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      Provider-Patient Discussions About Smoking and the Impact of Lung Cancer Screening Guidelines: NHIS 2011–2015

      , PhD, MD, MSPH , 1 , , MPH, PhD 2 , , PhD 3 , , PhD, MPH 1 , , PhD 4 , , PhD 4

      Journal of General Internal Medicine

      Springer US

      current smoker, communication, smoking, lung cancer screening

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          Abstract

          Background

          Clinical practice guidelines for treating tobacco use and lung cancer screening guidelines recommend smoking cessation counseling to current smokers by health care professionals.

          Objective

          Our objective was to determine the contemporary patterns of current smokers’ discussions about smoking with their health care professionals in the USA.

          Design, Setting, and Participants

          We conducted an observational study of 30,132 current smokers (weighted sample 40,126,006) for the years 2011 to 2015 using data from the National Health Interview Survey.

          Main Measures

          Our main outcome was the proportion of current smokers who had discussions about smoking with their health care professionals. We used the Cochran-Armitage trend test to evaluate the temporal trends in current smokers’ discussions about smoking, and used a multivariable logistic model to determine the predictors of discussions about smoking, controlling for smokers’ demographics, health status, and receipts of lung cancer screening.

          Key Results

          Our study found the proportion of current smokers who had discussions about smoking with their health care professionals increased from 51.3% in 2011 to 55.4% in 2015 ( P-trend < 0.0001). However, about 15% of current smokers who underwent lung cancer screening did not have or could not recall discussions about smoking with their health care professionals. In multivariable analyses and sensitivity analysis, the predictors of discussions about smoking were being a heavy smoker, receipt of lung cancer screening, being non-Hispanic white, having a physician office visit in the past year, being diagnosed with respiratory conditions, having fair or poor health, and having insurance coverage.

          Conclusions

          The results demonstrated a steady but slow increase in current smokers’ discussions about smoking with their health care professionals in recent years, especially among heavy smokers. More than 40% of current smokers did not have or could not recall any discussions about smoking with their health care professionals.

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          Author and article information

          Contributors
          JHuo@ufl.edu
          Journal
          J Gen Intern Med
          J Gen Intern Med
          Journal of General Internal Medicine
          Springer US (New York )
          0884-8734
          1525-1497
          21 June 2019
          January 2020
          : 35
          : 1
          : 43-50
          Affiliations
          [1 ] GRID grid.15276.37, ISNI 0000 0004 1936 8091, Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, , The University of Florida, ; Gainesville, FL 32610 USA
          [2 ] GRID grid.267308.8, ISNI 0000 0000 9206 2401, Healthcare Transformation Initiative, , The University of Texas Health Science Center at Houston, ; Houston, TX USA
          [3 ] GRID grid.240145.6, ISNI 0000 0001 2291 4776, Department of Health Services Research, , The University of Texas MD Anderson Cancer Center, ; Houston, TX USA
          [4 ] GRID grid.15276.37, ISNI 0000 0004 1936 8091, Department of Health Outcomes and Biomedical Informatics, College of Medicine, , University of Florida, ; Gainesville, FL USA
          Article
          PMC6957585 PMC6957585 6957585 5111
          10.1007/s11606-019-05111-6
          6957585
          31228049
          © Society of General Internal Medicine 2019
          Categories
          Original Research
          Custom metadata
          © Society of General Internal Medicine 2020

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