{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T19:01:17Z","timestamp":1774119677088,"version":"3.50.1"},"reference-count":30,"publisher":"American Public Health Association","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:p> Objectives. We compared the likelihood that a tobacco user would receive treatment with the likelihood that an adult with another common chronic condition would receive treatment for that condition at an office visit. <\/jats:p><jats:p> Methods. We analyzed data from the 2005\u20132007 National Ambulatory Medical Care Survey to compare the proportion of US office visits at which tobacco users and individuals with hypertension, hyperlipidemia, diabetes, asthma, or depression received condition-specific treatment. We calculated the odds that a visit for a comparison condition would result in treatment relative to a visit for tobacco dependence. <\/jats:p><jats:p> Results. From 2005 to 2007, 38\u2009004 patient visits involved at least 1 study condition. Tobacco users received medication at fewer visits (4.4%) than individuals with hypertension (57.4%), diabetes (46.2%), hyperlipidemia (47.1%), asthma (42.6%), and depression (53.3%). In multivariate analyses, the odds for pharmacological treatment of these disorders relative to tobacco use were, for hypertension, 32.8; diabetes, 20.9; hyperlipidemia, 16.5; asthma, 22.1; and depression, 24.0 (all Ps\u2009&lt;\u2009.001). Patients with hypertension, diabetes, or hyperlipidemia were also more likely to receive behavioral counseling. <\/jats:p><jats:p> Conclusions. Alternate models of engagement may be needed to enhance use of effective treatments for tobacco use. <\/jats:p>","DOI":"10.2105\/ajph.2012.301112","type":"journal-article","created":{"date-parts":[[2013,6,13]],"date-time":"2013-06-13T19:59:17Z","timestamp":1371153557000},"page":"e59-e65","source":"Crossref","is-referenced-by-count":34,"title":["Undertreatment of Tobacco Use Relative to Other Chronic Conditions"],"prefix":"10.2105","volume":"103","author":[{"given":"Steven L.","family":"Bernstein","sequence":"first","affiliation":[{"name":"Steven L. Bernstein, James Dziura, and Lori A. Post are with the Department of Emergency Medicine, Yale School of Medicine, New Haven, CT. Steven L. Bernstein is also with the Yale Cancer Center, New Haven. Nancy A. Rigotti is with the General Medicine Division, Department of Medicine, and Tobacco Research and Treatment Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA. At the time this article was written, Sunkyung Yu was with the Yale School of Public Health, New Haven."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunkyung","family":"Yu","sequence":"additional","affiliation":[{"name":"Steven L. Bernstein, James Dziura, and Lori A. Post are with the Department of Emergency Medicine, Yale School of Medicine, New Haven, CT. Steven L. Bernstein is also with the Yale Cancer Center, New Haven. Nancy A. Rigotti is with the General Medicine Division, Department of Medicine, and Tobacco Research and Treatment Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA. At the time this article was written, Sunkyung Yu was with the Yale School of Public Health, New Haven."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori A.","family":"Post","sequence":"additional","affiliation":[{"name":"Steven L. Bernstein, James Dziura, and Lori A. Post are with the Department of Emergency Medicine, Yale School of Medicine, New Haven, CT. Steven L. Bernstein is also with the Yale Cancer Center, New Haven. Nancy A. Rigotti is with the General Medicine Division, Department of Medicine, and Tobacco Research and Treatment Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA. At the time this article was written, Sunkyung Yu was with the Yale School of Public Health, New Haven."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Dziura","sequence":"additional","affiliation":[{"name":"Steven L. Bernstein, James Dziura, and Lori A. Post are with the Department of Emergency Medicine, Yale School of Medicine, New Haven, CT. Steven L. Bernstein is also with the Yale Cancer Center, New Haven. Nancy A. Rigotti is with the General Medicine Division, Department of Medicine, and Tobacco Research and Treatment Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA. At the time this article was written, Sunkyung Yu was with the Yale School of Public Health, New Haven."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy A.","family":"Rigotti","sequence":"additional","affiliation":[{"name":"Steven L. Bernstein, James Dziura, and Lori A. Post are with the Department of Emergency Medicine, Yale School of Medicine, New Haven, CT. Steven L. Bernstein is also with the Yale Cancer Center, New Haven. Nancy A. Rigotti is with the General Medicine Division, Department of Medicine, and Tobacco Research and Treatment Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA. At the time this article was written, Sunkyung Yu was with the Yale School of Public Health, New Haven."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"issue":"10","key":"bib1","first-page":"1238","volume":"291","author":"Mokdad AH","year":"2000","journal-title":"2004"},{"key":"bib2","volume-title":"How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General","author":"US Department of Health and Human Services","year":"2010"},{"key":"bib3","volume-title":"Treating Tobacco Use and Dependence: 2008 Update","author":"Fiore MC","year":"2008"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.092577"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2006.03.012"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2009.02243.x"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-148-7-200804010-00012"},{"issue":"4","key":"bib8","first-page":"103","volume":"60","author":"Centers for Disease Control and Prevention","year":"2011","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"4","key":"bib9","first-page":"109","volume":"60","author":"Centers for Disease Control and Prevention","year":"2011","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.8.604"},{"key":"bib11","volume-title":"2007 NAMCS Micro-Data File Documentation","author":"National Center for Health Statistics","year":"2007"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000114916.95639.af"},{"key":"bib14","volume-title":"International Classification of Diseases, Ninth Revision, Clinical Modification","year":"1998"},{"key":"bib15","first-page":"8","author":"Bennett C","year":"2011","journal-title":"PLoS Med"},{"key":"bib16","volume-title":"Physician Behavior and Practice Patterns Related to Smoking Cessation","author":"Cohen BP","year":"2007"},{"issue":"43","key":"bib17","first-page":"1199","volume":"58","year":"2009","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bib18","volume-title":"Motivational Interviewing: Preparing People for Change","author":"Miller WR","year":"2002","edition":"2"},{"key":"bib19","unstructured":"Counseling and interventions to prevent tobacco use and tobacco-caused disease in adults and pregnant women. 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