The Influence of Increasing Levels of Provider-Patient Discussion on Quit Behavior: An Instrumental Variable Analysis of a National Survey.
The Influence of Increasing Levels of Provider-Patient Discussion on Quit Behavior: An Instrumental Variable Analysis of a National Survey.
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DOI：
10.3390/ijerph18094593
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发表时间：
2021-04-26
影响因子：
--
通讯作者：
Li L
中科院分区：
文献类型：
--
作者：
Liu B;Zhan S;Wilson KM;Mazumdar M;Li L
目的：我们旨在研究增加讨论程度（询问和建议、询问或建议但不是两者、既不询问也不建议）对戒烟行为的影响。方法：我们纳入了 2015 年全国健康访谈调查中的 4133 名成年当前吸烟者。主要结局是戒烟意图和戒烟尝试，次要结局是戒烟方法。我们使用了工具变量分析、倾向得分加权和多变量逻辑回归。结果：与不进行讨论相比，进行两次或仅一次讨论分别会增加戒烟意愿（OR = 1.65，95% CI = 1.63–1.66 和 OR = 1.02，95% CI = 0.99–1.05）、戒烟尝试（OR = 1.76，95% CI = 1.75–1.77 和 OR = 1.60，95% CI = 1.57–1.63）。在那些试图戒烟的人中（n = 1536），进行两项或仅一项讨论增加了药物（OR = 1.99，95% CI = 1.97–2.02 和 OR = 1.56，95% CI = 1.49–1.63）或行为（OR = 2.01，95% CI = 1.94–2.08 和 OR = 2.91）的使用， 95% CI = 2.74–3.08) 戒烟方法。结论：增加提供者与患者之间的讨论会鼓励戒烟行为，并且应该成为减少吸烟的健康和经济负担的一个组成部分。促进提供者与患者沟通的依从性和依从性的策略可能有助于提高戒烟的成功率。
Objective: We aimed to examine the influence of increasing levels of discussion (both asked and advised, either asked or advised but not both, and neither asked nor advised) on quit behavior. Methods: We included 4133 adult current smokers from the 2015 National Health Interview Survey. The primary outcomes were quit intent and quit attempt, and the secondary outcomes were methods used for quitting. We used an instrumental variable analysis, as well as propensity score weighted and multivariable logistic regressions. Results: Compared to no discussion, having both or only one discussion, respectively, increased quit intent (OR = 1.65, 95% CI = 1.63–1.66 and OR = 1.02, 95% CI = 0.99–1.05), quit attempt (OR = 1.76, 95% CI = 1.75–1.77 and OR = 1.60, 95% CI = 1.57–1.63). Among those who attempted to quit (n = 1536), having both or only one discussion increased the use of pharmacologic (OR = 1.99, 95% CI = 1.97–2.02 and OR = 1.56, 95% CI = 1.49–1.63) or behavioral (OR = 2.01, 95% CI = 1.94–2.08 and OR = 2.91, 95% CI = 2.74–3.08) quit methods. Conclusions: Increasing levels of provider–patient discussion encourages quit behavior, and should be an integral part of reducing the health and economic burden of smoking. Strategies that promote the adherence and compliance of providers to communicate with patients may help increase the success of smoking cessation.
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