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Undertreatment of Tobacco Use Relative to Other Chronic Conditions

Bibliographic Data

ID11020696
AuthorsSteven L Bernstein (0000-0002-9964-7036, Steven L. Bernstein, James Dziura, and Lori A. Post are with the Department of Emergency Medicine, Yale School of Medicine, New Haven, CT. Steven L. Bernstein is also with the Yale Cancer Center, New Haven. Nancy A. Rigotti is with the General Medicine Division, Department of Medicine, and Tobacco Research and Treatment Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA. At the time this article was written, Sunkyung Yu was with the Yale School of Public Health, New Haven.), Sunkyung Yu (0000-0002-3995-1765, Steven L. Bernstein, James Dziura, and Lori A. Post are with the Department of Emergency Medicine, Yale School of Medicine, New Haven, CT. Steven L. Bernstein is also with the Yale Cancer Center, New Haven. Nancy A. Rigotti is with the General Medicine Division, Department of Medicine, and Tobacco Research and Treatment Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA. At the time this article was written, Sunkyung Yu was with the Yale School of Public Health, New Haven.), Lori Ann Post (0000-0002-6261-3254, Yale Cancer Center), James Dziura (0000-0001-8953-6183, Steven L. Bernstein, James Dziura, and Lori A. Post are with the Department of Emergency Medicine, Yale School of Medicine, New Haven, CT. Steven L. Bernstein is also with the Yale Cancer Center, New Haven. Nancy A. Rigotti is with the General Medicine Division, Department of Medicine, and Tobacco Research and Treatment Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA. At the time this article was written, Sunkyung Yu was with the Yale School of Public Health, New Haven.), Nancy A Rigotti (0000-0002-2223-1657, Steven L. Bernstein, James Dziura, and Lori A. Post are with the Department of Emergency Medicine, Yale School of Medicine, New Haven, CT. Steven L. Bernstein is also with the Yale Cancer Center, New Haven. Nancy A. Rigotti is with the General Medicine Division, Department of Medicine, and Tobacco Research and Treatment Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA. At the time this article was written, Sunkyung Yu was with the Yale School of Public Health, New Haven.)
Year2013
Volume103
Issue8
Pagese59-e65
Publication date2013-08-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2012.301112
PMID23763395
PMCIDPMC4007856
OpenAlexW2110977261
LanguageEN
Citations received1
References cited18

Objectives. We compared the likelihood that a tobacco user would receive treatment with the likelihood that an adult with another common chronic condition would receive treatment for that condition at an office visit. Methods. We analyzed data from the 2005–2007 National Ambulatory Medical Care Survey to compare the proportion of US office visits at which tobacco users and individuals with hypertension, hyperlipidemia, diabetes, asthma, or depression received condition-specific treatment. We calculated the odds that a visit for a comparison condition would result in treatment relative to a visit for tobacco dependence. Results. From 2005 to 2007, 38 004 patient visits involved at least 1 study condition. Tobacco users received medication at fewer visits (4.4%) than individuals with hypertension (57.4%), diabetes (46.2%), hyperlipidemia (47.1%), asthma (42.6%), and depression (53.3%). In multivariate analyses, the odds for pharmacological treatment of these disorders relative to tobacco use were, for hypertension, 32.8; diabetes, 20.9; hyperlipidemia, 16.5; asthma, 22.1; and depression, 24.0 (all Ps Conclusions. Alternate models of engagement may be needed to enhance use of effective treatments for tobacco use

Environmental health · Tobacco use · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Smoking Behavior and Cessation

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Citations per year0.09
Citation span2015 - 2015 (1)
Highly citedNo

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