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. 2021 Jan;48(1):63-76.
doi: 10.1007/s11414-020-09707-3.

Serious Mental Illness and Smoking Cessation Treatment Utilization: the Role of Healthcare Providers

Patrick J Hammett  1   2 , Brent C Taylor  3   4 , Harry A Lando  5 , Rachel Widome  5 , Darin J Erickson  5 , Steven S Fu  3   4
Affiliations

Serious Mental Illness and Smoking Cessation Treatment Utilization: the Role of Healthcare Providers

Patrick J Hammett et al. J Behav Health Serv Res. 2021 Jan.

Abstract

Healthcare provider barriers to cessation resources may be undercutting quit rates for smokers with serious mental illness (SMI). The study aim was to examine how providers influence cessation treatment utilization among smokers with SMI. Data were taken from a trial conducted among smokers in Minnesota Health Care Programs. The sample was split into groups of participants with SMI (n = 939) and without SMI (n = 1382). Analyses assessed whether the association between SMI and treatment utilization was mediated by healthcare provider-delivered treatment advice and healthcare provider bias. Results revealed higher rates of treatment utilization among smokers with SMI than those without SMI (45.9% vs 31.7%, p < 0.001); treatment advice and provider bias did not mediate this association. Subsequent individual regression analyses revealed positive associations between treatment advice and treatment utilization (β 0.21-0.25, p < 0.05), independent of SMI status. Strategies to increase low-income smokers' contacts with providers may reduce treatment utilization barriers among these smokers.

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Conflict of interest statement

Conflict of Interest The authors declare that they have no conflict of interest.

Figures

Figure 1.
Figure 1.
Summary of regression effects for advice to use medication mediator Note: Boldface indicates p<0.05
Figure 2.
Figure 2.
Summary of regression effects for advice to use other treatments mediator Note: Boldface indicates p<0.05
Figure 3.
Figure 3.
Summary of regression effects for perceptions of healthcare provider bias mediator Note: Boldface indicates p<0.05
See this image and copyright information in PMC

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