Objectives Smoking cessation decreases morbidity and mortality due to chronic obstructive pulmonary disease (COPD). Pharmacotherapy for smoking cessation is highly effective. However, the optimal prescription rate of smoking cessation medications among smokers with COPD has not been systemically studied. The purpose of this study was to estimate the national prescription rates of smoking cessation medications among smokers with COPD and to examine any disparities therein.
Methods We conducted a retrospective study using National Ambulatory Medical Care Survey data from 2007 to 2012. We estimated the national prescription rate for any smoking cessation medication (varenicline, bupropion, and nicotine replacement therapy) each year. Multiple survey logistic regression was performed to characterize the effects of demographic variables and comorbidities on prescriptions.
Results The average prescription rate of any smoking cessation medication over 5 years was 3.64%. The prescription rate declined each year, except for a slight increase in 2012: 9.91% in 2007, 4.47% in 2008, 2.42% in 2009, 1.88% in 2010, 1.46% in 2011, and 3.67% in 2012. Hispanic race and depression were associated with higher prescription rates (odds ratio [OR], 5.15; 95% confidence interval [CI], 1.59 to 16.67 and OR, 2.64; 95% CI, 1.26 to 5.51, respectively). There were no significant differences according to insurance, location of the physician, or other comorbidities. The high OR among Hispanic population and those with depression was driven by the high prescription rate of bupropion.
Conclusions The prescription rate of smoking cessation medications among smokers with COPD remained low throughout the study period. Further studies are necessary to identify barriers and to develop strategies to overcome them.
Summary
Citations
Citations to this article as recorded by
Cigarette Smoking and Psychiatric Illness Among Individuals with COPD: a Systematic Review Jacob Levin, David Estey, Ester Yadgaran, Esther Perez, Isabella Plotnick, Jennifer Gittleman, Joseph Friedman, Silvana Agterberg, Sylvie Messer, Tyler Pia, Jennifer Birchwale, Joun Lee, Lisa N. Cruz, Natacha A. Gordon, Rachel S. Kashan, Jung-Yun Min, Kat Current Addiction Reports.2024;[Epub] CrossRef
Challenges and perspectives of tobacco cessation in special groups of patients and populations Stamatoula Tsikrika, Siyu Dai, Asli Dilektasli, Paraskevi Katsaounou, Elif Dagli Breathe.2023; 19(2): 220224. CrossRef
Influence of ethnicity on adherence to nonsurgical interventions for COPD: a scoping review Sarah Alamer, Anna Robinson-Barella, Hamde Nazar, Andy Husband ERJ Open Research.2023; 9(6): 00421-2023. CrossRef
How the National Ambulatory Medical Care Survey has been used to identify health disparities in the care of patients in the United States Amanda S. Weissman, Varun Ranpariya, Alan B. Fleischer, Steven R. Feldman Journal of the National Medical Association.2021; 113(5): 504. CrossRef
Polypharmacy among Older Individuals with COPD: Trends between 2000 and 2015 in Quebec, Canada Caroline Sirois, Amina Ouali, Marc Simard COPD: Journal of Chronic Obstructive Pulmonary Disease.2019; 16(3-4): 234. CrossRef
Tobacco Screening and Treatment of Patients With a Psychiatric Diagnosis, 2012–2015 Erin S. Rogers, Christina N. Wysota American Journal of Preventive Medicine.2019; 57(5): 687. CrossRef
Secular trends in smoking in relation to prevalent and
incident smoking-related disease: A prospective population-based
study Philip Tonnesen, Jacob Marott, Børge Nordestgaard, S. Bojesen, Peter Lange Tobacco Induced Diseases.2019;[Epub] CrossRef
Objectives Medical students represent a primary target for tobacco cessation training. This study assessed the prevalence of medical students’ tobacco use, attitudes, clinical skills, and tobacco-related curricula in two countries, the US and Italy, with known baseline disparities in hopes of identifying potential corrective interventions.
Methods From September to December 2013, medical students enrolled at the University of Bologna and at Brown University were recruited via email to answer survey questions assessing the prevalence of medical students’ tobacco use, attitudes and clinical skills related to patients’ smoking, and elements of medical school curricula related to tobacco use.
Results Of the 449 medical students enrolled at Brown and the 1426 enrolled at Bologna, 174 Brown students (38.7%) and 527 Bologna students (36.9%) participated in this study. Italian students were more likely to smoke (29.5% vs. 6.1%; p<0.001) and less likely to receive smoking cessation training (9.4% vs. 80.3%; p<0.001) than their American counterparts, even though the majority of students in both countries desired smoking cessation training (98.6% at Brown, 85.4% at Bologna; p<0.001). Additionally, negative beliefs regarding tobacco usage, the absence of formal training in smoking cessation counseling, and a negative interest in receiving specific training on smoking cessation were associated with a higher risk of not investigating a patient’s smoking status during a routine history and not offering tobacco cessation treatment to patients.
Conclusions Medical curricula on tobacco-related health hazards and on smoking cessation should be mandatory in order to reduce smoking among medical students, physicians, and patients, thereby improving tobacco-related global health.
Summary
Citations
Citations to this article as recorded by
Smoking and Depression among Medical School Students: A Cross-Sectional Study from Turkey’s Largest Province Bahar Ürün Ünal, Kamile Marakoğlu Healthcare.2024; 12(11): 1130. CrossRef
Prevalence and Assessment of Knowledge, Attitudes, and Practices of Tobacco Use Among Medical and Dental Students in Bhubaneswar, Odisha Nancy Satpathy, Himanshu S Pradhan, Swapna Sarangi, Venkatarao Epari, Pratap K Jena, Samarendra Dash, Debi P Mohanty, Pratisha Mishra Cureus.2024;[Epub] CrossRef
The Role Of Medical Education in Struggle Against Smoking: The Prevalance of Smoking And Related Factors in Medical Students, Çanakkale Buse YÜKSEL, Esen GOKCE, Coşkun BAKAR, Demet Güleç ÖYEKÇİN, Yagmur DUVA Türkiye Halk Sağlığı Dergisi.2023;[Epub] CrossRef
Prevalence of Use and Knowledge about Tobacco Products and Their Harmful Effects among University Students in Southern Croatia Dora Istenic, Lidia Gavic, Antonija Tadin Healthcare.2023; 11(5): 771. CrossRef
Tobacco Cessation Curriculum in Medical Schools: a Scoping Review Sufian Elfandi, Hemant Poudyal Journal of Cancer Education.2023; 38(5): 1614. CrossRef
Knowledge and Awareness of Smoking Effects and Its Cessation Methods among Medical Students in Telangana: A Questionnaire Study Prashanth Panta, Archana Andhavarapu, Tejaswini R Gurram, Santhi P Ravada World Journal of Dentistry.2023; 14(5): 447. CrossRef
Prevalence of Cigarette Smoking and Influence of Associated Factors among Students of the University of Banja Luka: A Cross-Sectional Study Ivana Todorović, Feng Cheng, Stela Stojisavljević, Sonja Marinković, Stefan Kremenović, Pane Savić, Ana Golić-Jelić, Nataša Stojaković, Svjetlana Stoisavljević-Šatara, Rajko Igić, Ranko Škrbić Medicina.2022; 58(4): 502. CrossRef
Cigarette Smoking among Medical Students from the Western Balkan Miloš Ilić, Maja Grujičić, Budimka Novaković, Aleksandra Vrkatić, Zagorka Lozanov-Crvenković International Journal of Environmental Research and Public Health.2022; 19(5): 3055. CrossRef
Training Tobacco Treatment Specialists through Virtual Asynchronous Learning Audrey Darville, Kathy Rademacher, Amanda T. Wiggins, Mary Grace Lenhof, Ellen J. Hahn International Journal of Environmental Research and Public Health.2022; 19(6): 3201. CrossRef
Perceptions and preparedness toward tobacco cessation counseling amongst clinical medical students in Chongqing, Southwest China: A cross-sectional study Chuang Yang, Wenjin He, Ruihang Deng, Mohan Giri, Haiyun Dai Frontiers in Public Health.2022;[Epub] CrossRef
Tobacco Consumption Among Young Population in Rural Indonesia: Prevalence and Associated Factors Diyan Ermawan Effendi, Arief Priyo Nugroho, Sri Handayani, Risqa Novita, Sidiq Purwoko, Zulfa Auliyati Agustina Open Access Macedonian Journal of Medical Sciences.2022; 10(E): 1178. CrossRef
Assessment of Knowledge, Attitude, and Practice among Subjects Visiting the Tobacco Cessation Clinic Aiswarya Vijayakrishna, Sharad Chand, U. P. Nandakumar, Santosh Prabhu, Manoj S. Dikkatwar, B. C. Vinay, Juno J. Joel Global Journal of Medical, Pharmaceutical, and Biomedical Update.2022; 17: 19. CrossRef
Assessing Smoking Habits, Attitudes, Knowledge, and Needs among University Students at the University of Milan, Italy Laura Campo, Silvia Lumia, Silvia Fustinoni International Journal of Environmental Research and Public Health.2022; 19(19): 12527. CrossRef
Tobacco Smoking and Smokeless Tobacco Use among Domestic and International Medical Students in Hungary Erika Balogh, Zoltán Wagner, Nóra Faubl, Henna Riemenschneider, Karen Voigt, András Terebessy, Ferenc Horváth, Zsuzsanna Füzesi, István Kiss Substance Use & Misuse.2021; 56(4): 493. CrossRef
Tobacco use and related behaviors among staff and students in a university hospital: A large cross-sectional survey Emmanuel Grolleau, Véronique Fonteille, Caroline Lebourgeois, Marie Darrason, Philippe Michel, Delphine Ragonnet, Gilles Freyer, Amélie Deculty, Carine Gippet, Céline Leclerq, Carole Neugnot, Radoudja Malek, Odile Perdriolat, Michele Rigaud, Séverine Torr Tobacco Prevention & Cessation.2021; 7(July): 1. CrossRef
Knowledge and attitudes towards smoking cessation counselling: an Italian cross-sectional survey on tertiary care nursing staff Laura Maniscalco, Salvatore Barretta, Giuseppe Pizzo, Domenica Matranga PeerJ.2021; 9: e12213. CrossRef
Validation of a Questionnaire to Assess Smoking Habits, Attitudes, Knowledge, and Needs among University Students: A Pilot Study among Obstetrics Students Laura Campo, Francesca Vecera, Silvia Fustinoni International Journal of Environmental Research and Public Health.2021; 18(22): 11873. CrossRef
First-year French medical students consume antidepressants and anxiolytics while second-years consume non-medical drugs. G. Fond, A. Bourbon, M. Boucekine, M. Messiaen, V. Barrow, P. Auquier, C. Lançon, L. Boyer Journal of Affective Disorders.2020; 265: 71. CrossRef
Mental Health Disturbances and Related Problems in Italian University Medical Students from 2000 to 2020: An Integrative Review of Qualitative and Quantitative Studies Gaia Sampogna, Giovanni Marcos Lovisi, Francesca Zinno, Valeria Del Vecchio, Mario Luciano, Érika Gonçalves Loureiro Sol, Roberto José Gervásio Unger, Antonio Ventriglio, Andrea Fiorillo Medicina.2020; 57(1): 11. CrossRef
Apprentissage de l’aide au sevrage tabagique dans les formations médicales au Liban Hala El Kahi, Fady Haddad, Sani Hlais Santé Publique.2020; Vol. 32(1): 57. CrossRef
Preferences in Sleep Position Correlate With Nighttime Paresthesias in Healthy People Without Carpal Tunnel Syndrome Carrie L. Roth Bettlach, Jessica M. Hasak, Emily M. Krauss, Jenny L. Yu, Gary B. Skolnick, Greta N. Bodway, Lorna C. Kahn, Susan E. Mackinnon HAND.2019; 14(2): 163. CrossRef
Perception of health professions students of their role model status in Toombak cessation: A cross-sectional study from Sudan Hatim Mohammed Almahdi, Raouf Wahab Ali, Anne Nordrehaug Åstrøm, Elwalid Fadul Nasir, Pranil Man Singh Pradhan PLOS ONE.2019; 14(2): e0210837. CrossRef
Anxiolytic consumption is associated with tobacco smoking and severe nicotine dependence. Results from the national French medical students (BOURBON) study A. Bourbon, L. Boyer, P. Auquier, M. Boucekine, V. Barrow, C. Lançon, G. Fond Progress in Neuro-Psychopharmacology and Biological Psychiatry.2019; 94: 109645. CrossRef
Psychiatry: A discipline at specific risk of mental health issues and addictive behavior? Results from the national BOURBON study G. Fond, A. Bourbon, J-A. Micoulaud-Franchi, P. Auquier, L. Boyer, C. Lançon Journal of Affective Disorders.2018; 238: 534. CrossRef
Estudio de corte transversal sobre el estado de conocimientos, actitudes y prácticas de médicos colombianos ante el tabaquismo Claudia Ximena Robayo-González, Juan Carlos Uribe-Caputi MedUNAB.2018; 20(3): 327. CrossRef