Berg Kristin M, Smith Stevens S, Cook Jessica W, Fiore Michael C, Jorenby Douglas E
Department of Medicine, University of Wisconsin School of Medicine and Public Health, Center for Tobacco Research and Intervention, 1930 Monroe Street, Suite 200, Madison, WI 53711.
Mil Med. 2016 Oct;181(10):1340-1347. doi: 10.7205/MILMED-D-15-00469.
While women Veterans have a higher prevalence of smoking than civilian women, little is known about their quitting behavior. Via a chart review, we characterized referral and enrollment patterns in tobacco cessation services (TCS), and quit attempts among 366 women Veteran smokers at a Midwestern Veterans Hospital. Cases receiving referrals to TCS (n = 183) were matched 1:1 to controls who did not (n = 183), by year of referral. Variables included age, marital status, urbanicity, smoking status, comorbidities, pregnancy, packs per day, number of prior smoking cessation medications, provider gender, provider type, and clinical location of referral placement. Of women Veteran smokers, 24% were referred to TCS, and tended to be older, heavier smokers, with more comorbidities, more prior cessation medication prescriptions, and more likely seen by a resident or attending physician. Only 54% of referred women enrolled, and these women were older, had more medical comorbidities and prior cessation medication prescriptions than nonenrolled women. Primary care providers were more likely to have patients enroll versus inpatient providers. Only 8% of enrolled women achieved abstinence at 6 months. Quit attempts were associated with the number of cessation medication prescriptions for enrolled women, and lighter smoking histories for nonenrolled women.
虽然退伍女兵的吸烟率高于普通女性，但对她们的戒烟行为却知之甚少。通过图表回顾，我们对一家中西部退伍军人医院的366名退伍女兵吸烟者的戒烟服务（TCS）转诊和登记模式以及戒烟尝试情况进行了描述。将接受TCS转诊的病例（n = 183）与未接受转诊的对照者（n = 183）按转诊年份进行1:1匹配。变量包括年龄、婚姻状况、城市化程度、吸烟状况、合并症、怀孕情况、每日吸烟包数、既往戒烟药物数量、提供者性别、提供者类型以及转诊安置的临床地点。在退伍女兵吸烟者中，24%被转诊至TCS，她们往往年龄较大、吸烟量更大、合并症更多、既往戒烟药物处方更多，并且更有可能由住院医师或主治医师诊治。只有54%的被转诊女性登记参加，这些女性比未登记的女性年龄更大、有更多的医疗合并症和既往戒烟药物处方。与住院部提供者相比，初级保健提供者的患者更有可能登记参加。在登记的女性中，只有8%在6个月时实现了戒烟。对于登记的女性，戒烟尝试与戒烟药物处方数量有关，而对于未登记的女性，戒烟尝试与较轻的吸烟史有关。
