Table 2.
AORs of Smoking Assessment and Cessation Assistance Among Non-pregnant Patients by Study Year
| Outcome | 2010 N (%) | 2012 N (%) | 2012 vs 2010 (ref) AOR (95% CI)a | 2014 N (%) | 2014 vs 2010 (ref) AOR (95% CI)a | 2014 vs 2012 (ref) AOR (95% CI)a |
|---|---|---|---|---|---|---|
| All non-pregnant patients | 55,398 | 60,610 | 66,712 | |||
| Smoking status assessed | 52,019 (93.90%) | 58,282 (96.16%) | 1.54 (1.46,1.63)** | 64,981 (97.41%) | 2.52 (2.37,2.69)** | 1.58 (1.47,1.69)** |
| Current smoker | 16,802 (30.33%) | 17,631 (29.09%) | 0.93 (0.90,0.96)** | 18,111 (27.15%) | 0.81 (0.79,0.83)** | 0.85 (0.79,0.82)** |
| Among non-pregnant smokers | 16,802 | 17,631 | 18,110 | |||
| Counseling given | 4,998 (29.75%) | 9,500 (53.88%) | 3.66 (3.48,3.85)** | 12,585 (69.49%) | 7.76 (7.35,8.20)** | 2.24 (2.13,2.35)** |
| Smoking cessation medication ordered | 2,032 (12.09%) | 2,338 (13.26%) | 1 (0.93,1.07) | 2,839 (15.68%) | 1.15 (1.07,1.23)** | 1.1 (1.03,1.17)* |
| Smoking cessation medication ordered and/or discussed | 4,638 (27.60%) | 6,987 (39.63%) | 1.65 (1.57,1.73)** | 8,747 (48.30%) | 2.25 (2.14,2.37)** | 1.38 (1.32,1.45)** |
Notes: All outcomes used discrete fields and natural language processing from the electronic health record except for Current smoker and Smoking cessation medication ordered (only discrete fields in the electronic health record). Boldface indicates statistical significance (*p<0.01; **p<0.0001).
a
OR adjusted for race/ethnicity, gender, age category, household percent of federal poverty level, insurance status at majority of visits, number of visits in the measurement year, and comorbid diseases, with service area of the patient’s primary clinic included as a fixed effect to adjust for potential differences between health centers.