Abstract
To investigate the frequency of physician delivery of advice to stop smoking and patient characteristics affecting whether physicians deliver such advice, the authors surveyed 97 current cigarette smokers seen in two specialty and one general medicine clinic at a university medical center. Approximately two thirds of the smokers reported ever having been advised to stop smoking by their current physicians. In univariate and multivariate analyses, the presence of a smoking-related illness, the number of prior attempts to quit, and the duration of cigarette smoking were significantly related to delivery of smoking cessation advice by physicians. Knowledge of factors that affect the provision of advice to stop smoking can be used to enhance the physician’s role in smoking intervention.
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References
U.S. Office of Smoking and Health. Special data analysis of 1983 National Health interview Survey by senior author. November 1986
Pederson LL. Compliance with physician advice to quit smoking: a review of the literature. Prev Med 1982;11:71–84
Schwartz JL, Dubitsky M. Requisites for success in smoking with-drawal. In Borgatta EF, Evans RR (eds). Smoking, health and behavior. Chicago: Aldine, 1968
Pincherle G, Wright HB. Smoking habits of business executives: doctor variation in reducing cigarette consumption. Practitioner 1970;205:209–12
Porter AMW, McCullough DM. Counselling against cigarette smoking. Practitioner 1972;209:686–9
Handel S. Change in smoking habits in a general practice. Grad Med J 1973;49:679–81
Russell MAH, Wilson C, Taylor C, et al. Effects of general practitioners’ advice against smoking. Br Med J 1979;2:231–5
Wilson D, Wood G, Johnston N, Sicuvella J: Randomized clinical trial of supportive follow-up for cigarette smokers in a family practice. Canad Med Assoc J 1982;126:127–9
Ewart CK, Li VC, Coates TC: Increasing physician antismoking influence by applying an expensive feedback technique. J Med Educ 1983;58:468–73
Fagerstrom KO: Effects of nicotine chewing gum and follow-up appointments in physician based smoking cessation. Prev Med 1984;13:17–27
Fortmann SP, Sallis JF, Magnus PM, Farquhar JW. Attitudes and practices of physicians regarding hypertension and smoking: The Stanford Five City Project. Prev Med 1985;14:70–80
Wells KB, Ware JE Jr, Lewis CE. Physicians’ attitudes in counseling patients about smoking. Med Care 1984;22:360–5
U.S. Department of Health, Education, and Welfare: Smoking and health: a report of the Surgeon General. (DHEW Publication No. (PHS) 79-50066). Washington, DC: U.S. Government Printing Office, 1979.
Ockene JK, Hosmer DW, Williams JW, Goldberg RJ, Ockene IS, Raia III TJ: Factors related to patient smoking status. Am J Public Health 1987;77:356–7
U.S. Public Health Service. Adult use of tobacco, 1975. U.S. Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, National Clearinghouse for Smoking and Health, June 1976
Stewart AL, Brook RH, Kane RL: Smoking conceptualization and measurement of health habits for adults in the health insurance study. Volume 1. Rand Publication Series R-2374/1-HEW. Santa Monica: Rand Corporation, 1979
Preventive Medicine Health Care Committee: Preventive medicine in general internal medicine residency training. Ann Intern Med 1985;102:859–61
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Ockene, J.K., Hosmer, D.W., Williams, J.W. et al. The relationship of patient characteristics to physician delivery of advice to stop smoking. J Gen Intern Med 2, 337–340 (1987). https://doi.org/10.1007/BF02596170
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DOI: https://doi.org/10.1007/BF02596170