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Cessation behaviors and treatment use among US smokers by insurance status, 2000–2015

American Journal of Preventive Medicine Aug 27, 2019

Zhang L, et al. - Using data from the 2000–2015 National Health Interview Surveys, researchers analyzed trends in quit attempts, provider advice to quit, and use of cessation counseling and/or medications among cigarette smokers (aged 18–64 years) by insurance status (private, Medicaid, or uninsured). Using multivariable logistic regression models, they investigated demographic correlates of these behaviors. All insurance groups showed a linear rise in past-year quit attempts, whereas no alteration was noted in the provider's advice to quit. Among Medicaid enrollees, cessation treatments were reported being used increasingly, but adult cessation behaviors continued to be disparate by insurance status. Lower odds of receiving advice to quit and using cessation treatments were reported among adults aged 18–24 years vs older adults, irrespective of insurance status. By making comprehensive, barrier-free cessation coverage available to all smokers, cessation may be increased, according to the researchers.

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