Barbeau E M, Li Y I, Sorensen G, Conlan K M, Youngstrom R, Emmons K
Department of Adult Oncology, Dana-Farber Cancer Institute, Boston MA 02115, USA.
Am J Public Health. 2001 Sep;91(9):1412-5. doi: 10.2105/ajph.91.9.1412.
This study determined the level of insurance coverage for smoking cessation treatment and factors associated with coverage among health and welfare funds affiliated with a large labor union.
A self-administered written survey was mailed to fund and union officials. Analyses were conducted by chi2 tests.
Twenty-nine percent of funds provided coverage for some type of smoking cessation treatment, with the odds of coverage significantly increased among funds whose administrators reported having received members' requests for smoking cessation treatment in the past year (odds ratio = 4.9, P = .05).
Coverage for smoking cessation services is low, comparable to coverage offered by other health insurers. Interventions with union members and fund officials are needed to provide union members with access to affordable and effective smoking cessation treatments.
本研究确定了大型工会所属健康与福利基金中戒烟治疗的保险覆盖水平以及与覆盖相关的因素。
向基金和工会官员邮寄了一份自填式书面调查问卷。采用卡方检验进行分析。
29%的基金为某种类型的戒烟治疗提供了保险覆盖，在其管理人员报告过去一年收到会员戒烟治疗请求的基金中，覆盖的几率显著增加（比值比=4.9，P = 0.05）。
戒烟服务的覆盖水平较低，与其他健康保险公司提供的覆盖水平相当。需要对工会会员和基金官员进行干预，以便工会会员能够获得负担得起且有效的戒烟治疗。
