Serious Mental Illness and Smoking Cessation Treatment Utilization: the Role of Healthcare Providers.


Journal

The journal of behavioral health services & research
ISSN: 1556-3308
Titre abrégé: J Behav Health Serv Res
Pays: United States
ID NLM: 9803531

Informations de publication

Date de publication:
01 2021
Historique:
pubmed: 8 5 2020
medline: 9 9 2021
entrez: 8 5 2020
Statut: ppublish

Résumé

Healthcare provider barriers to cessation resources may be undercutting quit rates for smokers with serious mental illness (SMI). The study aim was to examine how providers influence cessation treatment utilization among smokers with SMI. Data were taken from a trial conducted among smokers in Minnesota Health Care Programs. The sample was split into groups of participants with SMI (n = 939) and without SMI (n = 1382). Analyses assessed whether the association between SMI and treatment utilization was mediated by healthcare provider-delivered treatment advice and healthcare provider bias. Results revealed higher rates of treatment utilization among smokers with SMI than those without SMI (45.9% vs 31.7%, p < 0.001); treatment advice and provider bias did not mediate this association. Subsequent individual regression analyses revealed positive associations between treatment advice and treatment utilization (β 0.21-0.25, p < 0.05), independent of SMI status. Strategies to increase low-income smokers' contacts with providers may reduce treatment utilization barriers among these smokers.

Identifiants

pubmed: 32378032
doi: 10.1007/s11414-020-09707-3
pii: 10.1007/s11414-020-09707-3
pmc: PMC7644603
mid: NIHMS1591939
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

63-76

Subventions

Organisme : NCI NIH HHS
ID : R01 CA141527
Pays : United States
Organisme : NCI NIH HHS
ID : T32 CA163184
Pays : United States

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Auteurs

Patrick J Hammett (PJ)

VA HSR&D Center for Care Delivery and Outcomes Research (CCDOR), Minneapolis VA Health Care System, Minneapolis, MN, USA. hamm0311@umn.edu.
Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA. hamm0311@umn.edu.

Brent C Taylor (BC)

VA HSR&D Center for Care Delivery and Outcomes Research (CCDOR), Minneapolis VA Health Care System, Minneapolis, MN, USA.
Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.

Harry A Lando (HA)

Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA.

Rachel Widome (R)

Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA.

Darin J Erickson (DJ)

Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA.

Steven S Fu (SS)

VA HSR&D Center for Care Delivery and Outcomes Research (CCDOR), Minneapolis VA Health Care System, Minneapolis, MN, USA.
Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.

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