Knowledge of Medicaid coverage and effectiveness of smoking treatments
Knowledge of Medicaid coverage and effectiveness of smoking treatments
复制标题
DOI：
10.1016/j.amepre.2006.07.015
复制
发表时间：
2006-11-01
影响因子：
5.5
通讯作者：
Bellows, Nicole M.
中科院分区：
文献类型：
--
作者：
McMenamin, Sara B.;Halpin, Helen A.;Bellows, Nicole M.
背景：烟草依赖在美国具有巨大的健康和经济影响，特别是在医疗补助计划的参保者中，吸烟人口的比例不成比例（36%，而普通人口为23%）。本文研究了与医疗补助人群中使用烟草依赖治疗（TDTs）相关的两个因素：TDT覆盖的知识和TDT的感知有效性。方法：参加医疗补助计划的吸烟者和最近戒烟者。作为2003年9月一项随机数字拨号电话调查的一部分，我们访问了美国四个全面覆盖ttd的地区。收集的信息包括人口统计、健康状况、吸烟史、TDTs的医疗补助覆盖知识（尼古丁替代贴片和口香糖、Zyban和咨询）以及TDTs的感知有效性。估计逻辑回归模型可以解释入组者使用tdt的变化，作为对覆盖的益处和治疗的感知有效性的了解的函数。结果：TDT覆盖率的知识和TDT的感知有效性与TDT在医疗补助人群中的使用呈正相关。然而，大多数医疗补助吸烟者并不知道医疗补助涵盖了TDTs，而TDTs的有效性通常与科学文献的发现不一致。结论：对医疗补助覆盖范围的了解和TDTs的有效性感知与医疗补助人群中TDTs使用的增加有关。需要进一步的研究来更好地告知医疗补助吸烟者他们的覆盖范围和tdt的有效性，鼓励他们使用这些治疗方法来帮助戒烟。
Background: Tobacco dependence has enormous health and financial repercussions in the United States, particularly among Medicaid enrollees, where a disproportionate share of the population smokes (36% compared to 23% in the general population). This paper examines two factors associated with the use of tobacco-dependence treatments (TDTs) in the Medicaid population: knowledge of TDT coverage and perceived effectiveness of TDTs.Methods: Medicaid-enrolled smokers and recent quitters. in four areas in the United States with comprehensive coverage of TDTs were interviewed as part of a random-digit-dial telephone survey in September 2003. Information was collected on demographics, health status, smoking history, knowledge of Medicaid coverage of TDTs (nicotine replacement patch and gum, Zyban and counseling), and perceived effectiveness of TDTs. Logistic regression models were estimated to explain variation in enrollee use of TDTs as a function of knowledge of covered benefits and perceived effectiveness of the treatments.Results: Both knowledge of TDT coverage and the perceived effectiveness of TDTs are positively associated with the use of TDTs in the Medicaid population. However, a majority of Medicaid smokers do not know that Medicaid covers TDTs, and the perceived effectiveness of TDTs is often at odds with findings from the scientific literature.Conclusions: Knowledge of Medicaid coverage and the perceived effectiveness of TDTs are associated with increased use of TDTs in the Medicaid population. Additional research is needed to better inform Medicaid smokers of their coverage and the effectiveness of TDTs in ways that encourage them to use these treatments to assist quit attempts.