St Claire Ann W, Boyle Raymond G
Minn Med. 2015 Oct;98(10):30-2.
Although the overall smoking rate in Minnesota is now less than 15%, the rates among certain populations are much higher. For example, 60% of American Indian adults smoke. The rates are also higher for people with low incomes and little education, those who have a mental illness or are substance abusers, and those who are transgender or identify as lesbian, gay, bisexual, transgender or queer. With more people covered by health insurance and smoking-cessation treatment now included in insurance plans thanks to recent health care reforms, physicians and other members of the health care team have a new opportunity to address tobacco use This article discusses ways they can tailor the discussion as they seek to help patients in populations with the highest smoking rates.
尽管明尼苏达州目前的总体吸烟率低于15%，但某些人群的吸烟率要高得多。例如，60%的美国印第安成年人吸烟。低收入、受教育程度低的人群，患有精神疾病或药物滥用者，以及变性人或认同自己为女同性恋、男同性恋、双性恋、变性者或酷儿的人群，吸烟率也较高。由于近期的医疗改革，现在有更多人享有医疗保险，且保险计划中包含戒烟治疗，医生和医疗团队的其他成员有了一个解决烟草使用问题的新机会。本文讨论了他们在试图帮助吸烟率最高的人群中的患者时，可以如何调整讨论方式。
