Monalisa Chandra, Rajesh Talluri, Joel Fokom Domgue, Sanjay Shete
{"title":"Prevalence and disparities in receiving medical advice to quit tobacco use in the US adult population","authors":"Monalisa Chandra, Rajesh Talluri, Joel Fokom Domgue, Sanjay Shete","doi":"10.3389/fpubh.2024.1383060","DOIUrl":null,"url":null,"abstract":"IntroductionEvidence 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.MethodsUsing 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.ResultsOver 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];<jats:italic>p</jats:italic> = 0.002), males (AOR: 0.767; 95% CI [0.659–0.893], <jats:italic>p</jats:italic> = 0.001), those above the poverty level (AOR: 0.795; 95% CI [0.641–0.987];<jats:italic>p</jats:italic> = 0.037), foreign-born (AOR: 0.664; 95% CI [0.496–0.888]; <jats:italic>p</jats:italic> = 0.006), those with a bachelor’s degree or higher educational level (AOR: 0.477; 95% CI [0.349–0.653]; <jats:italic>p</jats:italic> &lt; 0.001) and those aged less than 45 years (AOR: 0.404; 95% CI: [0.344–0.473]; <jats:italic>p</jats:italic> &lt; 0.001).ConclusionThe 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.","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":null,"pages":null},"PeriodicalIF":3.0000,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fpubh.2024.1383060","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
IntroductionEvidence 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.MethodsUsing 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.ResultsOver 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];p = 0.002), males (AOR: 0.767; 95% CI [0.659–0.893], p = 0.001), those above the poverty level (AOR: 0.795; 95% CI [0.641–0.987];p = 0.037), foreign-born (AOR: 0.664; 95% CI [0.496–0.888]; p = 0.006), those with a bachelor’s degree or higher educational level (AOR: 0.477; 95% CI [0.349–0.653]; p < 0.001) and those aged less than 45 years (AOR: 0.404; 95% CI: [0.344–0.473]; p < 0.001).ConclusionThe 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.
期刊介绍:
Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice.
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