Wednesday, 20 November 2002
Hilton San Francisco Exhibit Hall (0)
CESS-186-16

This presentation is part of CESS-186. Ideas on Cessation

Tobacco-Related Practices of Primary Care Physicians in Jefferson County, KY

Charlene K. Mitchell, MD, University of Louisville School of Medicine, Department of Medicine, ckmitc01@gwise.louisville.edu, Regan L. Moore, DDS, rlmoor03@gwise.louisville.edu, Gary Cusick, PhD, gcusick@co.jefferson.ky.us.

Learning Objectives: Recognize that primary care physicians have low rates of assisting their patients to quit smoking.

Abstract:

Objective: To determine the self-reported practices of primary care physicians in reducing tobacco exposure and use in their patients as a baseline measurement for the local tobacco control coalition. The setting was Jefferson County, KY, which currently has the second highest smoking rate in the nation for adults and youth.
Methods: A one-page survey was mailed to all identifiable primary care physicians in Jefferson County. Demographic data was obtained in addition to the questions regarding tobacco related practices.
RESULTS: Valid surveys were returned by 146 primary care physicians. Providersí responses for tobacco-related practices in more than 80% of their affected patients were as follows:

 

Family Practice

N=32

Internal Medicine

N=51

Obstetrics-Gynecology

N=24

Pediatrics

 

N=22

P Value

Asked about tobacco use

87.5%

94%

95.8%

39%

<0.001

Passive smoking

15.6%

17.3%

8%

64%

<0.001

Advised to quit

90.3%

100%

100%

78.6%

0.008

Assisted to quit

32%

48%

37.5%

3.6%

<0.001

Arranged follow-up

31.3%

19.6%

8.3%

9.1%

0.012


Conclusions: Primary care physicians in the most populace county in a tobacco-dominated state indicate a high degree of adherence to the CDC recommendations to ask all patients about tobacco use, and to advise all users to quit. Assisting patients to quit and arranging follow-up contact after planned quitting dates is much less common. Efforts need to be made to identify and correct impediments to the provision of complete smoking cessation activities by primary care physicians.


Back to Ideas on Cessation
Back to Cessation, Nicotine, and the Science of Addiction
Back to The 2002 National Conference on Tobacco or Health