Tobacco-Use Prevalence in Special Populations Taking Advantage of Electronic Medical Records
Tobacco-Use Prevalence in Special Populations Taking Advantage of Electronic Medical Records
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DOI：
10.1016/j.amepre.2008.08.033
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发表时间：
2008-12-01
影响因子：
5.5
通讯作者：
Crain, A. Lauren
中科院分区：
文献类型：
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作者：
Solberg, Leif I.;Flottemesch, Thom J.;Crain, A. Lauren
背景：使用调查来获得了解和监测烟草流行率以及评估人口不同亚群中的戒烟干预措施所需的可重复信息是困难和昂贵的。因此，使用明尼苏达州某大型医疗集团的电子病历数据库来验证该方法实现这些目标的潜在价值。方法：从1年期间的记录中提取所有18岁及以上医疗集团患者的相关变量。计算了所有人群以及具有戒烟倡导者感兴趣的各种特征和特征组合的人群的吸烟率。结果：从2006年3月到2007年2月，有183,982名独特的患者至少去过一次临床医生的办公室，并有他们的烟草使用状况的记录(90%)。总体而言，有记录的比例为19.7%。在这一年中，吸烟者的比例为24.2%，在18-24岁的人群中为16.0%，在接受医疗补助的人群中为34.3%，在美国印第安人中为40.0%，在亚洲人中为9.5%，在非英语人群中为8.5%。结合这些特征可以更好地了解这些差异。结论：尽管这些数据存在局限性，但对如此庞大的人群可用的详细程度和重复分析的简便性应该会极大地促进有针对性的干预和影响评估。
Background: It is difficult and expensive to use surveys to obtain the repeatable information that is needed to understand and monitor tobacco prevalence rates and to evaluate cessation interventions among various subgroups of the population. Therefore, the electronic medical record database of a large medical group in Minnesota was used to demonstrate the potential value of that approach to accomplish those goals.Methods: The relevant variables for all medical group patients aged 18 and over were extracted from the record from a.1-year period. Rates of smoking prevalence were computed for the entire population as well as for those with various characteristics and combinations of characteristics of interest to tobacco-cessation advocates. These prevalence rates were also adjusted to control for the other characteristics in the analysis.Results: From March 2006 to February 2007, there were 183,982 unique patients with at least one office visit with a clinician, and a record of their tobacco-use status (90%). Overall, 19.7% with recorded. status were tobacco users during this year, as were 24.2% of those aged 18-24 years, 16.0% of pregnant women, 34.3% of those on Medicaid, 40.0% of American Indians, 9.5% of Asians, and 8.5% of those whose preferred language was other than English. Combining characteristics allowed greater understanding of those differences.Conclusions: Although there are limitations in these data, the level of detail available for this large population and the ease of repeat analysis should greatly facilitate targeted interventions and evaluation of the impact.