Disparities in hospital smoking cessation treatment by immigrant status.
Disparities in hospital smoking cessation treatment by immigrant status.
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DOI：
10.1080/15332640.2018.1446377
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发表时间：
2020-01
影响因子：
1.3
通讯作者：
Sherman S
中科院分区：
文献类型：
--
作者：
Chen J;Grossman E;Link A;Wang B;Sherman S
尽管尼古丁替代疗法（NRT）在促进戒烟方面具有疗效，但尚未进行任何研究来评估移民（美国的弱势少数群体）中的NRT处方率。本研究的目的是探讨不同移民身份的NRT处方行为的差异。参与者参加了2011年7月至2014年4月期间在纽约市两家医院住院患者的戒烟试验。在这项分析中，我们使用了来自患者调查和电子病历审查的基线数据，以检查移民身份与住院、出院时NRT处方以及住院接受NRT之间的关联。我们将年龄、性别、教育、健康素养、种族、民族、英语能力、住院服务和研究中心保险作为潜在的混杂因素纳入模型。我们的研究人群包括1608名参与者，其中21%不是在美国出生的。双变量分析发现，非移民在医院比移民更有可能接受NRT（46.1% vs. 35.7%，p= 0.0006），出院时也相似（19.4% vs. 15.3%，p= 0.09）。两组在医院接受NRT的可能性相同。在多变量分析中，移民（OR 0.65）、黑人（OR 0.52）和西班牙裔（OR 0.63）与在医院接受NRT处方的可能性较低相关。出院时提供NRT处方的多变量分析显示，移民和非移民之间没有显着差异。这些发现显示了移民和非移民在住院戒烟治疗方面的差异。
Despite the efficacy of Nicotine Replacement Therapy (NRT) in promoting smoking cessation, no studies have been done to evaluate NRT prescribing rates among immigrants, a vulnerable minority population in the US. The aim of this study is to explore for differences in NRT prescribing behavior by immigrant status. Participants were enrolled in a smoking cessation trial for hospitalized patients between July 2011 and April 2014 at two NYC hospitals. For this analysis, we used baseline data from patient surveys and electronic medical-record reviews to examine associations between immigrant status and prescription of NRT in-hospital, on discharge, as well as acceptance of NRT in-hospital. We included age, gender, education, health literacy, race, ethnicity, English language ability, inpatient service, and site insurancein the models as potential confounders. Our study population included 1608 participants, of whom 21% were not born in the US. Bivariate analysis found that non-immigrants were more likely to be prescribed NRT in the hospital than immigrants (46.1% vs. 35.7%, p=.0006) and similarly on discharge (19.4% vs. 15.3%, p=.09). Both groups were equally likely to accept NRT in-hospital when prescribed. On multivariable analysis, being an immigrant (OR 0.65), black race (OR 0.52), and Hispanic ethnicity (OR 0.63) were associated with lower likelihood of being prescribed NRT in-hospital. Multivariable analysis for provision of NRT prescription at discharge showed no significant difference between immigrants and non-immigrants. These findings show differences in in-hospital smoking cessation treatment between immigrants and non-immigrants.
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影响因子：
5.5
作者：
Sherman, Scott E.;Link, Alissa R.;Grossman, Ellie
通讯作者：
Grossman, Ellie
影响因子：
2.8
作者：
Lindsay AC;de Oliveira MG;Wallington SF;Greaney ML;Machado MM;Freitag Pagliuca LM;Arruda CA
通讯作者：
Arruda CA
DOI：
10.3390/ijerph10041474
发表时间：
2013-04-01
影响因子：
--
作者：
Aller, Marta-Beatriz;Maria Colome, Josep;Luisa Vazquez, Maria
通讯作者：
Luisa Vazquez, Maria
影响因子：
3.1
作者：
Chang, Charlotte;Salvatore, Alicia L.;Minkler, Meredith
通讯作者：
Minkler, Meredith
影响因子：
2
作者：
Park, So-Youn;Anastas, Jeane;Duy Nguyen
通讯作者：
Duy Nguyen