医疗补助扩张和医疗保险与接受戒烟服务和物质使用障碍治疗中的吸烟行为的关联。
Association of Medicaid Expansion and Health Insurance with Receipt of Smoking Cessation Services and Smoking Behaviors in Substance Use Disorder Treatment.
机构信息
Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, 3333 California St., Ste. 265, San Francisco, CA, 94118, USA.
Department of Psychiatry, University of California San Francisco, 401 Parnassus Ave., San Francisco, CA, 94143, USA.
出版信息
J Behav Health Serv Res. 2020 Apr;47(2):264-274. doi: 10.1007/s11414-019-09669-1.
This study examined whether living in a Medicaid-expanded state or having health insurance was associated with receipt of smoking cessation services or smoking behaviors among substance use disorder (SUD) treatment clients. In 2015 and 2016, 1702 SUD clients in 14 states were surveyed for health insurance status, smoking cessation services received in their treatment program, and smoking behaviors. Services and behaviors were then compared by state Medicaid expansion and health insurance status independently. Clients in Medicaid-expanded states were more likely to be insured (89.9% vs. 54.4%, p < 0.001) and to have quit smoking during treatment (AOR = 3.77, 95% CI = 2.47, 5.76). Insured clients had higher odds of being screened for smoking status in their treatment program and making quit attempts in the past year. Medicaid expansion supports greater health insurance coverage of individuals in SUD treatment and may enhance smoking cessation.
本研究旨在探讨在物质使用障碍（SUD）治疗客户中，生活在医疗补助扩大的州或拥有医疗保险是否与戒烟服务的提供或吸烟行为有关。在 2015 年和 2016 年，对 14 个州的 1702 名 SUD 客户进行了调查，调查内容包括他们的医疗保险状况、在治疗计划中接受的戒烟服务以及吸烟行为。然后分别根据州医疗补助扩大和医疗保险状况对服务和行为进行了比较。在医疗补助扩大的州中，客户获得医疗保险的可能性更高（89.9%对 54.4%，p<0.001），并且在治疗期间戒烟的可能性更大（AOR=3.77，95%CI=2.47,5.76）。有保险的客户在治疗计划中接受吸烟状况筛查和过去一年尝试戒烟的可能性更高。医疗补助扩大支持更多的 SUD 治疗个体获得医疗保险覆盖，并可能增强戒烟效果。
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