Cigarette Smoking, Desire to Quit, and Tobacco-Related Counseling Among Patients at Adult Health Centers
Menée aux Etats-Unis à partir des données de deux enquêtes réalisées en 2009, cette étude évalue, par rapport à la population générale ( 27 731 adultes), la prévalence du tabagisme chez les patients soignés dans un dispensaire (3 949 cas) ainsi que la proportion d'entre eux souhaitant arrêter de fumer et ayant eu recours à une consultation de tabacologie
Objectives : We determined cigarette smoking prevalence, desire to quit, and tobacco-related counseling among a national sample of patients at health centers. Methods : Data came from the 2009 Health Center Patient Survey and the 2009 National Health Interview Survey. The analytic sample included 3 949 adult patients at health centers and 27731 US adults. Results : Thirty-one percent of health center patients were current smokers, compared with 21% of US adults in general. Among currently smoking health center patients, 83% desired to quit and 68% received tobacco counseling. In multivariable models, patients had higher adjusted odds of wanting to quit if they had indications of severe mental illness (adjusted odds ratio [AOR] = 3.26; 95% confidence interval [CI] = 1.19, 8.97) and lower odds if they had health insurance (AOR = 0.43; 95% CI = 0.22, 0.86). Patients had higher odds of receiving counseling if they had 2 or more chronic conditions (AOR = 2.05; 95% CI = 1.11, 3.78) and lower odds if they were Hispanic (AOR = 0.57; 95% CI = 0.34, 0.96). Conclusions : Cigarette smoking prevalence is substantially higher among patients at health centers than US adults in general. However, most smokers at health centers desire to quit. Continued efforts are warranted to reduce tobacco use in this vulnerable group. (Am J Public Health. Published online ahead of print March 13, 2014: e1–e9. doi:10.2105/AJPH.2013.301691)