Abstract：
BACKGROUND:This study describes opportunistic smoking-cessation counseling and compares strategies used in general practice to experts' recommendations. METHODS:In this observational study we analysed 157 videotaped consultations with self-reported smokers, visiting 70 Australian general practitioners (GPs) who were randomly enrolled in the Victorian General Practice Study. Smoking-cessation strategies were analysed using a rating form assessed for intrarater reliability and compared to recommendations of 20 experts surveyed to ascertain effective and feasible strategies. RESULTS:GPs identified smokers in 32% of consultations and counselled them in 29%. Median counselling time was 44 seconds in encounters typically lasting 10 minutes. When smoking was raised, advice to quit, personalising risks, discussing health risks, and quantifying consumption were the most commonly used strategies (46%-54%). Assessment of motivation to quit, individualised education, practical hints to stop, written materials, and follow-up were observed in a third or less of interventions. Quit dates and nicotine replacement were never proposed. CONCLUSIONS:GPs miss many opportunities to advise smokers to quit and rarely use effective smoking-cessation techniques as recommended. Medical education has failed to provide GPs with skills to counsel smokers routinely and effectively. We recommend better training of GPs in effective smoking-cessation strategies and incentives to facilitate their implementation in practice.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Humair JP,Ward Jdoi
10.1016/s0749-3797(97)00010-xsubject
Has Abstractpub_date
1998-01-01 00:00:00pages
1-8issue
1eissn
0749-3797issn
1873-2607pii
S074937979700010Xjournal_volume
14pub_type
杂志文章abstract：BACKGROUND:The long-term effect of most interventions has not been studied. Changes due to interventions to improve patient care may revert to baseline after the intervention stimulus ends. This analysis reports the 24-month follow-up of a practice-tailored intervention to increase preventive service delivery rates. D...
journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0749-3797(03)00219-8
更新日期：2003-11-01 00:00:00
abstract：BACKGROUND:Low-density lipoprotein (LDL)-based guidelines are currently used to initiate and monitor cholesterol-lowering therapy. METHODS:Using stratified analyses, data from the Framingham Heart Study and the Coronary Primary Prevention Trial were evaluated to determine whether (1) cholesterol levels (total choleste...
journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0749-3797(03)00092-8
更新日期：2003-07-01 00:00:00
abstract：BACKGROUND:Older people with elevated blood pressure (BP) often have metabolic syndrome, a clustering of central obesity, insulin resistance, dyslipidemia, and hypertension. Exercise reduces many of these risk factors. This study examined whether the benefits of exercise on cardiovascular and metabolic disease risk fac...
journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.amepre.2004.09.006
更新日期：2005-01-01 00:00:00
abstract：BACKGROUND:The central evaluative question about a national HIV prevention program is whether that program affects HIV incidence. Numerous factors may influence incidence, including public investment in HIV prevention. Few studies, however, have examined the relationship between public investment and the HIV epidemic i...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2006.08.033
更新日期：2007-01-01 00:00:00
abstract：BACKGROUND:Children with chronic conditions have an increased risk of complications from influenza and have low influenza vaccination rates. PURPOSE:To assess the feasibility and effectiveness of using a statewide immunization information system (IIS) for seasonal influenza vaccine reminders from local health departme...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2012-01-01 00:00:00
abstract：BACKGROUND:Healthy People 2020-specific respiratory diseases objectives seek to increase the proportion of people with current asthma who receive appropriate asthma care. For adults, this includes a discussion of whether asthma is work-related. PURPOSE:To establish a baseline measure of physician-patient communication...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2012.03.021
更新日期：2012-07-01 00:00:00
abstract：:With low rates of the risk factors for cardiovascular disease as recently as 40 years ago, the rates of cardiovascular disease (CVD) in American Indians and Alaska Natives were exceedingly low. Despite recent large-scale efforts to eliminate health disparities in ethnic and minority populations, the impact among Ameri...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2005.07.023
更新日期：2005-12-01 00:00:00
abstract：:The Greater Cleveland Healthy Family/Healthy Start (HF/HS) Project Consortium was established to combine various resources in the Cleveland community in an effort to reduce the infant mortality rate by 50% over five years. As part of HF/HS, an Infant Mortality Review Program (IMRP) was instituted. This program has two...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1995-05-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章
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更新日期：2019-04-01 00:00:00
abstract：BACKGROUND:Faxed referrals from healthcare providers may provide a sustainable, low-cost mechanism for enrolling tobacco users in statewide quitlines, but few studies have evaluated implementation in real-world settings. This study evaluated the reach rates, enrollment rates, and participant characteristics of faxed re...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
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更新日期：2009-04-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(03)00165-x
更新日期：2003-10-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(00)00174-4
更新日期：2000-07-01 00:00:00
abstract：CONTEXT:Community-based participatory research (CBPR) has been promoted as an approach to understanding complex health problems not amenable to research conducted solely by outside investigators. Although broad dissemination of research results is a key element of the CBPR approach, existing dissemination efforts have ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2010.05.021
更新日期：2010-10-01 00:00:00
abstract：:Priorities for improving the health of our nation include rebuilding the public health infrastructure through increasing assessment, policy development, and assurance capacities in our communities. Capacity building necessitates formalizing and strengthening public health practice linkages to achieve Year 2000 objecti...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1996-07-01 00:00:00
abstract：BACKGROUND:The 2009 pandemic influenza A (H1N1) virus (2009 H1N1) was first identified in April 2009 and quickly spread around the world. The first doses of influenza A (H1N1) 2009 monovalent vaccine (2009 H1N1 vaccine) became available in the U.S. in early October 2009. Because people with asthma are at increased risk...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2011.08.004
更新日期：2011-12-01 00:00:00
abstract：BACKGROUND:Evidence indicates that the rising trend in overweight and obesity may be stronger for people from more socioeconomically advantaged backgrounds. PURPOSE:This study used longitudinal, multilevel data to describe trajectories of BMI for people living in more- versus less-deprived neighborhoods. METHODS:Data...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2010.03.021
更新日期：2010-08-01 00:00:00
abstract：:This paper examines the relationship between mortality and ruralness in the state of Georgia. In 1979, the rural Standardized Mortality Ratio (SMR) for deaths from all causes was significantly higher than expected when compared to statewide levels, while the urban SMR was significantly lower (p less than 0.01). Of the...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1985-01-01 00:00:00
abstract：BACKGROUND:This article explores changes in the prevalence of youth Internet users reporting unwanted sexual solicitations between 2000 and 2005, as well as the risk factors related to reports of the most serious solicitations, aggressive solicitations, in which solicitors attempted or made offline contact with youth. ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2007.02.001
更新日期：2007-06-01 00:00:00
abstract：CONTEXT:Worksite-based interventions have been shown to result consistently in significant improvements in weight- and health-related outcomes among the working adult population; however, applicability and effectiveness of studies has often been limited by inadequate reporting of age and ethnicity. This study aimed to ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2013.01.015
更新日期：2013-05-01 00:00:00
abstract：INTRODUCTION:Hookah smoking has recently become a common form of smoking, and its prevalence has increased worldwide. This study determined the prevalence and correlates of hookah awareness and perceived harmfulness among U.S. adults. METHODS:Weighted multivariable logistic regression analyses were performed on 6,711 ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2016.10.032
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVES:This paper describes the methods used in the Guide to Community Preventive Services: Systematic Reviews and Evidence-Based Recommendations (the Guide) for conducting systematic reviews of economic evaluations across community health-promotion and disease-prevention interventions. The lack of standardized met...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(99)00120-8
更新日期：2000-01-01 00:00:00
abstract：BACKGROUND:More than half a million U.S. women and more than 100,000 men are treated for injuries from intimate partner violence (IPV) annually, making IPV perpetration a major public health problem. However, little is known about causes of perpetration across the life course. PURPOSE:This paper examines the role of "...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2010.10.016
更新日期：2011-02-01 00:00:00
abstract：BACKGROUND:Cancer survivors are more vulnerable to future cancers than individuals without cancer. As such, it is important to understand whether survivors are engaging in cancer screenings. METHODS:The screening practices reported in response to the 2000 Health Interview Survey of 2151 individuals with cancer were ex...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2005.01.005
更新日期：2005-05-01 00:00:00
abstract：CONTEXT:The risk of chronic kidney disease (CKD) in the U.S. is higher in individuals with low SES than in those with high SES. However, differences in these risks between African Americans and whites are unclear. EVIDENCE ACQUISITION:Studies published through August 30, 2016 in Medline and EMBASE were searched. From ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.amepre.2017.06.036
更新日期：2017-11-01 00:00:00
abstract：BACKGROUND:New Mexico has the highest rate of drug-induced mortality in the United States. The contribution of prescription drugs to the total overdose death rate has not been adequately described. METHODS:A total of 1,906 unintentional drug overdose deaths occurring in 1994 to 2003 in New Mexico were analyzed. Uninte...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2005.12.011
更新日期：2006-05-01 00:00:00
abstract：BACKGROUND:Self-reported weight and height are under- and over-reported, respectively, in epidemiologic studies. This tendency, which may adversely affect study operations, has not been evaluated among subjects being enrolled into a weight-loss program. METHODS:Self-reported weight, height, and body mass index (BMI) w...
journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0749-3797(01)00293-8
更新日期：2001-05-01 00:00:00
abstract：BACKGROUND:Research is needed to understand parental factors influencing human papillomavirus (HPV) vaccination, particularly in groups with a higher burden of cervical cancer. PURPOSE:To determine correlates of HPV vaccination among a sample of low-income parents of age-eligible daughters (aged 9-17 years) who called...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2012.09.003
更新日期：2012-12-01 00:00:00
abstract：INTRODUCTION:The purpose of this study is to examine the relationship between BMI and access to built environment resources in a high-poverty, urban geography. METHODS:Participants (aged ≥35 years) were surveyed between November 2012 and July 2013 to examine access to common health-enabling resources (grocers, outpati...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2016.04.019
更新日期：2016-11-01 00:00:00
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journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0749-3797(00)00283-x
更新日期：2001-02-01 00:00:00
abstract：BACKGROUND:Sedentary behavior has been associated with deleterious cardiometabolic health indicators in adults, but very little research has examined this relationship in youth. PURPOSE:To examine the association between the duration and type of sedentary screen behavior with diabetes risk factors (fasting glucose, in...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2012.11.040
更新日期：2013-04-01 00:00:00
