Details:

Alternative Title:
BMC Public Health
Personal Author:
Kruger, Judy ; O’Halloran, Alissa ; Rosenthal, Abby C. ; Babb, Stephen D. ; Fiore, Michael C.
Kruger, Judy ; O’Halloran, Alissa ; Rosenthal, Abby C. ; Babb, Stephen D. ; Fiore, Michael C. Less -
Description:
Background

Helping tobacco smokers to quit during a medical visit is a clinical and public health priority. Research suggests that most health professionals engage their patients in at least some of the ‘5 A’s’ of the brief cessation intervention recommended in the U.S. Public Health Service Clinical Practice Guideline, but information on the extent to which patients act on this intervention is uncertain. We assessed current cigarette-only smokers’ self-reported receipt of the 5 A’s to determine the odds of using optimal cessation assisted treatments (a combination of counseling and medication).

Methods

Data came from the 2009–2010 National Adult Tobacco Survey (NATS), a nationally representative landline and mobile phone survey of adults aged ≥18 years. Among current cigarette-only smokers who visited a health professional in the past 12 months, we assessed patients’ self-reported receipt of the 5 A’s, use of the combination of counseling and medication for smoking cessation, and use of other cessation treatments. We used logistic regression to examine whether receipt of the 5 A’s during a recent clinic visit was associated with use of cessation treatments (counseling, medication, or a combination of counseling and medication) among current cigarette-only smokers.

Results

In this large sample (N = 10,801) of current cigarette-only smokers who visited a health professional in the past 12 months, 6.3 % reported use of both counseling and medication for smoking cessation within the past year. Other assisted cessation treatments used to quit were: medication (19.6 %); class or program (3.8 %); one-on-one counseling (3.7 %); and telephone quitline (2.6 %). Current cigarette-only smokers who reported receiving all 5 A’s during a recent clinic visit were more likely to use counseling (odds ratio [OR]: 11.2, 95 % confidence interval [CI]: 7.1–17.5), medication (OR: 6.2, 95 % CI: 4.3–9.0), or a combination of counseling and medication (OR: 14.6, 95 % CI: 9.3–23.0), compared to smokers who received one or none of the 5 A’s components.

Conclusions

Receipt of the ‘5 A’s’ intervention was associated with a significant increase in patients’ use of recommended counseling and medication for cessation. It is important for health professionals to deliver all 5 A’s when conducting brief cessation interventions with patients who smoke.


Subjects:
[+]
Adult Aged Counseling Female Humans Male Middle Aged Professional Role Smoking Cessation Tobacco Use Cessation Devices Young Adult
Source:
BMC Public Health. 16.
Pubmed ID:
26868930
Pubmed Central ID:
PMC4751655
Document Type:
Journal Article
Name as Subject:
National Adult Tobacco Survey
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:c025161aa6f960bc437ef9d10ec14e39be83b80b40d52343ea0055927e2adfc8
Download URL:
https://stacks.cdc.gov/view/cdc/38182/cdc_38182_DS1.pdf
File Type:

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