To whom do psychiatrists offer smoking-cessation counseling?

Am J Psychiatry. 2003 Dec;160(12):2228-30. doi: 10.1176/appi.ajp.160.12.2228.


Objective: Individuals with mental illness have high rates of tobacco dependence; however, little is known about what influences a psychiatrist's 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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bipolar Disorder / epidemiology
  • Cross-Sectional Studies
  • Female
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Physician's Role*
  • Probability
  • Psychiatry / statistics & numerical data*
  • Referral and Consultation / statistics & numerical data*
  • Risk Factors
  • Smoking / adverse effects
  • Smoking Cessation / statistics & numerical data*
  • United States