Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Front Public Health. 2024 Sep 18;12:1383060. doi: 10.3389/fpubh.2024.1383060. eCollection 2024.
Evidence suggests that advice from health care professionals (HCP) increases the likelihood of quit attempts and successful quitting of tobacco use. However, previous studies primarily focussed on cigarette smoking and did not include all forms of tobacco products. This study aimed to investigate the prevalence and disparities in receiving HCP's advice to quit tobacco use (combustible or noncombustible) in the US adult population.
Using the 2022 National Health Information Survey (NHIS) data, we examined 4,424 adults who reported (i) any tobacco product use within the past 12 months and (ii) having seen an HCP within the past 12 months. The outcome variable included the receipt of advice to quit tobacco use from an HCP, and predictors included sociodemographic variables. Weighted prevalence estimates were calculated, and multivariable regression analyses were conducted.
Over 38% of tobacco users who visited an HCP were advised to quit. The odds of receiving such advice were lower among Hispanics (AOR: 0.625; 95% confidence interval (CI) [0.464-0.843]; = 0.002), males (AOR: 0.767; 95% CI [0.659-0.893], = 0.001), those above the poverty level (AOR: 0.795; 95% CI [0.641-0.987]; = 0.037), foreign-born (AOR: 0.664; 95% CI [0.496-0.888]; = 0.006), those with a bachelor's degree or higher educational level (AOR: 0.477; 95% CI [0.349-0.653]; < 0.001) and those aged less than 45 years (AOR: 0.404; 95% CI: [0.344-0.473]; < 0.001).
The prevalence of receiving HCP's advice to quit tobacco use remains suboptimal and disparate among sociodemographic groups. Our findings call for strategic implementation of the USPHS's recommendation on treating tobacco use and taking further actions to equip HCPs with the training and resources needed to provide appropriate advice to quit tobacco.
有证据表明，医护人员（HCP）的建议增加了尝试戒烟和成功戒烟的可能性。然而，之前的研究主要集中在香烟吸烟上，并没有包括所有形式的烟草产品。本研究旨在调查美国成年人群体中接受 HCP 关于戒烟（可燃或不可燃）建议的流行率和差异。
使用 2022 年国家健康信息调查（NHIS）数据，我们检查了 4424 名在过去 12 个月内报告（i）使用任何烟草制品和（ii）在过去 12 个月内看过 HCP 的成年人。因变量包括从 HCP 那里获得戒烟建议，预测因素包括社会人口统计学变量。计算了加权流行率估计值，并进行了多变量回归分析。
超过 38%的看过 HCP 的烟草使用者被建议戒烟。接受此类建议的可能性较低的人群包括西班牙裔（AOR：0.625；95%置信区间（CI）[0.464-0.843]；=0.002）、男性（AOR：0.767；95% CI [0.659-0.893]；=0.001）、贫困线以上人群（AOR：0.795；95% CI [0.641-0.987]；=0.037）、外国出生者（AOR：0.664；95% CI [0.496-0.888]；=0.006）、拥有学士或更高学历者（AOR：0.477；95% CI [0.349-0.653]；<0.001）和年龄小于 45 岁者（AOR：0.404；95% CI：[0.344-0.473]；<0.001）。
接受 HCP 关于戒烟建议的流行率仍然不理想，并且在社会人口统计学群体中存在差异。我们的研究结果呼吁战略性地实施 USPHS 关于治疗烟草使用的建议，并采取进一步行动，为 HCP 提供培训和资源，以提供适当的戒烟建议。
