吸烟者的医疗保健访问:戒烟治疗是否根据临床情况不同?
Karen W Geletko1, Katelyn Graves1, Shermeeka Hogans-Mathews2
1Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FL, USA.
概括
患有行为健康状况的患者根据他们的具体情况,以不同的速度接受戒烟干预措施. 尽管有戒烟的动机,但戒烟治疗在这个人群中仍未得到充分利用.
科学领域:
- 公共卫生 公共卫生
- 行为健康 行为健康
- 临床医学 临床医学
背景情况:
- 患有行为健康状况的人因吸烟而承受不成比例的负担.
- 关于在医疗保健访问期间为这一患者群体提供戒烟干预措施的频率的研究有限.
研究的目的:
- 根据临床情况,检查提供戒烟咨询和药物的差异.
- 评估戒烟治疗是否因物质使用障碍/酒精使用障碍,抑郁症或身体状况而有所不同.
主要方法:
- 利用了2015-2018年全国门诊医疗保健调查的数据.
- 分析了目前使用烟草的患者的4590次访问.
- 采用多变量逻辑回归来比较跨患者群体接受治疗的几率.
主要成果:
- 与抑郁症患者相比,患有物质使用障碍和/或酒精使用障碍的患者接受戒烟咨询的几率更高.
- 与那些有物质使用障碍和/或酒精使用障碍的患者相比,患有抑郁症的患者接受戒烟药物的几率更高.
- 与抑郁症患者相比,患有物质使用障碍和/或酒精使用障碍的患者接受任何戒烟治疗的几率更高.
结论:
- 医疗保健提供者为患有行为健康状况的患者提供更高或可比率的戒烟治疗.
- 在这一群体中,尽管患者的动机和显著的健康益处,但戒烟治疗仍未得到充分利用.
- 加强提供者教育和跨学科合作对于提高戒烟率至关重要.
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