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Provider smoking cessation advice among California Asian-American smokers

TitleProvider smoking cessation advice among California Asian-American smokers
Publication TypeJournal Article
Year of Publication2011
AuthorsTong, EK, Tang, H, Chen, Jr., MS, McPhee, SJ
JournalAm J Health PromotAm J Health Promot
Date PublishedMay-Jun
ISBN Number0890-1171 (Print)<br/>0890-1171 (Linking)
Accession Number21510790
KeywordsAdolescent, Adult, Age Factors, Aged, Asian Americans/ psychology/statistics & numerical data, California, China/ethnology, Counseling/ statistics & numerical data, Female, Health Surveys, Humans, Insurance, Health/statistics & numerical data, Korea/ethnology, Male, Middle Aged, Physician-Patient Relations, Sex Factors, Smoking Cessation/ ethnology/statistics & numerical data, Smoking/ethnology/prevention & control, Vietnam/ethnology, Young Adult
AbstractPURPOSE: To determine proportions of provider advice to quit smoking for Asian-American smokers and to describe factors that may affect the provision of such advice. DESIGN: Secondary data analysis of population-based survey. SETTING: California. SUBJECTS: Current smokers from the California Tobacco Use Surveys for Chinese-Americans (n = 2117, participation rate = 52%), Korean-Americans (n = 2545, participation rate = 48%), and Vietnamese-Americans (n = 2179, participation rate = 63.5%). MEASURES: Sociodemographics including insurance status, smoking frequency, provider visit in past year, and provider advice to quit. ANALYSIS: Multivariate logistic regression models examined dependent outcomes of (1) provider visit in past year and (2) provider advice to quit. RESULTS: Less than a third (30.5%) of smokers in our study reported both seeing a provider (50.8%) and then receiving advice to quit (60.1%). Factors associated with provider visits included being female, being 45 years or older, having health insurance, and being Vietnamese. Among smokers who saw a provider, factors associated with provider advice to quit included having health insurance and being a daily smoker. CONCLUSIONS: Asian-American smokers reported low proportions of provider advice to quit in the past year, largely because only half of smokers saw a provider. Providers who see such smokers may need greater awareness that several effective cessation treatments do not require health insurance, and that intermittent smokers need advice to quit.
Ethno Med: