title: Receipt of evidence-based brief cessation interventions by health professionals and use of cessation assisted treatments among current adult cigarette-only smokers: National Adult Tobacco Survey, 2009-2010.
abstract: BACKGROUND
  Helping tobacco smokers to quit during a medical visit is a clinical and public health priority. Research suggests that most health professionals engage their patients in at least some of the '5 A's' of the brief cessation intervention recommended in the U.S. Public Health Service Clinical Practice Guideline, but information on the extent to which patients act on this intervention is uncertain. We assessed current cigarette-only smokers' self-reported receipt of the 5 A's to determine the odds of using optimal cessation assisted treatments (a combination of counseling and medication).
  
  
  METHODS
  Data came from the 2009-2010 National Adult Tobacco Survey (NATS), a nationally representative landline and mobile phone survey of adults aged ≥18 years. Among current cigarette-only smokers who visited a health professional in the past 12 months, we assessed patients' self-reported receipt of the 5 A's, use of the combination of counseling and medication for smoking cessation, and use of other cessation treatments. We used logistic regression to examine whether receipt of the 5 A's during a recent clinic visit was associated with use of cessation treatments (counseling, medication, or a combination of counseling and medication) among current cigarette-only smokers.
  
  
  RESULTS
  In this large sample (N = 10,801) of current cigarette-only smokers who visited a health professional in the past 12 months, 6.3 % reported use of both counseling and medication for smoking cessation within the past year. Other assisted cessation treatments used to quit were: medication (19.6 %); class or program (3.8 %); one-on-one counseling (3.7 %); and telephone quitline (2.6 %). Current cigarette-only smokers who reported receiving all 5 A's during a recent clinic visit were more likely to use counseling (odds ratio [OR]: 11.2, 95 % confidence interval [CI]: 7.1-17.5), medication (OR: 6.2, 95 % CI: 4.3-9.0), or a combination of counseling and medication (OR: 14.6, 95 % CI: 9.3-23.0), compared to smokers who received one or none of the 5 A's components.
  
  
  CONCLUSIONS
  Receipt of the '5 A's' intervention was associated with a significant increase in patients' use of recommended counseling and medication for cessation. It is important for health professionals to deliver all 5 A's when conducting brief cessation interventions with patients who smoke.
authors: Office on Smoking and Health, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, GA, 30341, USA. Ezk0@cdc.gov.|Office on Smoking and Health, Centers for Disease Control and Prevention, 4770 Buford Highway, N.E., F-79, Atlanta, GA, 30341-3724, USA. Ezk0@cdc.gov.
authors: Judy
authors: J
authors: Kruger
authors: Contractor (NGIS) for Office on Smoking and Health, National Center for Chronic Disease Prevention, Atlanta, GA, 30341, USA.
authors: Alissa
authors: A
authors: O'Halloran
authors: Health Systems Consulting, Atlanta, GA, 30341, USA.
authors: Abby C
authors: AC
authors: Rosenthal
authors: Office on Smoking and Health, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, GA, 30341, USA.
authors: Stephen D
authors: SD
authors: Babb
authors: Center for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, WI, 53711, USA.
authors: Michael C
authors: MC
authors: Fiore
mesh_terms: D000328:Adult; D000368:Aged; D003376:Counseling / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D024382:Professional Role; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D061485:Tobacco Use Cessation Devices; D014481:United States; D055815:Young Adult