Tobacco use screening and treatment by outpatient psychiatrists before and after release of the American Psychiatric Association treatment guidelines for nicotine dependence

Erin Rogers, Scott Sherman

    Research output: Contribution to journalArticle

    Abstract

    Objectives. We examined tobacco use screening and treatment by US psychiatrists before and after release of the 1996 American Psychiatric Association (APA) nicotine dependence treatment guidelines. Methods. We used data from the National Ambulatory Medical Care Survey to identify rates of tobacco screening and treatment by psychiatrists before the release of the guidelines (1993-1996) and during 2 postguidelines periods: 2001-2005 and 2006-2010. Multiple logistic regression was used to compare preguidelines and postguidelines rates. Results. Psychiatrists screened for tobacco use during 77% of visits from 1993 to 1996, 69% of visits from 2001 to 2005 (odds ratio [OR] =0.69; 95% confidence interval [CI] = 0.64, 0.75), and 60% of visits from 2006 to 2010 (OR = 0.46; 95% CI = 0.43, 0.50). Psychiatrists provided cessation counseling to 12% of smokers from 1993 to 1996, 11% from 2001 to 2005 (OR = 0.97; 95% CI = 0.74, 1.26), and 23% from 2006 to 2010 (OR = 2.23; 95% CI = 1.74, 2.86). Psychiatrists prescribed nicotine replacement therapy to fewer than 1% of smokers during all 3 time periods. Conclusions. Psychiatrists are screening for tobacco use at declining rates, and the proportion of smokers provided with treatment remains low.

    Original languageEnglish (US)
    Pages (from-to)90-95
    Number of pages6
    JournalAmerican Journal of Public Health
    Volume104
    Issue number1
    DOIs
    StatePublished - Jan 1 2014

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    Tobacco Use Disorder
    Tobacco Use
    Psychiatry
    Outpatients
    Guidelines
    Odds Ratio
    Confidence Intervals
    Therapeutics
    Health Care Surveys
    Nicotine
    Tobacco
    Counseling
    Logistic Models

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health

    Cite this

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    title = "Tobacco use screening and treatment by outpatient psychiatrists before and after release of the American Psychiatric Association treatment guidelines for nicotine dependence",
    abstract = "Objectives. We examined tobacco use screening and treatment by US psychiatrists before and after release of the 1996 American Psychiatric Association (APA) nicotine dependence treatment guidelines. Methods. We used data from the National Ambulatory Medical Care Survey to identify rates of tobacco screening and treatment by psychiatrists before the release of the guidelines (1993-1996) and during 2 postguidelines periods: 2001-2005 and 2006-2010. Multiple logistic regression was used to compare preguidelines and postguidelines rates. Results. Psychiatrists screened for tobacco use during 77{\%} of visits from 1993 to 1996, 69{\%} of visits from 2001 to 2005 (odds ratio [OR] =0.69; 95{\%} confidence interval [CI] = 0.64, 0.75), and 60{\%} of visits from 2006 to 2010 (OR = 0.46; 95{\%} CI = 0.43, 0.50). Psychiatrists provided cessation counseling to 12{\%} of smokers from 1993 to 1996, 11{\%} from 2001 to 2005 (OR = 0.97; 95{\%} CI = 0.74, 1.26), and 23{\%} from 2006 to 2010 (OR = 2.23; 95{\%} CI = 1.74, 2.86). Psychiatrists prescribed nicotine replacement therapy to fewer than 1{\%} of smokers during all 3 time periods. Conclusions. Psychiatrists are screening for tobacco use at declining rates, and the proportion of smokers provided with treatment remains low.",
    author = "Erin Rogers and Scott Sherman",
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    N2 - Objectives. We examined tobacco use screening and treatment by US psychiatrists before and after release of the 1996 American Psychiatric Association (APA) nicotine dependence treatment guidelines. Methods. We used data from the National Ambulatory Medical Care Survey to identify rates of tobacco screening and treatment by psychiatrists before the release of the guidelines (1993-1996) and during 2 postguidelines periods: 2001-2005 and 2006-2010. Multiple logistic regression was used to compare preguidelines and postguidelines rates. Results. Psychiatrists screened for tobacco use during 77% of visits from 1993 to 1996, 69% of visits from 2001 to 2005 (odds ratio [OR] =0.69; 95% confidence interval [CI] = 0.64, 0.75), and 60% of visits from 2006 to 2010 (OR = 0.46; 95% CI = 0.43, 0.50). Psychiatrists provided cessation counseling to 12% of smokers from 1993 to 1996, 11% from 2001 to 2005 (OR = 0.97; 95% CI = 0.74, 1.26), and 23% from 2006 to 2010 (OR = 2.23; 95% CI = 1.74, 2.86). Psychiatrists prescribed nicotine replacement therapy to fewer than 1% of smokers during all 3 time periods. Conclusions. Psychiatrists are screening for tobacco use at declining rates, and the proportion of smokers provided with treatment remains low.

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