ArticleInternational journal of environmental research and public health2021
The Influence of Increasing Levels of Provider-Patient Discussion on Quit Behavior: An Instrumental Variable Analysis of a National Survey.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveWe aimed to examine the influence of increasing levels of discussion (both asked and advised, either asked or advised but not both, and neither asked nor advised) on quit behavior.
methodsWe included 4133 adult current smokers from the 2015 National Health Interview Survey. The primary outcomes were quit intent and quit attempt, and the secondary outcomes were methods used for quitting. We used an instrumental variable analysis, as well as propensity score weighted and multivariable logistic regressions.
resultsCompared to no discussion, having both or only one discussion, respectively, increased quit intent (OR = 1.65, 95% CI = 1.63-1.66 and OR = 1.02, 95% CI = 0.99-1.05), quit attempt (OR = 1.76, 95% CI = 1.75-1.77 and OR = 1.60, 95% CI = 1.57-1.63). Among those who attempted to quit (n = 1536), having both or only one discussion increased the use of pharmacologic (OR = 1.99, 95% CI = 1.97-2.02 and OR = 1.56, 95% CI = 1.49-1.63) or behavioral (OR = 2.01, 95% CI = 1.94-2.08 and OR = 2.91, 95% CI = 2.74-3.08) quit methods.
conclusionsIncreasing levels of provider-patient discussion encourages quit behavior, and should be an integral part of reducing the health and economic burden of smoking. Strategies that promote the adherence and compliance of providers to communicate with patients may help increase the success of smoking cessation.
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