title: Factors associated with smoking cessation counseling at clinical encounters: the Behavioral Risk Factor Surveillance System (BRFSS) 2000.
abstract: OBJECTIVE
  Characterize factors associated with smoking-cessation counseling in clinical encounters.
  
  
  METHODS
  Cross-sectional analysis of Behavioral Risk Factor Surveillance System (BRFSS) 2000 data.
  
  
  METHODS
  U.S. households.
  
  
  METHODS
  10,582 smokers (aged > or = 18 years) reporting one or more clinical encounters during the prior year.
  
  
  METHODS
  Multivariate-adjusted odds ratios (OR) and 95% confidence intervals (CI) for quit advice associated with respondent and encounter variables.
  
  
  RESULTS
  Almost 55% of respondents were advised to quit smoking. Young men were advised to quit least often. Increasing age (18-24, 25-39, 40-64, > or = 65 years) was associated with increasing odds of receiving quit advice (OR = 1.33, CI 1.10-1.61) for men. Other positive associations with quit advice included patient education, BMI, diagnosis of asthma, and private health insurance. Patients seeing physicians had greater odds of being advised to quit smoking (OR = 3.29, CI 2.13-5.06) than those seeing dentists. There was a 4% to 23% chance of receiving quit advice at any given nondental clinical encounter; the odds of such counseling did not rise significantly with the number of visits.
  
  
  CONCLUSIONS
  Smoking cessation counseling may be provided preferentially on the basis of patient demographics, and often is not provided at all. In a given year, just over half of smoking patients are advised to quit, and such counseling is provided at less than a quarter of clinical encounters.
authors.affiliation: Family Practice Residency Program, Presbyterian Medical Center, Philadelphia, Pennsylvania, USA.
authors.forename: Sean C
authors.initials: SC
authors.lastname: Lucan
authors.forename: David L
authors.initials: DL
authors.lastname: Katz
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D040343:Behavioral Risk Factor Surveillance System; D003376:Counseling / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003815:Dentists; D005260:Female; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009819:Office Visits / Q000706:statistics & numerical data*; D010820:Physicians; D024382:Professional Role; D016540:Smoking Cessation / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors