Abstract

While the poor and the uninsured are at increased risk for tobacco use, up to two thirds of these patients express interest in near-term quitting. Nonetheless, tobacco counseling rates remain low in clinics serving these patients. As part of a larger tobacco intervention project in North Carolina free clinics, we gathered baseline data on patient characteristics in six randomly selected facilities affiliated with the North Carolina Association of Free Clinics. An exit interview was completed by 231 patients; 126 (54%) were tobacco users. Among all patients, 71% had been asked by a clinician about tobacco use in the past 3 months. Among tobacco users, 68% had received at least one other counseling step (assessment; advice; or assistance). Patients with asthma and current tobacco users had a two-fold increase in being asked about tobacco use. Patients' diagnoses–-in particular asthma–-can remind clinicians of tobacco intervention.

Document Type

Article

Publication Date

1-1-2012

Notes/Citation Information

Published in Tobacco Use Insights, v. 5, p. 11-16.

© the author(s), publisher and licensee Libertas Academica Ltd.

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).

Digital Object Identifier (DOI)

https://doi.org/10.4137/TUI.S9350

Funding Information

This publication was supported by NCI 1 R21 DA024631-01 Implementation and Dissemination of Tobacco Cessation Strategies in Free Clinics.

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