The Experts below are selected from a list of 165633 Experts worldwide ranked by ideXlab platform
Sandro Galea - One of the best experts on this subject based on the ideXlab platform.
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who conceals their smoking status from their Health Care Provider
Nicotine & Tobacco Research, 2009Co-Authors: Jennifer Stuber, Sandro GaleaAbstract:INTRODUCTION: The decline in the social acceptability of tobacco use has the potential consequence that smokers may conceal their smoking from Health Care Providers. METHODS: To assess the frequency and correlates of concealing one's smoking status from a Health Care Provider, we analyzed data from the New York Social Environment Study, a cross-sectional random-digit-dialed telephone survey of 4,000 adult New York City residents surveyed between June and December 2005 (cooperation rate = 54%). A total of 835 current smokers were asked if they had ever kept their smoking status a secret from a doctor or another Health Care Provider. Multiple items assessed the social unacceptability of smoking. Other potential correlates of smoking status nondisclosure were demographics, Health status, frequency of tobacco use, and dependence. RESULTS: Some 8% of respondents (N = 63) reported ever keeping their smoking status a secret from a Health Provider. Nondisclosure of smoking status was more common among respondents who perceived high compared with low levels of smoker-related stigma (perceptions that they were devalued because they smoke; odds ratio [OR] = 2.83, 95% CI = 1.14-7.01) and among respondents who reported that smoking was not allowed in their home (OR = 2.04, 95% CI = 1.01-4.11) in a multiple logistic regression analysis that adjusted for demographics, Health status, frequency of tobacco use, and dependence. No other factors were associated with nondisclosure in this model. DISCUSSION: A small percentage of smokers may conceal their smoking status from their Health Care Providers, and those who do are more likely to perceive their tobacco use to be socially unacceptable.
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who conceals their smoking status from their Health Care Provider
Nicotine & Tobacco Research, 2009Co-Authors: Jennifer Stuber, Sandro GaleaAbstract:INTRODUCTION: The decline in the social acceptability of tobacco use has the potential consequence that smokers may conceal their smoking from Health Care Providers. METHODS: To assess the frequency and correlates of concealing one's smoking status from a Health Care Provider, we analyzed data from the New York Social Environment Study, a cross-sectional random-digit-dialed telephone survey of 4,000 adult New York City residents surveyed between June and December 2005 (cooperation rate = 54%). A total of 835 current smokers were asked if they had ever kept their smoking status a secret from a doctor or another Health Care Provider. Multiple items assessed the social unacceptability of smoking. Other potential correlates of smoking status nondisclosure were demographics, Health status, frequency of tobacco use, and dependence. RESULTS: Some 8% of respondents (N = 63) reported ever keeping their smoking status a secret from a Health Provider. Nondisclosure of smoking status was more common among respondents who perceived high compared with low levels of smoker-related stigma (perceptions that they were devalued because they smoke; odds ratio [OR] = 2.83, 95% CI = 1.14-7.01) and among respondents who reported that smoking was not allowed in their home (OR = 2.04, 95% CI = 1.01-4.11) in a multiple logistic regression analysis that adjusted for demographics, Health status, frequency of tobacco use, and dependence. No other factors were associated with nondisclosure in this model. DISCUSSION: A small percentage of smokers may conceal their smoking status from their Health Care Providers, and those who do are more likely to perceive their tobacco use to be socially unacceptable.
Jennifer Stuber - One of the best experts on this subject based on the ideXlab platform.
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who conceals their smoking status from their Health Care Provider
Nicotine & Tobacco Research, 2009Co-Authors: Jennifer Stuber, Sandro GaleaAbstract:INTRODUCTION: The decline in the social acceptability of tobacco use has the potential consequence that smokers may conceal their smoking from Health Care Providers. METHODS: To assess the frequency and correlates of concealing one's smoking status from a Health Care Provider, we analyzed data from the New York Social Environment Study, a cross-sectional random-digit-dialed telephone survey of 4,000 adult New York City residents surveyed between June and December 2005 (cooperation rate = 54%). A total of 835 current smokers were asked if they had ever kept their smoking status a secret from a doctor or another Health Care Provider. Multiple items assessed the social unacceptability of smoking. Other potential correlates of smoking status nondisclosure were demographics, Health status, frequency of tobacco use, and dependence. RESULTS: Some 8% of respondents (N = 63) reported ever keeping their smoking status a secret from a Health Provider. Nondisclosure of smoking status was more common among respondents who perceived high compared with low levels of smoker-related stigma (perceptions that they were devalued because they smoke; odds ratio [OR] = 2.83, 95% CI = 1.14-7.01) and among respondents who reported that smoking was not allowed in their home (OR = 2.04, 95% CI = 1.01-4.11) in a multiple logistic regression analysis that adjusted for demographics, Health status, frequency of tobacco use, and dependence. No other factors were associated with nondisclosure in this model. DISCUSSION: A small percentage of smokers may conceal their smoking status from their Health Care Providers, and those who do are more likely to perceive their tobacco use to be socially unacceptable.
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who conceals their smoking status from their Health Care Provider
Nicotine & Tobacco Research, 2009Co-Authors: Jennifer Stuber, Sandro GaleaAbstract:INTRODUCTION: The decline in the social acceptability of tobacco use has the potential consequence that smokers may conceal their smoking from Health Care Providers. METHODS: To assess the frequency and correlates of concealing one's smoking status from a Health Care Provider, we analyzed data from the New York Social Environment Study, a cross-sectional random-digit-dialed telephone survey of 4,000 adult New York City residents surveyed between June and December 2005 (cooperation rate = 54%). A total of 835 current smokers were asked if they had ever kept their smoking status a secret from a doctor or another Health Care Provider. Multiple items assessed the social unacceptability of smoking. Other potential correlates of smoking status nondisclosure were demographics, Health status, frequency of tobacco use, and dependence. RESULTS: Some 8% of respondents (N = 63) reported ever keeping their smoking status a secret from a Health Provider. Nondisclosure of smoking status was more common among respondents who perceived high compared with low levels of smoker-related stigma (perceptions that they were devalued because they smoke; odds ratio [OR] = 2.83, 95% CI = 1.14-7.01) and among respondents who reported that smoking was not allowed in their home (OR = 2.04, 95% CI = 1.01-4.11) in a multiple logistic regression analysis that adjusted for demographics, Health status, frequency of tobacco use, and dependence. No other factors were associated with nondisclosure in this model. DISCUSSION: A small percentage of smokers may conceal their smoking status from their Health Care Providers, and those who do are more likely to perceive their tobacco use to be socially unacceptable.
Michael G Goldstein - One of the best experts on this subject based on the ideXlab platform.
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physicians counseling smokers a population based survey of patients perceptions of Health Care Provider delivered smoking cessation interventions
JAMA Internal Medicine, 1997Co-Authors: Michael G Goldstein, Raymond Niaura, Cynthia Willeylessne, Judy Depue, Cheryl A Eaton, William RakowskiAbstract:Objective: To examine associations between sociodemographic and psychological characteristics of smokers and delivery of 5 types of smoking cessation counseling interventions by physicians and office staff. Methods: We used a telephone survey of a population-based sample of adult cigarette smokers (N=3037) who saw a physician in the last year. Primary outcomes included patients' report of whether a physician or other Health Care Provider (1) talked about smoking, (2) advised them to quit, (3) offered help to quit, (4) arranged a follow-up contact, and (5) prescribed nicotine gum or other medication. Results: Fifty-one percent of smokers were talked to about their smoking; 45.5% were advised to quit; 14.9% were offered help; 3% had a follow-up appointment arranged; and 8.5% were prescribed medication. In multivariate analyses, the most consistent predictors of receipt of almost all counseling behaviors were medical setting (private physician's office only > Care in other settings), Health status (fair or poor > good, very good, or excellent), more years of education, greater number of cigarettes smoked per day, stage of readiness to quit smoking (preparation > precontemplation), and greater reported benefits of smoking. Conclusions: Physicians and other Health Care Providers are not meeting the standards of smoking intervention outlined by the National Cancer Institute and the Agency for Health Care Policy and Research. Health Care Providers who intervene only with those patients who are ready to quit smoking are missing opportunities to provide effective smoking interventions to the majority of their patients. Interventions are also less likely to be provided to Healthier and lighter smokers. Arch Intern Med. 1997;157:1313-1319
William Rakowski - One of the best experts on this subject based on the ideXlab platform.
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physicians counseling smokers a population based survey of patients perceptions of Health Care Provider delivered smoking cessation interventions
JAMA Internal Medicine, 1997Co-Authors: Michael G Goldstein, Raymond Niaura, Cynthia Willeylessne, Judy Depue, Cheryl A Eaton, William RakowskiAbstract:Objective: To examine associations between sociodemographic and psychological characteristics of smokers and delivery of 5 types of smoking cessation counseling interventions by physicians and office staff. Methods: We used a telephone survey of a population-based sample of adult cigarette smokers (N=3037) who saw a physician in the last year. Primary outcomes included patients' report of whether a physician or other Health Care Provider (1) talked about smoking, (2) advised them to quit, (3) offered help to quit, (4) arranged a follow-up contact, and (5) prescribed nicotine gum or other medication. Results: Fifty-one percent of smokers were talked to about their smoking; 45.5% were advised to quit; 14.9% were offered help; 3% had a follow-up appointment arranged; and 8.5% were prescribed medication. In multivariate analyses, the most consistent predictors of receipt of almost all counseling behaviors were medical setting (private physician's office only > Care in other settings), Health status (fair or poor > good, very good, or excellent), more years of education, greater number of cigarettes smoked per day, stage of readiness to quit smoking (preparation > precontemplation), and greater reported benefits of smoking. Conclusions: Physicians and other Health Care Providers are not meeting the standards of smoking intervention outlined by the National Cancer Institute and the Agency for Health Care Policy and Research. Health Care Providers who intervene only with those patients who are ready to quit smoking are missing opportunities to provide effective smoking interventions to the majority of their patients. Interventions are also less likely to be provided to Healthier and lighter smokers. Arch Intern Med. 1997;157:1313-1319
Judith H Lichtman - One of the best experts on this subject based on the ideXlab platform.
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sex differences in cardiac risk factors perceived risk and Health Care Provider discussion of risk and risk modification among young patients with acute myocardial infarction the virgo study
Journal of the American College of Cardiology, 2015Co-Authors: Erica C Leifheitlimson, Gail Donofrio, Mitra Daneshvar, Mary Geda, Hector Bueno, John A Spertus, Harlan M Krumholz, Judith H LichtmanAbstract:Abstract Background Differences between sexes in cardiac risk factors, perceptions of cardiac risk, and Health Care Provider discussions about risk among young patients with acute myocardial infarction (AMI) are not well studied. Objectives This study compared cardiac risk factor prevalence, risk perceptions, and Health Care Provider feedback on heart disease and risk modification between young women and men hospitalized with AMI. Methods We studied 3,501 AMI patients age 18 to 55 years enrolled in the VIRGO (Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients) study in U.S. and Spanish hospitals between August 2008 and January 2012, comparing the prevalence of 5 cardiac risk factors by sex. Modified Poisson regression was used to assess sex differences in self-perceived heart disease risk and self-reported Provider discussions of risk and modification. Results Nearly all patients (98%) had ≥1 risk factor, and 64% had ≥3. Only 53% of patients considered themselves at risk for heart disease, and even fewer reported being told they were at risk (46%) or that their Health Care Provider had discussed heart disease and risk modification (49%). Women were less likely than men to be told they were at risk (relative risk: 0.89; 95% confidence interval: 0.84 to 0.96) or to have a Provider discuss risk modification (relative risk: 0.84; 95% confidence interval: 0.79 to 0.89). There was no difference between women and men for self-perceived risk. Conclusions Despite having significant cardiac risk factors, only one-half of young AMI patients believed they were at risk for heart disease before their event. Even fewer discussed their risks or risk modification with their Health Care Providers; this issue was more pronounced among women.
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sex differences in cardiac risk factors perceived risk and Health Care Provider discussion of risk and risk modification among young patients with acute myocardial infarction the virgo study
Journal of the American College of Cardiology, 2015Co-Authors: Erica C Leifheitlimson, Gail Donofrio, Mitra Daneshvar, Mary Geda, Hector Bueno, John A Spertus, Harlan M Krumholz, Judith H LichtmanAbstract:Abstract Background Differences between sexes in cardiac risk factors, perceptions of cardiac risk, and Health Care Provider discussions about risk among young patients with acute myocardial infarction (AMI) are not well studied. Objectives This study compared cardiac risk factor prevalence, risk perceptions, and Health Care Provider feedback on heart disease and risk modification between young women and men hospitalized with AMI. Methods We studied 3,501 AMI patients age 18 to 55 years enrolled in the VIRGO (Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients) study in U.S. and Spanish hospitals between August 2008 and January 2012, comparing the prevalence of 5 cardiac risk factors by sex. Modified Poisson regression was used to assess sex differences in self-perceived heart disease risk and self-reported Provider discussions of risk and modification. Results Nearly all patients (98%) had ≥1 risk factor, and 64% had ≥3. Only 53% of patients considered themselves at risk for heart disease, and even fewer reported being told they were at risk (46%) or that their Health Care Provider had discussed heart disease and risk modification (49%). Women were less likely than men to be told they were at risk (relative risk: 0.89; 95% confidence interval: 0.84 to 0.96) or to have a Provider discuss risk modification (relative risk: 0.84; 95% confidence interval: 0.79 to 0.89). There was no difference between women and men for self-perceived risk. Conclusions Despite having significant cardiac risk factors, only one-half of young AMI patients believed they were at risk for heart disease before their event. Even fewer discussed their risks or risk modification with their Health Care Providers; this issue was more pronounced among women.
