Disparities in smoking cessation assistance in US primary care clinics

Steffani Bailey, John Heintzman, R. Lorie Jacob, Jon Puro, Miguel Marino

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objectives. To examine associations between patient factors and smoking cessation assistance in US safety-net clinics. Methods. Using electronic health record data from the OCHIN network, we identified adults with at least 1 primary care visit to a study clinic (n = 143 clinics in 12 states) with at least 1 documented “current smoker” status during 2014 to 2016 (n = 136 314; 29.8%). We estimated odds ratios (ORs) of smoking cessation assistance receipt (none [reference], counseling, medication, or both) by patient covariates. Results. For all cessation assistance categories, odds of assistance were higher among women, those with more visits, those assessed and ready to quit, and patients with asthma or chronic obstructive pulmonary disease and hyperlipidemia. Odds of receiving both counseling and medication were lower among uninsured patients (OR = 0.56; 95% confidence interval [CI] = 0.48, 0.64), those of a race/ethnicity other than non-Hispanic White (OR range = 0.65–0.82), and those with diabetes (OR = 0.85; 95% CI = 0.79, 0.92), and higher among older patients and those with a comorbidity, with few exceptions. Conclusions. Disparities in smoking cessation assistance receipt exist in safety-net settings, in particular by health insurance coverage and across race/ethnicity, even after control for other socioeconomic and demographic factors.

Original languageEnglish (US)
Pages (from-to)1082-1090
Number of pages9
JournalAmerican Journal of Public Health
Volume108
Issue number8
DOIs
StatePublished - Aug 1 2018

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Smoking Cessation
Primary Health Care
Odds Ratio
Counseling
Safety-net Providers
Confidence Intervals
Insurance Coverage
Electronic Health Records
Health Insurance
Hyperlipidemias
Chronic Obstructive Pulmonary Disease
Comorbidity
Asthma
Demography
Safety

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Disparities in smoking cessation assistance in US primary care clinics. / Bailey, Steffani; Heintzman, John; Jacob, R. Lorie; Puro, Jon; Marino, Miguel.

In: American Journal of Public Health, Vol. 108, No. 8, 01.08.2018, p. 1082-1090.

Research output: Contribution to journalArticle

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