多位健康专业人员进行戒烟干预的影响。

The impact of smoking-cessation intervention by multiple health professionals.

作者信息

An Lawrence C, Foldes Steven S, Alesci Nina L, Bluhm James H, Bland Patricia C, Davern Michael E, Schillo Barbara A, Ahluwalia Jasjit S, Manley Marc W

机构信息

Division of General Internal Medicine, University of Minnesota, Minneapolis, Minnesota 55455, USA.

出版信息

Am J Prev Med. 2008 Jan;34(1):54-60. doi: 10.1016/j.amepre.2007.09.019.

DOI:10.1016/j.amepre.2007.09.019

PMID:18083451

Abstract

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.

摘要

背景

吸烟者会接触到许多不同类型的医疗保健专业人员。多种类型的医疗保健专业人员进行烟草干预的影响尚不清楚。

方法和材料

作为2003年明尼苏达成人烟草调查的一部分，吸烟者（n = 1723）报告了医生、护士、牙医、药剂师或其他医疗保健专业人员对其进行的烟草治疗情况。本分析研究了：（1）吸烟者关于不同类型医疗保健提供者进行烟草干预的报告；（2）报告接受多种提供者类型干预的吸烟者比例；（3）吸烟者关于多种提供者类型干预的报告与戒烟意愿、戒烟尝试和近期戒烟之间的关系。

结果

在过去一年吸烟的人群中，65%曾就诊于两种或更多类型的医疗保健专业人员。在就诊于医疗保健专业人员的吸烟者中（n = 1523），只有34%报告被两种或更多类型的专业人员询问过吸烟情况。在当前吸烟者中（n = 1324），来自不止一种类型专业人员的建议或帮助并不常见（分别为26%和7%）。被两种或更多类型的专业人员询问吸烟情况会显著增加近期戒烟的几率（OR = 2.37；95% CI = 1.15 - 4.88）。在当前吸烟者中，被两种或更多类型的专业人员建议戒烟会增加过去一年尝试戒烟的几率（OR = 2.92；95% CI = 1.56 - 5.45）或在未来6个月内打算戒烟的几率（OR = 2.17；95% CI = 1.10 - 4.29）。