Are Physicians Advising Smokers to Quit?: Title and subTitle BreakThe Patient's Perspective FREE

Robert F. Anda, MD, MS; Patrick L. Remington, MD, MPH; Dean G. Sienko, MD; Ronald M. Davis, MD

[+] Author Affiliations

Reprint requests to the Nutrition Division, Center for Health Promotion and Education. Centers for Disease Control, Atlanta, GA 30333 (Dr Anda).

JAMA. 1987;257(14):1916-1919. doi:10.1001/jama.1987.03390140086032

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ABSTRACT

ABSTRACT | REFERENCES

Physicians can play an important role in smoking cessation because they have frequent contact with smokers and because most smokers believe that a physician's advice is important in the decision to quit. Therefore, to determine smokers' perceptions of physician involvement in smoking cessation, we analyzed aggregate data from two random statewide surveys of 5875 Michigan adults. Of smokers who had seen a physician in the previous year, only 44% reported that they had ever been told to quit smoking by a physician. Young male smokers were the least likely (30%) to have been told to quit. Smokers who were hypertensive, obese, diabetic, sedentary, or users of oral contraceptives were no more likely to have been told to quit than smokers without these additional cardiovascular risks. Conversely, smokers who had survived a myocardial infarction or stroke were more likely to have been told to quit than smokers who had not suffered these events (73% vs 43%). Most smokers do not perceive physicians to be even minimally involved in their efforts to quit. Physicians need to increase their efforts in counseling smokers to quit before smoking-related diseases result, especially for smokers with additional risk factors for cardiovascular disease.

(JAMA 1987;257:1916-1919)

REFERENCES

ABSTRACT | REFERENCES

Council on Scientific Affairs: Smoking and health . JAMA 1980;;243:779-781.

Sobal J, Valente CM, Muncie HL, et al: Physicians' beliefs about the importance of 25 health promoting behaviors . Am J Public Health 1985;; 75:1427-1428.

Valente CM, Sobal J, Muncie HL, et al: Health promotion: Physicians' beliefs, attitudes, and practices . Am J Prev Med 1986;;2:82-88.

Wechsler H, Levine S, Idelson RK, et al: The physician's role in health promotion: A survey of primary-care practitioners . N Engl J Med 1983;;308:97-100.

Adult Use of Tobacco, 1975 . US Dept of Health, Education, and Welfare, National Clearinghouse for Smoking and Health, 1976;.

Pederson LL: Compliance with physician advice to quit smoking: A review of the literature . Prev Med 1982;;11:71-84.

Smoking and Health: A Report of the Surgeon General , publication (PHS) 79-50066. US Dept of Health, Education, and Welfare, 1979;.

Wetzler HP, Cruess DF: Self-reported physical health practices and health care utilization: Findings from the National Health Interview Survey . Am J Public Health 1985;;75:1329-1330.

Coordination of High Blood Pressure Control in Michigan . Lansing, Michigan Dept of Public Health, 1985;.

1980 Census of Population . US Dept of Commerce, Bureau of the Census, 1982;.

Institute for Social Research: OSIRIS IV User's Manual . Ann Arbor, University of Michigan, 1979;.

Wells KB, Lewis CE, Leake B, et al: Do physicians preach what they practice? A study of physicians' health habits and counseling practices . JAMA 1984;;252:2846-2848.

Russell MAH, Wilson C, Taylor C, et al: Effect of general practitioners' advice against smoking . Br Med J 1979;;2:231-235.

Wells KB, Lewis CE, Leake B, et al: The practices of general and subspecialty internists in counseling about smoking and exercise . Am J Public Health 1986;;76:1009-1013.

Kornitzer M, Dramaix M, Kittel F, et al: The Belgian heart disease prevention project: Changes in smoking habits after two years of intervention . Prev Med 1980;;9:496-503.

Glantz LH: Mandating health insurance benefits in the private sector: A decision for state legislatures . Am J Public Health 1985;;75:1344-1346.

A National Study of Resource-Based Relative Value Scales for Physician Services , Board of Trustees report DD. Chicago, American Medical Association, 1986;, pp 97-99.

The impact of providing physicians with quitsmoking materials for smoking patients . CA 1981;; 31:75-78.

Clinical Opportunities for Smoking Intervention: A Guide for the Busy Physician , Dept of Health and Human Services publication (NIH) 86-2178. National Heart, Lung, and Blood Institute, Smoking Education Program, (August) 1986;.

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