{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:12:06Z","timestamp":1792195926926,"version":"4.4.0"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>To design strategies for provider education and implementation of clinical guidelines, this study investigated how physicians (1) approach tobacco cessation, including barriers to screening and treatment, (2) prioritize tobacco cessation, and (3) perceive the role of public health. Semi-structured focus groups were conducted with 30 New York City physicians across specialties. Physicians reported that they: (1) understand risks of smoking, as well as basic counseling and medications for smoking cessation; (2) do not always follow clinical guidelines for treatment of smoking cessation; (3) prioritize treatment of patients based upon a number of criteria; and (4) see the role of public health and the city health department as separate from the clinical environment, despite population-level interventions to reduce smoking. Physicians understand the importance of treating tobacco dependence, but identified barriers to treatment, some of which are health system-related. Further, patients who do not yet present with smoking-related illness may receive less intense interventions.<\/jats:p>","DOI":"10.1177\/2150132720957448","type":"journal-article","created":{"date-parts":[[2021,2,24]],"date-time":"2021-02-24T01:19:27Z","timestamp":1614129567000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Provider Attitudes and Practices on Treating Tobacco Dependence in New York City After 10\u2009years of Comprehensive Tobacco Control Efforts"],"prefix":"10.1177","volume":"12","author":[{"given":"Elizabeth A.","family":"Kilgore","sequence":"first","affiliation":[{"name":"Fraser Communications, Los Angeles, CA, USA"},{"name":"New York City Department of Health and Mental Hygiene, Long Island City, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0701-1939","authenticated-orcid":false,"given":"Elizabeth Needham","family":"Waddell","sequence":"additional","affiliation":[{"name":"OHSU-PSU School of Public Health, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn M.","family":"Tannert Niang","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, Long Island City, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Murphy","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, Long Island City, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayone","family":"Thihalolipavan","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, Long Island City, NY, USA"},{"name":"Health and Human Services Agency, County of San Diego, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shadi","family":"Chamany","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, Long Island City, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,2,23]]},"reference":[{"key":"bibr1-2150132720957448","volume-title":"The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General","author":"US Department of Health and Human Services","year":"2014"},{"key":"bibr2-2150132720957448","unstructured":"New York City Department of Health and Mental Hygiene. Community Health Survey 2002, 2017. Internal analysis."},{"key":"bibr3-2150132720957448","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2016.7511"},{"key":"bibr4-2150132720957448","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j5855"},{"key":"bibr5-2150132720957448","doi-asserted-by":"publisher","DOI":"10.7326\/M15-2023"},{"key":"bibr6-2150132720957448","unstructured":"U.S. Preventive Services Task Force. Evidence summary: tobacco smoking cessation in adults, including pregnant women: behavioral and pharmacotherapy interventions. https:\/\/www.uspreventiveservicestaskforce.org\/Page\/Document\/behavioral-counseling-and-pharmacotherapy-interventions-for-\/tobacco-use-in-adults-and-pregnant-women-counseling-and-interventions1. Published October 2015. Accessed November 14, 2019."},{"key":"bibr7-2150132720957448","first-page":"CD008286","volume":"3","author":"Stead LF","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr8-2150132720957448","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0170381"},{"key":"bibr9-2150132720957448","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-2798-2"},{"key":"bibr10-2150132720957448","unstructured":"New York City Department of Health and Mental Hygiene. Community Health Survey 2015. Internal analysis."},{"key":"bibr11-2150132720957448","unstructured":"New York City Department of Health and Mental Hygiene. Primary care information project. https:\/\/www1.nyc.gov\/site\/doh\/providers\/resources\/primary-care-information-project.page. 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