Smoking-Cessation Assistance Among Older Adults by Ethnicity/Language Preference.
Smoking-Cessation Assistance Among Older Adults by Ethnicity/Language Preference.
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DOI：
10.1016/j.amepre.2022.03.024
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发表时间：
2022-09
影响因子：
5.5
通讯作者：
Heintzman, John D.
中科院分区：
文献类型：
--
作者：
Bailey, Steffani R.;Hwang, Jun;Marino, Miguel;Quinones, Ana R.;Lucas, Jennifer A.;Chan, Brian L.;Heintzman, John D.
尽管拉美裔成年人的吸烟率低于非拉美裔白人成年人，但吸烟仍然是老年拉美裔可预防死亡的主要原因。这项研究考察了社区卫生中心的老年患者在吸烟评估和戒烟帮助方面的种族和语言偏好的差异。电子健康记录数据是从2017年1月1日至2018年12月31日期间接受≥1初级保健访问的55-80岁患者的全国社区卫生中心网络的加速数据值中提取的。二元结果包括烟草使用评估，以及在那些≥1状态表明当前吸烟的人中，订购了戒烟药物。自变量结合了种族和语言偏好，归类为非西班牙裔白人(参考)、西班牙语-更喜欢西班牙裔、英语-更喜欢西班牙裔。多变量广义估计方程Logistic回归，使用可交换的工作相关结构按初级保健诊所分组，按种族/首选语言模拟烟草使用评估和戒烟用药订单的几率，调整患者协变量、卫生系统和诊所位置。分析是在2021年进行的。这项研究包括116,328名患者。西班牙裔患者接受烟草使用评估的几率显著低于非西班牙裔白人患者(AOR=0.89，95%CI=0.82，0.95)。喜欢西班牙语和英语的西班牙裔患者订购戒烟药物的几率都低于非西班牙裔白人患者(AOR=0.53，95%CI=0.47，0.60；AOR=0.77，95%CI=0.67，0.89)。在安全网诊所看到的老年人中，按种族和语言偏好进行的烟草评估和戒烟援助方面存在显著差异。需要进一步的研究来了解这些与吸烟相关的差异的病因。
Although smoking prevalence is lower among Hispanic adults than among non-Hispanic White adults, smoking remains a leading cause of preventable death among older Hispanics. This study examines the differences in tobacco assessment and smoking-cessation assistance among older patients seen in community health centers by ethnicity and language preference. Electronic health record data were extracted from the Accelerating Data Value Across a National Community Health Center Network of community health centers from patients aged 55–80 years with ≥1 primary care visit between January 1, 2017 and December 31, 2018. Binary outcomes included tobacco use assessment and, among those with ≥1 status indicating current smoking, having a smoking-cessation medication ordered. The independent variable combined ethnicity and language preference, categorized as non-Hispanic White (reference), Spanish-preferring Hispanic, and English-preferring Hispanic. Multivariable generalized estimating equation logistic regressions, clustering by primary care clinic using an exchangeable working correlation structure, modeled the odds of tobacco use assessment and cessation medication orders by ethnicity/preferred language, adjusting for patient covariates, health system, and clinic location. Analyses were conducted in 2021. The study included 116,328 patients. Spanish-preferring Hispanic patients had significantly lower odds of having tobacco use assessed than non-Hispanic White patients (AOR=0.89, 95% CI=0.82, 0.95). Both Spanish- and English-preferring Hispanic patients had lower odds of having a smoking-cessation medication ordered (AOR=0.53, 95% CI=0.47, 0.60; AOR=0.77, 95% CI=0.67, 0.89, respectively) than non-Hispanic White patients. Significant disparities were found in tobacco assessment and cessation assistance by ethnicity and language preference among older adults seen in safety-net clinics. Future research is needed to understand the etiology of these smoking-related disparities.
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影响因子：
39
作者：
Inoue-Choi M;Liao LM;Reyes-Guzman C;Hartge P;Caporaso N;Freedman ND
通讯作者：
Freedman ND
影响因子：
5.5
作者：
Jamal, Ahmed;Dube, Shanta R.;King, Brian A.
通讯作者：
King, Brian A.
影响因子：
3.3
作者：
Carpenter, Matthew J.;Ford, Marvella E.;Alberg, Anthony J.
通讯作者：
Alberg, Anthony J.
影响因子：
33.9
作者：
Babb, Stephen;Malarcher, Arm;Jamal, Ahmed
通讯作者：
Jamal, Ahmed
影响因子：
5.5
作者：
Heintzman, John D.;Bailey, Steffani R.;Marino, Miguel
通讯作者：
Marino, Miguel