Long-Term Outcomes From Repeated Smoking Cessation Assistance in Routine Primary Care

Steffani Bailey, Victor J. Stevens, Stephen P. Fortmann, Stephen E. Kurtz, Mary Ann McBurnie, Elisa Priest, Jon Puro, Leif I. Solberg, Rebecca Schweitzer, Andrew L. Masica, Brian Hazlehurst

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: To test the association between repeated clinical smoking cessation support and long-term cessation. Design: Retrospective, observational cohort study using structured and free-text data from electronic health records. Setting: Six diverse health systems in the United States. Participants: Patients aged ≥18 years who were smokers in 2007 and had ≥1 primary care visit in each of the following 4 years (N = 33 691). Measures: Primary exposure was a composite categorical variable (comprised of documentation of smoking cessation medication, counseling, or referral) classifying the proportions of visits for which patients received any cessation assistance (<25% (reference), 25%-49%, 50%-74%, and ≥75% of visits). The dependent variable was long-term quit (LTQ; yes/no), defined as no indication of being a current smoker for ≥365 days following a visit where nonsmoker or former smoker was indicated. Analysis: Mixed effects logistic regression analysis adjusted for age, sex, race, and comorbidities, with robust standard error estimation to account for within site correlation. Results: Overall, 20% of the cohort achieved LTQ status. Patients with ≥75% of visits with any assistance had almost 3 times the odds of achieving LTQ status compared to those with <25% visits with assistance (odds ratio = 2.84; 95% confidence interval: 1.50-5.37). Results were similar for specific assistance types. Conclusions: These findings provide support for the importance of repeated assistance at primary care visits to increase long-term smoking cessation.

Original languageEnglish (US)
JournalAmerican Journal of Health Promotion
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Smoking Cessation
smoking
Primary Health Care
assistance
Electronic Health Records
Documentation
Observational Studies
Comorbidity
Counseling
Cohort Studies
Referral and Consultation
Logistic Models
Odds Ratio
Regression Analysis
Confidence Intervals
comorbidity
health
Health
documentation
counseling

Keywords

  • electronic health records
  • long-term quit
  • primary care
  • smoking cessation

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Bailey, S., Stevens, V. J., Fortmann, S. P., Kurtz, S. E., McBurnie, M. A., Priest, E., ... Hazlehurst, B. (Accepted/In press). Long-Term Outcomes From Repeated Smoking Cessation Assistance in Routine Primary Care. American Journal of Health Promotion. https://doi.org/10.1177/0890117118761886

Long-Term Outcomes From Repeated Smoking Cessation Assistance in Routine Primary Care. / Bailey, Steffani; Stevens, Victor J.; Fortmann, Stephen P.; Kurtz, Stephen E.; McBurnie, Mary Ann; Priest, Elisa; Puro, Jon; Solberg, Leif I.; Schweitzer, Rebecca; Masica, Andrew L.; Hazlehurst, Brian.

In: American Journal of Health Promotion, 01.01.2018.

Research output: Contribution to journalArticle

Bailey, S, Stevens, VJ, Fortmann, SP, Kurtz, SE, McBurnie, MA, Priest, E, Puro, J, Solberg, LI, Schweitzer, R, Masica, AL & Hazlehurst, B 2018, 'Long-Term Outcomes From Repeated Smoking Cessation Assistance in Routine Primary Care', American Journal of Health Promotion. https://doi.org/10.1177/0890117118761886
Bailey, Steffani ; Stevens, Victor J. ; Fortmann, Stephen P. ; Kurtz, Stephen E. ; McBurnie, Mary Ann ; Priest, Elisa ; Puro, Jon ; Solberg, Leif I. ; Schweitzer, Rebecca ; Masica, Andrew L. ; Hazlehurst, Brian. / Long-Term Outcomes From Repeated Smoking Cessation Assistance in Routine Primary Care. In: American Journal of Health Promotion. 2018.
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