To examine associations between sociode-mographic and psychological characteristics of smokers and delivery of 5 types of smoking cessation counseling interventions by physicians and office staff.
We used a telephone survey of a population-based sample of adult cigarette smokers (N=3037) who saw a physician in the last year.
Primary outcomes included patients'report of whether a physician or other health care provider (1) talked about smoking, (2) advised them to quit, (3) offered help to quit, (4) arranged a follow-up contact, and (5) prescribed nicotine gum or other medication.
Fifty-one percent of smokers were talked to about their smoking ; 45.5% were advised to quit ; 14.9% were offered help ; 3% had a follow-up appointment arranged ; and 8.5% were prescribed medication.
In multivariate analyses, the most consistent predictors of receipt of almost all counseling behaviors were medical setting (private phy-sician's office only>care in other settings), health status (fair or poor>good, very good, or excellent), more years of education, greater number of cigarettes smoked per day, stage of readiness to quit smoking (preparation>precontemplation), and greater reported benefits of smoking.
Physicians and other health care providers are not meeting the standards of smoking intervention outlined by the National Cancer Institute and the Agency for Health Care Policy and Research. (...)
Mots-clés Pascal : Tabagisme, Conseil clinique, Arrêt exposition, Méthode, Rôle professionnel, Médecin, Evaluation performance, Etude statistique, Homme, Toxicomanie
Mots-clés Pascal anglais : Tobacco smoking, Clinical counseling, Exposure stopping, Method, Occupational role, Physician, Performance evaluation, Statistical study, Human, Drug addiction
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0360800
Code Inist : 002B30A03A. Création : 12/09/1997.