Factors Associated With Accepting Assistance for Smoking Cessation Among Military Veterans
العنوان: | Factors Associated With Accepting Assistance for Smoking Cessation Among Military Veterans |
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المؤلفون: | C. Amanda Schweizer, Timothy F. Chen, Mark G. Myers |
المصدر: | Nicotine & Tobacco Research. 18:2288-2292 |
بيانات النشر: | Oxford University Press (OUP), 2016. |
سنة النشر: | 2016 |
مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Referral, medicine.medical_treatment, 030508 substance abuse, 03 medical and health sciences, 0302 clinical medicine, Ethnicity, Electronic Health Records, Humans, Medicine, 030212 general & internal medicine, Referral and Consultation, Veterans Affairs, Veterans, business.industry, Medical record, Public Health, Environmental and Occupational Health, Electronic medical record, Middle Aged, Patient Acceptance of Health Care, medicine.disease, United States, Substance abuse, United States Department of Veterans Affairs, Military personnel, Cross-Sectional Studies, Treatment utilization, Family medicine, Smoking cessation, Female, Smoking Cessation, 0305 other medical science, business |
الوصف: | Author(s): Myers, Mark G; Chen, Timothy; Schweizer, C Amanda | Abstract: IntroductionCigarette smoking remains a significant health risk for Veterans. Increased understanding of factors that influence the tobacco cessation referral process within Veterans Affairs medical facilities is useful for enhancing utilization of smoking cessation treatment. The present study examined the association of demographic and health variables with whether smokers accepted referral for medication and/or tobacco cessation clinic.MethodsElectronic medical record data (2011-2013) were obtained for a sample of US military Veterans who accepted cessation assistance from their health care provider. Demographic and diagnostic variables were examined to identify predictors of the types of assistance accepted (medication only, clinic referral only, or both).ResultsThe sample includes 2941 Veterans, 10.3% female, 19.9% African American, 10.7% Hispanic, and 57.9% non-Hispanic white. Veterans averaged of 50.69 years of age (SD = 14.01), 31.5% had a substance use disorder diagnosis and 54.1% had a psychiatric diagnosis. Demographic and diagnostic information was compared across types of assistance accepted. Significant differences were found between those who accepted medications only and those who accepted either clinic referral or both medication and clinic referral. Veterans in the latter two categories were younger and more likely to have a psychiatric diagnosis than those accepting medication only. Women Veterans were significantly more likely than men to accept clinic referral plus medication. However, in contrast to men, almost none of the variables examined were associated with the type of assistance accepted by women.ConclusionThese findings indicate significant gender differences in influences on accepting assistance for smoking cessation among Veterans.ImplicationsExisting research identifies factors associated with unassisted quitting. However, little is known regarding the referral process, which is critical in connecting smokers with treatment. The present work is unique in employing electronic medical record data to examine factors associated with accepting different types of smoking cessation treatment referrals. This study represents an initial effort to elucidate the smoking cessation treatment referral process. These findings highlight the need to examine sex specific influences on smoking cessation treatment utilization and the importance of focusing on smokers with psychiatric disorders. |
تدمد: | 1469-994X 1462-2203 |
DOI: | 10.1093/ntr/ntw163 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::953c848e46bd2cac7fb65d0b6786b445 https://doi.org/10.1093/ntr/ntw163 |
Rights: | OPEN |
رقم الانضمام: | edsair.doi.dedup.....953c848e46bd2cac7fb65d0b6786b445 |
قاعدة البيانات: | OpenAIRE |
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