Undertreatment of tobacco use relative to other chronic conditions

S.L. Bernstein, S. Yu, L.A. Post, J. Dziura and N.A. Rigotti

American Journal of Public Health, 2013, vol. 103, issue 8, e59-e65

Abstract: Objectives. We compared the likelihood that a tobacco user would receive treatment with the likelihood that an adult with another common chronic condition would receive treatment for that condition at an office visit. Methods. We analyzed data from the 2005-2007 National Ambulatory Medical Care Survey to compare the proportion of US office visits at which tobacco users and individuals with hypertension, hyperlipidemia, diabetes, asthma, or depression received condition-specific treatment. We calculated the odds that a visit for a comparison condition would result in treatment relative to a visit for tobacco dependence. Results. From 2005 to 2007, 38 004 patient visits involved at least 1 study condition. Tobacco users received medication at fewer visits (4.4%) than individuals with hypertension (57.4%), diabetes (46.2%), hyperlipidemia (47.1%), asthma (42.6%), and depression (53.3%). In multivariate analyses, the odds for pharmacological treatment of these disorders relative to tobacco use were, for hypertension, 32.8; diabetes, 20.9; hyperlipidemia, 16.5; asthma, 22.1; and depression, 24.0 (all Ps

Keywords: adolescent; adult; aged; ambulatory care; article; asthma; chronic disease; clinical practice; comparative study; counseling; depression; diabetes mellitus; female; human; hyperlipidemia; hypertension; male; middle aged; statistical model; statistics; tobacco dependence, Adolescent; Adult; Aged; Asthma; Chronic Disease; Counseling; Depression; Diabetes Mellitus; Female; Humans; Hyperlipidemias; Hypertension; Likelihood Functions; Logistic Models; Male; Middle Aged; Office Visits; Physician's Practice Patterns; Tobacco Use Disorder (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2012.301112_4

DOI: 10.2105/AJPH.2012.301112

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