TABLE 2—
Variables Associated With the Identification of Smoking Status and Smoking Counseling at Ambulatory Visits: National Ambulatory Medical Care Survey, 2001–2003
| Visits With Smoking Status Identified | Smokers’ Visits With Smoking Counseling | |||
| Variables | % | AOR (95% CI)b | % | AOR (95% CI)b |
| Total | 68 | . . . | 20 | . . . |
| Physician type | ||||
| Specialist | 67 | Ref | 14 | Ref |
| Primary care | 70 | 1.13 (0.94, 1.35) | 26 | 1.94 (1.48, 2.54) |
| Diagnosis or reason for visitc | ||||
| General medical examination | 69 | 1.02 (0.81, 1.27) | 32 | 1.05 (0.71, 1.57) |
| Cardiovascular disease | 74 | 1.38 (1.20, 1.58) | 33 | 2.03 (1.54, 2.67) |
| Chronic pulmonary disease | 76 | 1.56 (1.28, 1.90) | 44 | 3.79 (2.63, 5.45) |
| Pregnancy | 82 | 2.20 (1.65, 2.94) | 29 | 0.95 (0.54, 1.69) |
| Diabetes | 73 | 1.10 (0.94, 1.30) | 29 | 1.05 (0.69, 1.59) |
| Type of visit | ||||
| Acute problem | 70 | Ref | 20 | Ref |
| Chronic problem | 67 | 0.86 (0.78, 0.96) | 19 | 0.92 (0.69, 1.59) |
| Preventive care | 71 | 0.86 (0.70, 1.05) | 32 | 1.89 (1.33, 2.68) |
| Type of patient | ||||
| Established patient not seen in the past 12 months | 70 | Ref | 30 | Ref |
| Established patient seen in the past 12 months | 69 | 0.84 (0.69, 1.03) | 19 | 0.46 (0.33, 0.65) |
| New patient | 70 | 0.98 (0.79, 1.21) | 20 | 0.71 (0.47, 1.07) |
| Counseling about other behavioral risk factorsd | ||||
| No | 66 | Ref | 16 | Ref |
| Yes | 78 | 1.75 (1.53, 2.01) | 40 | 3.40 (2.64, 4.38) |
| Age, y | ||||
| 18–34 | 70 | Ref | 19 | Ref |
| 35–64 | 68 | 0.96 (0.88, 1.06) | 21 | 1.06 (0.80, 1.41) |
| ≥65 | 68 | 0.88 (0.75, 1.02) | 19 | 0.87 (0.55, 1.38) |
| Gender | ||||
| Men | 65 | Ref | 19 | Ref |
| Women | 70 | 1.26 (1.16, 1.35) | 21 | 1.14 (0.94, 1.39) |
| Race | ||||
| Non-White | 68 | Ref | 21 | Ref |
| Non-Hispanic White | 68 | 1.10 (0.94, 1.30) | 18 | 1.17 (0.89, 1.55) |
| Expected source of payment | ||||
| Private insurance | 70 | Ref | 20 | Ref |
| Medicare | 69 | 1.11 (0.95, 1.29) | 19 | 0.95 (0.63, 1.43) |
| Medicaid | 73 | 1.10 (0.89, 1.37) | 29 | 1.79 (1.35, 2.37) |
| Other | 66 | 0.87 (0.72, 1.05) | 15 | 0.77 (0.54, 1.12) |
Notes. AOR = adjusted odds ratio; CI = confidence interval.
aPercentage estimates were weighted to reflect national estimates.
bOdds ratios were adjusted for all variables listed in the table.
cReference for each diagnosis category includes all visits for diagnoses other than those specified in table.
dIncluded counseling for cholesterol, weight reduction, diet and nutrition, and exercise.