Lucan Sean C, Katz David L
Family Practice Residency Program, Presbyterian Medical Center, Philadelphia, Pennsylvania, USA.
Am J Health Promot. 2006 Sep-Oct;21(1):16-23. doi: 10.4278/0890-1171-21.1.16.
Characterize factors associated with smoking-cessation counseling in clinical encounters.
Cross-sectional analysis of Behavioral Risk Factor Surveillance System (BRFSS) 2000 data.
U.S. households.
10,582 smokers (aged > or = 18 years) reporting one or more clinical encounters during the prior year.
Multivariate-adjusted odds ratios (OR) and 95% confidence intervals (CI) for quit advice associated with respondent and encounter variables.
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, > or = 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.
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.
确定临床诊疗过程中与戒烟咨询相关的因素。
对2000年行为危险因素监测系统（BRFSS）数据进行横断面分析。
美国家庭。
10582名吸烟者（年龄≥18岁），报告在前一年有一次或多次临床诊疗经历。
与受访者及诊疗变量相关的戒烟建议的多变量调整比值比（OR）和95%置信区间（CI）。
近55%的受访者被建议戒烟。年轻男性被建议戒烟的频率最低。年龄增加（18 - 24岁、25 - 39岁、40 - 64岁、≥65岁）与男性接受戒烟建议的几率增加相关（OR = 1.33，CI 1.10 - 1.61）。与戒烟建议的其他正相关因素包括患者教育程度、体重指数、哮喘诊断和私人医疗保险。看医生的患者比看牙医的患者被建议戒烟的几率更高（OR = 3.29，CI 2.13 - 5.06）。在任何一次非牙科临床诊疗中，接受戒烟建议的几率为4%至23%；此类咨询的几率并未随就诊次数显著增加。
戒烟咨询可能会根据患者人口统计学特征优先提供，且往往根本不提供。在某一年，略超过一半的吸烟患者被建议戒烟，而此类咨询在不到四分之一的临床诊疗中提供。
