A population-based examination of racial and ethnic differences in receiving physicians' advice to quit smoking.
We examined the rate of physician-delivered smoking cessation advice in the United States over time for five different racial/ethnic groups. We analyzed three waves (1992--1993, 1995--1996, 1998--1999) of population-based survey data (Tobacco Use Supplement of the Current Population Survey) to examine the relationship between a smoker's race/ethnicity and past-year receipt of physician-delivered smoking cessation advice. Results of a multivariate logistic regression showed no difference in the receipt of advice as a function of a smoker's race/ethnicity in any of the surveys, with the exception of 1998--1999, after controlling for factors such as smoker's gender, years of education, household income, and cigarettes smoked per day. In the 1998--1999 survey, Asian smokers were more likely to report receiving smoking cessation advice from a physician relative to non-Hispanic White smokers. With the exception of American Indian/Alaska Native smokers, the receipt of advice by each racial/ethnic group increased significantly from the 1992--1993 survey to the 1998--1999 survey, after controlling for gender, age, education, and cigarettes smoked per day. Because rates of advice for American Indian/Alaska Native smokers did not increase over time, specific public health interventions should be developed and integrated into medical settings serving smokers from American Indian/Alaska Native communities.
Reed
Mark B
MB
School of Social Work and AOD Initiatives Research, San Diego State University, San Diego, CA 92120, USA. mreed@projects.sdsu.edu
Burns
David M
DM
D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D001213:Asian / Q000706:statistics & numerical data; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D010353:Patient Education as Topic / Q000706:statistics & numerical data; D010358:Patient Participation / Q000706:statistics & numerical data*; D011369:Professional-Patient Relations; D012189:Retrospective Studies; D012907:Smoking / Q000208:ethnology*; D016540:Smoking Cessation / Q000208:ethnology* / Q000379:methods; D000074606:Smoking Prevention; D014029:Tobacco Use Disorder / Q000208:ethnology; D014481:United States / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data