ArticleAmerican journal of health promotion : AJHP2022
Associations of At-Risk Drinking, Current Smoking, and Their Co-Occurrence With Primary Care Service Utilization.
Article in American journal of health promotion : AJHP, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Article
- Disentangling behavioral determinants of seasonal influenza vaccination in post-corona era: An integrated model approach.PloS one · 2025Article
- Funding Health Care for People Experiencing Homelessness: An Examination of Federally Qualified Health Centers' Funding Streams and Homeless Patients Served (2014-2019).International journal of environmental research and public health · 2024Article
- Current tobacco use patterns associated with healthcare utilization among non-Hispanic Black and Hispanic men with chronic conditions.Addictive behaviors · 2023Article
- Behavioral Risk Factor and Primary Healthcare Utilization in South Africa.Healthcare (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeSmoking and at-risk drinking are each associated with lower primary care utilization, but the influence of their co-occurrence is not known. The current study compared associations of endorsement of one behavior vs endorsement of both with primary care utilization.
designCross-sectional telephone survey.
settingAll United States and Territories. SUBJECTS: 246 801 adults aged 18-64. MEASURES: The outcome was endorsement of attending a past-year primary care visit. Predictor variables included drinking and smoking status examined individually and combined. ANALYSIS: Multivariable logistic regressions, adjusted for socio-demographics and number of chronic health conditions.
resultsThe odds of attending a past-year primary care visit were 24% lower for persons who drank at risk levels compared to the odds of persons who did not drink and 36% lower for persons who smoked vs those who did not smoke. Among persons who endorsed at least one risk behavior, the odds of attending a past-year primary care visit were 25-35% lower for those who engaged in multiple behaviors compared to the odds of persons who engaged in one behavior.
conclusionSubstance use screening and intervention services in primary care may not be reaching individuals with the greatest need for services. Proactive outreach and identification of primary care utilization barriers are needed, with special consideration of those with co-occurring substance use.
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