Factors associated with smoking cessation counseling at clinical encounters

The Behavioral Risk Factors Surveillance System (BRFSS) 2000

Sean C. Lucan, David L. Katz

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Purpose. Characterize factors associated with smoking-cessation counseling in clinical encounters. Design. Cross-sectional analysis of Behavioral Risk Factor Surveillance System (BRFSS) 2000 data. Setting. U.S. households. Subjects. 10,582 smokers (aged ≥ 18 years) reporting one or more clinical encounters during the prior year. Measures. Multivariate-adjusted odds ratios (OR) and 95% confidence intervals (CI) for quit advice associated with respondent and encounter variables. Results. Almost 55% of respondents were advised to quit smoking. Young men were advised to quit least often. Increasing age (18-24, 25-39, 40-64, ≥ 65 years) was associated with increasing odds of receiving quit advice (OR = 1.33, CI 1.10-1.61) for men. Other positive associations with quit advice included patient education, BMI, diagnosis of asthma, and private health insurance. Patients seeing physicians had greater odds of being advised to quit smoking (OR = 3.29, CI 2.13-5.06) than those seeing dentists. There was a 4% to 23% chance of receiving quit advice at any given nondental clinical encounter; the odds of such counseling did not rise significantly with the number of visits. Conclusion. Smoking cessation counseling may be provided preferentially on the basis of patient demographics, and often is not provided at all. In a given year, just over half of smoking patients are advised to quit, and such counseling is provided at less than a quarter of clinical encounters.

Original languageEnglish (US)
Pages (from-to)16-23
Number of pages8
JournalAmerican Journal of Health Promotion
Volume21
Issue number1
StatePublished - Sep 2006
Externally publishedYes

Fingerprint

Behavioral Risk Factor Surveillance System
Smoking Cessation
surveillance
Counseling
smoking
counseling
Smoking
Odds Ratio
Confidence Intervals
confidence
Patient Education
private health insurance
Health Insurance
Dentists
dentist
Asthma
Cross-Sectional Studies
Demography
Physicians
physician

Keywords

  • Behavioral Risk Factor Surveillance System (BRFSS)
  • Cessation/Quit Advice
  • Checkups
  • Dentists

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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title = "Factors associated with smoking cessation counseling at clinical encounters: The Behavioral Risk Factors Surveillance System (BRFSS) 2000",
abstract = "Purpose. Characterize factors associated with smoking-cessation counseling in clinical encounters. Design. Cross-sectional analysis of Behavioral Risk Factor Surveillance System (BRFSS) 2000 data. Setting. U.S. households. Subjects. 10,582 smokers (aged ≥ 18 years) reporting one or more clinical encounters during the prior year. Measures. Multivariate-adjusted odds ratios (OR) and 95{\%} confidence intervals (CI) for quit advice associated with respondent and encounter variables. Results. Almost 55{\%} of respondents were advised to quit smoking. Young men were advised to quit least often. Increasing age (18-24, 25-39, 40-64, ≥ 65 years) was associated with increasing odds of receiving quit advice (OR = 1.33, CI 1.10-1.61) for men. Other positive associations with quit advice included patient education, BMI, diagnosis of asthma, and private health insurance. Patients seeing physicians had greater odds of being advised to quit smoking (OR = 3.29, CI 2.13-5.06) than those seeing dentists. There was a 4{\%} to 23{\%} chance of receiving quit advice at any given nondental clinical encounter; the odds of such counseling did not rise significantly with the number of visits. Conclusion. Smoking cessation counseling may be provided preferentially on the basis of patient demographics, and often is not provided at all. In a given year, just over half of smoking patients are advised to quit, and such counseling is provided at less than a quarter of clinical encounters.",
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N2 - Purpose. Characterize factors associated with smoking-cessation counseling in clinical encounters. Design. Cross-sectional analysis of Behavioral Risk Factor Surveillance System (BRFSS) 2000 data. Setting. U.S. households. Subjects. 10,582 smokers (aged ≥ 18 years) reporting one or more clinical encounters during the prior year. Measures. Multivariate-adjusted odds ratios (OR) and 95% confidence intervals (CI) for quit advice associated with respondent and encounter variables. Results. Almost 55% of respondents were advised to quit smoking. Young men were advised to quit least often. Increasing age (18-24, 25-39, 40-64, ≥ 65 years) was associated with increasing odds of receiving quit advice (OR = 1.33, CI 1.10-1.61) for men. Other positive associations with quit advice included patient education, BMI, diagnosis of asthma, and private health insurance. Patients seeing physicians had greater odds of being advised to quit smoking (OR = 3.29, CI 2.13-5.06) than those seeing dentists. There was a 4% to 23% chance of receiving quit advice at any given nondental clinical encounter; the odds of such counseling did not rise significantly with the number of visits. Conclusion. Smoking cessation counseling may be provided preferentially on the basis of patient demographics, and often is not provided at all. In a given year, just over half of smoking patients are advised to quit, and such counseling is provided at less than a quarter of clinical encounters.

AB - Purpose. Characterize factors associated with smoking-cessation counseling in clinical encounters. Design. Cross-sectional analysis of Behavioral Risk Factor Surveillance System (BRFSS) 2000 data. Setting. U.S. households. Subjects. 10,582 smokers (aged ≥ 18 years) reporting one or more clinical encounters during the prior year. Measures. Multivariate-adjusted odds ratios (OR) and 95% confidence intervals (CI) for quit advice associated with respondent and encounter variables. Results. Almost 55% of respondents were advised to quit smoking. Young men were advised to quit least often. Increasing age (18-24, 25-39, 40-64, ≥ 65 years) was associated with increasing odds of receiving quit advice (OR = 1.33, CI 1.10-1.61) for men. Other positive associations with quit advice included patient education, BMI, diagnosis of asthma, and private health insurance. Patients seeing physicians had greater odds of being advised to quit smoking (OR = 3.29, CI 2.13-5.06) than those seeing dentists. There was a 4% to 23% chance of receiving quit advice at any given nondental clinical encounter; the odds of such counseling did not rise significantly with the number of visits. Conclusion. Smoking cessation counseling may be provided preferentially on the basis of patient demographics, and often is not provided at all. In a given year, just over half of smoking patients are advised to quit, and such counseling is provided at less than a quarter of clinical encounters.

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