哮喘联盟

   摘要
   背景：在医疗水平地下地区吸烟率仍然很高，且与戒烟治疗的获得和使用情况的差异有关。
   方法：本研究对无家(n = 260)和有家(n = 226)的成年人实施5A（询问、评估、建议、帮助、管理）戒烟干预并对其进行追踪观察；这些患者参加了免费的内科门诊，并推荐和使用现场药剂师提供的戒烟服务。
   结果：在接受询问和评估戒烟干预的患者中(97%)，无家患者（与有家患者相比）更容易吸烟(59% vs. 39%; P = 0.008)。无家和有家吸烟患者在接受戒烟建议(84% vs. 78%; P = 0.22)或治疗安排(36% vs. 31%; P = 0.46)上并无差异。总体来说，在接受治疗管理的患者中，无家患者较有家患者参加戒烟方案的比例更小(25% vs. 48%; P = 0.04)。然而，在接受任何治疗（例如，戒烟帮助）的患者中，无家和有家患者参加会议的次数相似，且药物疗法的使用率也相似。
   结论：提供者应该对无家吸烟者提供特殊戒烟帮助，减少他们开始进行治疗服务的障碍，以降低无家和有家吸烟者的差异。
 

（刘国梁 审校）
Res Social Adm Pharm. 2014Mar-Apr;10(2):369-77.doi:10.1016/j.sapharm.2013.05.011.

 

Focusing on the five A's: A comparison of homeless and housed patients' access to and use of pharmacist-provided smoking cessation treatment.
 

Connor SE1, Scharf DM2, Jonkman LJ3, Herbert MI4.
 

ABSTRACT
INTRODUCTION: The prevalence of smoking remains high among the medically underserved and could be related to disparities in access to and use of smoking cessation treatments.
METHODS: This study implemented and tracked providers' use of the 5 A's intervention for tobacco use (Ask, Assess, Advise, Assist, Arrange) with homeless (n = 260) and housed (n = 226) adults attending a free medical clinic, including referrals to and use of an on-site pharmacist-led smoking cessation service.
RESULTS: Among patients whose tobacco use was Asked about and Assessed (97%), homeless (vs. housed) patients were more likely to smoke (59% vs. 39%; P = 0.008). Among current smokers, there were no homeless-housed disparities in receipt of Advice to quit smoking (84% vs. 78%; P = 0.22) or Arrangement of treatment (36% vs. 31%; P = 0.46). Overall, among patients for whom treatment was Arranged, homeless patients were less likely than housed patients to attend the smoking cessation program (25% vs. 48%; P = 0.04). However, among those that attended any treatment (i.e., were Assisted to quit), homeless and housed patients attended similar numbers of sessions and used pharmacotherapy at similar rates.
CONCLUSIONS: Providers may reduce homeless-housed disparities in smoking by offering special Assist(ance) to homeless smokers that reduces barriers to initially accessing treatment services.
 

Res Social Adm Pharm. 2014Mar-Apr;10(2):369-77.doi:10.1016/j.sapharm.2013.05.011