏的偏见之间的吸烟状况和接受戒烟consultation.ResultsSmokers与ADM疾病和没有同样可能接受戒烟咨询（72.9%比69.9%）。使用工具变量法，在两组中，PCP的戒烟咨询与戒烟显著相关（p<0.01）。预测的概率戒烟没有戒烟咨询为6.0%的吸烟者ADM疾病和10.5%的吸烟者ADM疾病。预测的概率戒烟戒烟咨询为31.3%的吸烟者与ADM疾病和34.9%的吸烟者没有ADM disorders.ConclusionsThis研究表明，PCP可以帮助吸烟者与ADM疾病成功戒烟。这些吸烟者应该有针对性地进行戒烟咨询，以减少烟草的健康负担。
IntroductionIndividuals with alcohol, drug, or mental (ADM) disorders combined make up over 40% of all smokers in the U.S. Primary care providers (PCPs) play an important role in smoking cessation counseling, but their effectiveness with this population is unclear. This study evaluated the effectiveness of PCP smoking cessation counseling for smokers with ADM disorders.MethodsProbit regressions conducted in 2009–2010 examined the relationship between past year PCP smoking cessation counseling and successful quitting among 1,356 adults who reported smoking in the 1998–1999 Community Tracking Study survey and who reported seeing a PCP in the past year in the follow-up 2000–2001 Healthcare for Communities Survey. Past year PCP exercise counseling was used as an instrumental variable for past year PCP smoking cessation counseling to account for potential hidden bias between smoking status and receipt of smoking cessation counseling.ResultsSmokers with and without ADM disorders were equally likely to receive smoking cessation counseling (72.9% vs. 69.9%). Using the instrumental variable approach, smoking cessation counseling by PCPs was significantly associated (p< .01) with quitting among both groups. Predicted probabilities of quitting without smoking cessation counseling were 6.0% for smokers with ADM disorders and 10.5% for smokers without ADM disorders. Predicted probabilities of quitting with smoking cessation counseling were 31.3% for smokers with ADM disorders and 34.9% for smokers without ADM disorders.ConclusionsThis study shows that PCPs can help smokers with ADM disorders successfully quit. These smokers should be targeted for smoking cessation counseling to reduce the health burden of tobacco.