Differences in Provider Beliefs and Delivery of the 5As for Cigarette and Non-Cigarette Tobacco Use Between Two Types of Healthcare Centers Serving Rural and/or Medically Underserved Areas of Texas, US.

• Tác giả: Maggie Britton, Brian J Carter, Kathleen Casey, Tzuan A Chen, Isabel Martinez Leal, Asfand B Moosa, Lorraine R Reitzel, Hector Sanchez, Ammar D Siddiqi, Teresa Williams
• Ngôn ngữ: eng
• Ký hiệu phân loại: 296.123 Mishnah
• Thông tin xuất bản: Switzerland : Healthcare (Basel, Switzerland) , 2025
• Bộ sưu tập: NCBI
• ID: 78372

Tóm tắt

 BACKGROUND/OBJECTIVES: Rural populations in the US bear a disproportionate burden of cancer mortality, which may be partly due to their elevated tobacco use and the limited receipt of tobacco use interventions in rural healthcare settings. Here, we examine providers' use of the 5As (Ask, Advise, Assess, Assist, and Arrange), a brief tobacco cessation intervention, with their patients to assess intervention gaps. METHODS: Provider practices in substance use treatment centers (SUTCs) and medical healthcare centers (MHCs), each serving rural and/or medically underserved areas (MUAs) of Texas, were compared. In total, 347 providers from 10 SUTCs ( RESULTS: More MHC than SUTC providers reported that cigarette and non-cigarette tobacco use cessation intervention were (respectively) important parts of their job ( CONCLUSIONS: Overall, providers in both settings may benefit from greater preparation to deliver tobacco cessation care
  needs were more prevalent within SUTCs than MHCs. Our findings can inform strategic planning to improve centers' capacity to comprehensively address their patients' tobacco use in rural/MUAs of Texas, US.