Ross and Carol Nese College of Nursing, Penn State, University Park, PA 16802, USA.
Division of Biostatistics, College of Public Health, The Ohio State University, USA.
Addict Behav. 2022 Feb;125:107145. doi: 10.1016/j.addbeh.2021.107145. Epub 2021 Oct 11.
There has been significant progress in reducing tobacco use in the last few decades. However, there is a considerable concern that the decrease in cigarette use has not been distributed equally across certain groups. The current study examines sociodemographic trends in the receipt of advice to quit from healthcare professionals. Data were drawn from the 1992-2019 Tobacco Use Supplement to the Current Population Survey (n = 192,398). Cochran-Armitage tests were used to assess changes in the prevalence over time in the population and by demographic characteristics. Multivariable logistic regression was used to examine factors associated with the receipt of advice to quit smoking. The prevalence of receiving advice to quit increased significantly from 50.1% in 1992/1993 to 63.9% in 2018/2019. Results showed differences in the receipt of quit advice from medical doctors by demographic characteristics, with a significant increase in smoking quit advice for all races (p < 0.0001). Current Hispanic smokers consistently had lower rates of receiving advice to quit than non-Hispanics throughout the study period. Multivariable analysis showed that in 2018/19, male (aOR 0.89; 95% CI 0.81-0.98) and Hispanic (aOR 0.73; 95% CI 0.61-0.88) current smokers were less likely to receive advice to quit. Those older and living in metropolitan areas had higher odds of receiving advice to quit. Findings that Hispanics appear to be significantly less likely to receive advice to quit from health care professionals indicate that these populations might need additional targeted efforts.
在过去的几十年里，减少烟草使用已经取得了重大进展。然而，人们相当关注的是，吸烟人数的减少在某些群体中并没有得到均衡分布。本研究考察了医疗保健专业人员提供戒烟建议的社会人口趋势。数据来自于 1992 年至 2019 年的《当前人口调查》烟草使用补充调查（n=192398）。Cochran-Armitage 检验用于评估人口和人口统计学特征随时间变化的流行率变化。多变量逻辑回归用于检查与接受戒烟建议相关的因素。从 1992/1993 年的 50.1%到 2018/2019 年的 63.9%，接受戒烟建议的比例显著增加。结果表明，根据人口统计学特征，医生提供戒烟建议的情况存在差异，所有种族的戒烟建议都显著增加（p<0.0001）。在整个研究期间，西班牙裔吸烟者接受戒烟建议的比例一直低于非西班牙裔吸烟者。多变量分析显示，在 2018/19 年，男性（aOR 0.89；95%CI 0.81-0.98）和西班牙裔（aOR 0.73；95%CI 0.61-0.88）的当前吸烟者更不可能收到戒烟建议。年龄较大和居住在大都市区的人更有可能收到戒烟建议。西班牙裔人似乎明显不太可能从医疗保健专业人员那里获得戒烟建议的发现表明，这些人群可能需要额外的有针对性的努力。
