Prevalence and Disparities in Receiving Medical Advice to Quit Tobacco Use in the US Adult Population

Authors

Monalisa Chandra
Rajesh Talluri
Joel Fokom Domgue
Sanjay Shete

Publication Date

1-1-2024

Journal

Frontiers in Public Health

Abstract

Introduction: Evidence suggests that advice from health care professionals (HCP) increases the likelihood of quit attempts and successful quitting of tobacco use. However, previous studies primarily focussed on cigarette smoking and did not include all forms of tobacco products. This study aimed to investigate the prevalence and disparities in receiving HCP's advice to quit tobacco use (combustible or noncombustible) in the US adult population.

Methods: Using the 2022 National Health Information Survey (NHIS) data, we examined 4,424 adults who reported (i) any tobacco product use within the past 12 months and (ii) having seen an HCP within the past 12 months. The outcome variable included the receipt of advice to quit tobacco use from an HCP, and predictors included sociodemographic variables. Weighted prevalence estimates were calculated, and multivariable regression analyses were conducted.

Results: Over 38% of tobacco users who visited an HCP were advised to quit. The odds of receiving such advice were lower among Hispanics (AOR: 0.625; 95% confidence interval (CI) [0.464-0.843];p = 0.002), males (AOR: 0.767; 95% CI [0.659-0.893], p = 0.001), those above the poverty level (AOR: 0.795; 95% CI [0.641-0.987];p = 0.037), foreign-born (AOR: 0.664; 95% CI [0.496-0.888]; p = 0.006), those with a bachelor's degree or higher educational level (AOR: 0.477; 95% CI [0.349-0.653]; p < 0.001) and those aged less than 45 years (AOR: 0.404; 95% CI: [0.344-0.473]; p < 0.001).

Conclusion: The prevalence of receiving HCP's advice to quit tobacco use remains suboptimal and disparate among sociodemographic groups. Our findings call for strategic implementation of the USPHS's recommendation on treating tobacco use and taking further actions to equip HCPs with the training and resources needed to provide appropriate advice to quit tobacco.

Keywords

Humans, Male, Female, Adult, Middle Aged, United States, Prevalence, Smoking Cessation, Adolescent, Young Adult, Tobacco Use, Aged, Healthcare Disparities, Tobacco Use Cessation, Health Surveys, disparities, health care professionals (HCPs), medical advice, tobacco cessation, tobacco use

DOI

10.3389/fpubh.2024.1383060

PMID

39376998

PMCID

PMC11457696

PubMedCentral® Posted Date

9-18-2024

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes