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  1. Physicians counseling smokers : A population-based survey of patients'perceptions of health care provider-delivered smoking cessation interventions.

    Article - En anglais

    Objective 

    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.

    Methods 

    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.

    Results 

    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.

    Conclusions 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0360800

    Code Inist : 002B30A03A. Création : 12/09/1997.