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Ethnic disparities in the use of nicotine replacement therapy for smoking cessation in an equal access health care system.

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Title: Ethnic disparities in the use of nicotine replacement therapy for smoking cessation in an equal access health care system.
Authors: Fu SS (AUTHOR), Sherman SE (AUTHOR), Yano EM (AUTHOR), van Ryn M (AUTHOR), Lanto AB (AUTHOR), Joseph AM (AUTHOR), Fu, Steven S1 (AUTHOR), Sherman, Scott E (AUTHOR), Yano, Elizabeth M (AUTHOR), van Ryn, Michelle (AUTHOR), Lanto, Andy B (AUTHOR), Joseph, Anne M (AUTHOR)
Source: American Journal of Health Promotion. Nov/Dec2005, Vol. 20 Issue 2, p108-116. 9p.
Abstract: Purpose: To examine ethnic variations in the use of nicotine replacement therapy (NRT) in an equal access health care system.Design: Cross-sectional survey.Setting: Eighteen Veterans Affairs medical and ambulatory care centers.Subjects: A cohort of male current smokers (n = 1606).Measures: Use of NRT (nicotine patch or nicotine gum), ethnicity, sociodemographics, health status, smoking-related history, and facility prescribing policy.Results: Overall, only 34% of African-American and 26% of Hispanic smokers have ever used NRT as a cessation aid compared with 50% of white smokers. In the past year, African-American smokers were most likely to have attempted quitting. During a serious past-year quit attempt, however African-American and Hispanic smokers reported lower rates of NRT use than white smokers (20% vs. 22% vs. 34%, respectively, p = .001). In multivariate analyses, ethnicity was independently associated with NRT use during a past-year quit attempt. Compared with white smokers, African-American (adjusted odds ratio, .53; 95% confidence interval, .34-.83) and Hispanic (adjusted odds ratio, .55; 95% confidence interval, .28-1.08) smokers were less likely to use NRT.Conclusions: Assessment of variations in use of NRT demonstrates that African-American and Hispanic smokers are less likely to use NRT during quit attempts. Future research is needed on the relative contributions of patient, physician, and system features to gaps in guideline implementation to provide treatment for ethnic minority smokers. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Health Promotion is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
URL: 18867568
Database: Education Research Complete
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DbLabel: Education Research Complete
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  Data: Ethnic disparities in the use of nicotine replacement therapy for smoking cessation in an equal access health care system.
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  Data: <searchLink fieldCode="AR" term="%22Fu+SS%22">Fu SS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sherman+SE%22">Sherman SE</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yano+EM%22">Yano EM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+Ryn+M%22">van Ryn M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lanto+AB%22">Lanto AB</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Joseph+AM%22">Joseph AM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fu%2C+Steven+S%22">Fu, Steven S</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sherman%2C+Scott+E%22">Sherman, Scott E</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yano%2C+Elizabeth+M%22">Yano, Elizabeth M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+Ryn%2C+Michelle%22">van Ryn, Michelle</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lanto%2C+Andy+B%22">Lanto, Andy B</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Joseph%2C+Anne+M%22">Joseph, Anne M</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Health+Promotion%22">American Journal of Health Promotion</searchLink>. Nov/Dec2005, Vol. 20 Issue 2, p108-116. 9p.
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  Data: <bold>Purpose: </bold>To examine ethnic variations in the use of nicotine replacement therapy (NRT) in an equal access health care system.<bold>Design: </bold>Cross-sectional survey.<bold>Setting: </bold>Eighteen Veterans Affairs medical and ambulatory care centers.<bold>Subjects: </bold>A cohort of male current smokers (n = 1606).<bold>Measures: </bold>Use of NRT (nicotine patch or nicotine gum), ethnicity, sociodemographics, health status, smoking-related history, and facility prescribing policy.<bold>Results: </bold>Overall, only 34% of African-American and 26% of Hispanic smokers have ever used NRT as a cessation aid compared with 50% of white smokers. In the past year, African-American smokers were most likely to have attempted quitting. During a serious past-year quit attempt, however African-American and Hispanic smokers reported lower rates of NRT use than white smokers (20% vs. 22% vs. 34%, respectively, p = .001). In multivariate analyses, ethnicity was independently associated with NRT use during a past-year quit attempt. Compared with white smokers, African-American (adjusted odds ratio, .53; 95% confidence interval, .34-.83) and Hispanic (adjusted odds ratio, .55; 95% confidence interval, .28-1.08) smokers were less likely to use NRT.<bold>Conclusions: </bold>Assessment of variations in use of NRT demonstrates that African-American and Hispanic smokers are less likely to use NRT during quit attempts. Future research is needed on the relative contributions of patient, physician, and system features to gaps in guideline implementation to provide treatment for ethnic minority smokers. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Health Promotion is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Nov/Dec2005
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