Patient-reported recall of smoking cessation interventions from a health professional

Prev Med. 2013 Nov;57(5):715-7. doi: 10.1016/j.ypmed.2013.07.010. Epub 2013 Jul 16.


Objective: To determine the prevalence and characteristics of current cigarette smokers who report receiving health care provider interventions ('5A's': ask, advise, assess, assist, arrange) for smoking cessation.

Methods: Data came from the 2009-2010 National Adult Tobacco Survey, a telephone survey of United States adults aged ≥ 18 years. Among current cigarette smokers who reported visiting a health professional in the past year (n=16,542), estimates were calculated overall and by sex, age, race/ethnicity, education, income, health insurance coverage, and sexual orientation.

Results: Among smokers who visited a health professional (75.2%), 87.9% were asked if they used tobacco, 65.8% were advised to quit, and 42.6% were asked if they wanted to quit. Among those wanting to quit, 78.2% were offered assistance and 17.5% had follow-up arranged. Receipt of the 'ask' component was lower among males and uninsured individuals. Receipt of the 'advise' and 'assess' components was lower among those aged 18-24 and uninsured individuals. Receipt of the 'assist' component was lower among non-Hispanic blacks. No differences were observed for the 'arrange' component.

Conclusions: Many current smokers report receiving health care provider interventions for smoking cessation. Continued efforts to educate, encourage, and support all health professionals to provide effective, comprehensive tobacco cessation interventions to their patients may be beneficial.

Keywords: Adult; Counseling; HMO; Health Management Organization; NATS; National Adult Tobacco Survey; Questionnaires; Smoking cessation; Tobacco use cessation.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Health Maintenance Organizations
  • Health Personnel / psychology*
  • Health Personnel / statistics & numerical data
  • Health Surveys
  • Humans
  • Insurance Coverage / statistics & numerical data
  • Interviews as Topic
  • Male
  • Mental Recall*
  • Patient Education as Topic
  • Physician's Role / psychology*
  • Referral and Consultation* / statistics & numerical data
  • Secondary Prevention
  • Smoking Cessation / methods*
  • Smoking Cessation / psychology*
  • United States
  • Utilization Review
  • Young Adult