
Am J Psychiatry 160:2228-2230, December 2003
© 2003 American Psychiatric Association
To Whom Do Psychiatrists Offer Smoking-Cessation Counseling?
Seth Himelhoch, M.D., M.P.H., and
Gail Daumit, M.D., M.H.S.
OBJECTIVE: Individuals with mental illness have high rates of tobacco dependence; however, little is known about what influences a psychiatrists decision to offer smoking-cessation counseling to smoking patients. METHOD: Using the National Ambulatory Medical Care Survey, the authors identified 1,610 psychiatric office visits for patients who smoke. They investigated the relationship between patient and visit characteristics and smoking-cessation counseling with logistic regression. RESULTS: Psychiatrists offered cessation counseling at 12.4% of the visits for smoking patients. The adjusted probability of receiving smoking-cessation counseling was significantly higher for those older than 50; for those with a medical diagnosis of obesity, hypertension, or diabetes mellitus; for those in a rural location; and for those having an initial visit. Those with bipolar affective disorder were more likely to receive smoking-cessation counseling than those with depression. CONCLUSIONS: Psychiatrists may be missing opportunities to offer smoking-cessation counseling to patients who smoke.
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