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Am J Psychiatry. 2003 Dec;160(12):2228-30.

To whom do psychiatrists offer smoking-cessation counseling?

Author information

  • 1Johns Hopkins University School of Medicine, 2024 Bldg. 2, Suite 600, Baltimore, MD 21287-6220, USA.

Abstract

OBJECTIVE:

Individuals with mental illness have high rates of tobacco dependence; however, little is known about what influences a psychiatrist's decision to offer smoking-cessation counseling to smoking patients.

METHOD:

Using the National Ambulatory Medical Care Survey, the authors identified 1,610 psychiatric office visits for patients who smoke. They investigated the relationship between patient and visit characteristics and smoking-cessation counseling with logistic regression.

RESULTS:

Psychiatrists offered cessation counseling at 12.4% of the visits for smoking patients. The adjusted probability of receiving smoking-cessation counseling was significantly higher for those older than 50; for those with a medical diagnosis of obesity, hypertension, or diabetes mellitus; for those in a rural location; and for those having an initial visit. Those with bipolar affective disorder were more likely to receive smoking-cessation counseling than those with depression.

CONCLUSIONS:

Psychiatrists may be missing opportunities to offer smoking-cessation counseling to patients who smoke.

PMID:
14638595
[PubMed - indexed for MEDLINE]
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