Relationship between Low-Income Patient Census and Substance Use Disorder Treatment Programs' Availability of Tobacco Cessation Services.

Relationship between Low-Income Patient Census and Substance Use Disorder Treatment Programs' Availability of Tobacco Cessation Services.
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DOI:
10.1177/0022042614552020
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发表时间:
2015-01
影响因子:
1.7
通讯作者:
Eby LT
Eby LT
中科院分区:
法学4区
文献类型:
--
作者:
Muilenburg JL;Laschober TC;Eby LT

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患有物质使用障碍(SUD)的低收入成年人烟草使用率很高,而且获得戒烟治疗的机会往往有限。这项研究探讨了低收入SUD患者普查(即,治疗费用由医疗补助和联邦整笔赠款支付的患者百分比)和SUD计划提供的三种循证戒烟服务:行为治疗、系统级支持和药物治疗。数据是从2010年随机抽取的1,006名项目管理员中收集的。混合效应模型的结果表明,低收入患者的百分比与行为治疗和系统级支持的可用性显着正相关,但与药物治疗无关。因此,低收入患者可能有类似的机会获得戒烟药物治疗,但更容易获得行为治疗和系统级支持。然而,戒烟服务的提供总体上并不普遍,这可能会阻碍获得广泛的服务来解决低收入SUD患者的高吸烟率问题。
Low income adults with substance use disorders (SUDs) have a high prevalence of tobacco use and often limited access to tobacco cessation treatment. This study examines the relationship between low-income SUD patient census (i.e., percentage of patients whose treatment costs are covered by Medicaid and Federal block grants) and SUD programs’ availability of three evidence-based tobacco cessation services: behavioral treatments, system-level support, and pharmacotherapy. Data were collected from a random sample of 1,006 program administrators in 2010. Mixed-effects models results show that the percentage of low-income patients is significantly positively associated with the availability of behavioral treatments and system-level support but not pharmacotherapy. Thus, low-income patients may have similar access to tobacco cessation pharmacotherapy but greater access to behavioral treatments and system-level support. However, the availability of tobacco cessation services is not widespread overall, which may hamper access to extensive services to address low-income SUD patients’ high smoking rates.
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