The impact of smoking-cessation intervention by multiple health professionals
The impact of smoking-cessation intervention by multiple health professionals
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DOI：
10.1016/j.amepre.2007.09.019
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发表时间：
2008-01-01
影响因子：
5.5
通讯作者：
Manley, Marc W.
中科院分区：
文献类型：
--
作者：
An, Lawrence C.;Foldes, Steven S.;Manley, Marc W.
背景：吸烟者与许多不同类型的卫生专业人员有接触。多种卫生专业人员对烟草干预的影响尚不清楚。方法和材料：作为2003年明尼苏达州成人烟草调查的一部分，吸烟者（n= 1723）报告了医生、护士、牙医、药剂师或其他卫生专业人员对烟草的治疗情况。本研究分析：(1)吸烟者接受不同类型医疗服务提供者的烟草干预报告；(2)吸烟者接受多种医疗服务提供者干预报告的比例；(3)吸烟者接受多种医疗服务提供者干预报告与戒烟意愿、戒烟尝试和最近戒烟的关系。结果：在过去一年的吸烟者中，65%的人就诊过两种或两种以上的健康专业人员。在访问卫生专业人员的吸烟者中（n= 1523），只有34%的人报告被两种或两种以上的专业人员询问吸烟问题。在现有吸烟者（n=1324）中，来自一种以上专业人士的建议或帮助并不常见（分别为26%和7%）。被两种或两种以上的专业人士询问吸烟情况大大增加了近期戒烟的几率（or =2.37; 95% CI=1.15-4.88）。在当前吸烟者中，被两种或两种以上专业人士建议戒烟的人在过去一年中曾尝试戒烟（or =2.92; 95% CI=1.56-5.45）或打算在未来6个月内戒烟的几率增加（or =2.17; 95% CI=1.10-4.29）。结论：由一种以上的健康专业人员进行的戒烟干预有可能大大增加人群的戒烟和戒烟意愿。
Background: Smokers have contact with many different types of health professionals. The impact of tobacco intervention by multiple types of heath professionals is not known.Methods and Materials: As part of the 2003 Minnesota Adult Tobacco Survey, smokers (n= 1723) reported on tobacco treatment by medical doctors, nurses, dentists, pharmacists, or other health professionals. This analysis examined: (1) smokers' report of tobacco intervention by different types of healthcare providers, (2) the proportion of smokers who report intervention by multiple provider types, and (3) the relationship between smokers' report of intervention by multiple provider types and readiness to quit, quit attempts, and recent quitting.Results: Among past-year smokers, 65% had visits with two or more types of health professionals. Among smokers who visited health professionals (n= 1523), only 34% reported being asked about smoking by two or more types of professionals. Among current smokers (n=1324), advice or assistance from more than one type of professional was uncommon (26% and 7%, respectively). Being asked about smoking by two or more types of professionals substantially increased the odds of recent quitting (OR=2.37; 95% CI=1.15-4.88). Among current smokers, being advised to quit by two or more types of professionals increased the odds of having made a quit attempt in the past year (OR=2.92; 95% CI=1.56-5.45) or intending to quit in the next 6 months (OR=2.17; 95% CI=1.10-4.29).Conclusions: Smoking-cessation interventions by more than one type of health professional have the potential to substantially increase quitting and readiness to quit in the population.