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ORIGINAL RESEARCH article

Front. Public Health
Sec. Substance Use Disorders and Behavioral Addictions
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1383060

Prevalence and disparities in receiving medical advice to quit tobacco use in the US adult population

Provisionally accepted
Monalisa Chandra Monalisa Chandra Rajesh Talluri Rajesh Talluri Joel Fokom Domgue Joel Fokom Domgue Sanjay Shete Sanjay Shete *
  • University of Texas MD Anderson Cancer Center, Houston, Texas, United States

The final, formatted version of the article will be published soon.

    Introduction: Evidence suggests that advice from health care professionals(HCP) increases the likelihood of quit attempts and successful quitting of tobacco use. However, previous studies primarily focussed on cigarette smoking and did not include all forms of tobacco products. This study aimed to investigate the prevalence and disparities in receiving HCP’s advice to quit tobacco use (combustible or noncombustible) in the US adult population. Methods: Using the 2022 National Health Information Survey (NHIS) data, we examined 4424 adults who reported (i) any tobacco product use within the past 12 months and (ii) having seen an HCP within the past 12 months. The outcome variable included the receipt of advice to quit tobacco use from an HCP, and predictors included sociodemographic variables. Weighted prevalence estimates were calculated, and multivariable regression analyses were conducted. Results: Over 38% of tobacco users who visited an HCP were advised to quit. The odds of receiving such advice were lower among Hispanics (AOR: 0.625; 95% confidence interval (CI) [0.464-0.843];p=0.002), males (AOR: 0.767; 95% CI [0.659-0.893], p=0.001), those below the poverty level (AOR: 0.795; 95% CI [0.641-0.987];p=0.037), foreign-born (AOR: 0.664; 95% CI [0.496-0.888]; p=0.006), and those aged less than 45 years (AOR: 0.404; 95% CI: [0.344-0.473]; p<0.001). Conclusion: The prevalence of receiving HCP’s advice to quit tobacco use remains suboptimal and disparate among sociodemographic groups. Our findings call for strategic implementation of the USPHS’s recommendation on treating tobacco use and taking further actions to equip HCPs with the training and resources needed to provide appropriate advice to quit tobacco.

    Keywords: medical advice, Tobacco cessation, Tobacco use, disparities, Health care professionals (HCPs)

    Received: 12 Feb 2024; Accepted: 02 Sep 2024.

    Copyright: © 2024 Chandra, Talluri, Fokom Domgue and Shete. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Sanjay Shete, University of Texas MD Anderson Cancer Center, Houston, 77030, Texas, United States

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.