Table 3.
AORs of Smoking Assessment and Cessation Assistance Among Pregnant Patients by 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 pregnant patients | 2,713 | 2,698 | 2,561 | |||
| Smoking status assessed | 2,553 (94.10%) | 2,613 (96.85%) | 1.93 (1.45, 2.56)*** | 2,520 (98.40 %) | 4.31 (2.99, 6.20)*** | 2.18 (1.46, 3.25)** |
| Current smoker | 305 (11.24 %) | 292 (10.82 %) | 0.80 (0.65, 0.97)* | 314 (12.26 %) | 0.84 (0.69, 1.02) | 1.00 (0.81, 1.22) |
| Among pregnant smokers | 305 | 292 | 314 | |||
| Counseling given | 49 (16.07 %) | 124 (42.47 %) | 5.27 (3.28, 8.48)*** | 174 (55.41 %) | 10.36 (6.45, 16.64)*** | 2.37 (1.63, 3.44)*** |
| Smoking cessation medication ordered | 28 (9.18%) | 25 (8.56%) | 0.9 (0.48, 1.67) | 30 (9.55%) | 0.81 (0.44, 1.50) | 1 (0.53, 1.87) |
| Smoking cessation medication ordered and/or discussed | 53 (17.38 %) | 82 (28.08 %) | 1.97 (1.26, 3.09)** | 90 (28.66 %) | 1.84 (1.18, 2.88)** | 1.11 (0.73, 1.69) |
Note: 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 from the electronic health record); Boldface indicates statistical significance (*p<0.05; **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.