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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 23 of 23 Research Studies DisplayedHo V, Ross JS, Steiner CA
AHRQ Author: Steiner CA
A nationwide assessment of the association of smoking bans and cigarette taxes with hospitalizations for acute myocardial infarction, heart failure, and pneumonia.
No national study using complete hospitalization counts by area that accounts for contemporaneous controls including state cigarette taxes has been conducted. This study in 28 states found that smoking bans lowered pneumonia hospitalization rates for persons ages 60 to 74 years and higher cigarette taxes were associated with lower heart failure hospitalizations for all ages and fewer pneumonia hospitalizations for adults aged 60 to 74.
AHRQ-authored.
Citation: Ho V, Ross JS, Steiner CA .
A nationwide assessment of the association of smoking bans and cigarette taxes with hospitalizations for acute myocardial infarction, heart failure, and pneumonia.
Med Care Res Rev 2017 Dec;74(6):687-704. doi: 10.1177/1077558716668646.
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Keywords: Healthcare Cost and Utilization Project (HCUP), Heart Disease and Health, Hospitalization, Pneumonia, Tobacco Use
Donovan LM, Rise PJ, Carson SS
Sleep disturbance in smokers with preserved pulmonary function and chronic obstructive pulmonary disease.
This study compared the magnitude and correlates of sleep disturbance between smokers with preserved pulmonary function and those with airflow obstruction. It found that among smokers with clinically identified chronic obstructive pulmonary disease (COPD), the severity of sleep disturbance is greater among those with preserved pulmonary function compared to those with airflow obstruction. Non-respiratory symptoms, such as depression, were associated with sleep disturbance in both groups.
AHRQ-funded; HS017894.
Citation: Donovan LM, Rise PJ, Carson SS .
Sleep disturbance in smokers with preserved pulmonary function and chronic obstructive pulmonary disease.
Ann Am Thorac Soc 2017 Dec;14(12):1836-43. doi: 10.1513/AnnalsATS.201706-453OC.
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Keywords: Respiratory Conditions, Sleep Problems, Tobacco Use, Chronic Conditions
Nahhas GJ, Wilson D, Talbot V
Feasibility of implementing a hospital-based "opt-out" tobacco-cessation service.
This study assessed the feasibility and outcomes of implementing a hospital-based "opt-out" tobacco-cessation service. The service consisted of a bedside consult and phone follow-up 3, 14, and 30 days after hospital discharge using interactive-voice-response. Findings from this study suggest that an inpatient smoking-cessation service with an "opt-out" approach can positively impact short-term cessation outcomes.
AHRQ-funded; HS023863.
Citation: Nahhas GJ, Wilson D, Talbot V .
Feasibility of implementing a hospital-based "opt-out" tobacco-cessation service.
Nicotine Tob Res 2017 Aug;19(8):937-43. doi: 10.1093/ntr/ntw312.
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Keywords: Health Information Technology (HIT), Hospitalization, Tobacco Use, Outcomes
Bailey SR, Heintzman JD, Marino M
Smoking-cessation assistance: before and after stage 1 meaningful use implementation.
This study examined whether smoking status assessment, cessation assistance, and odds of being a current smoker changed after Stage 1 Meaningful Use (MU) implementation. Its findings suggest that incentives for MU of electronic health records increase the odds of smoking assessment and cessation assistance, which could lead to decreased smoking rates among vulnerable populations.
AHRQ-funded; HS021522.
Citation: Bailey SR, Heintzman JD, Marino M .
Smoking-cessation assistance: before and after stage 1 meaningful use implementation.
Am J Prev Med 2017 Aug;53(2):192-200. doi: 10.1016/j.amepre.2017.02.006.
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Keywords: Behavioral Health, Electronic Health Records (EHRs), Health Information Technology (HIT), Healthcare Delivery, Primary Care, Tobacco Use
Gaskill CE, Kling CE, Varghese TK, Jr.
Financial benefit of a smoking cessation program prior to elective colorectal surgery.
This study aimed to create an economic evaluation framework to estimate the potential value of preoperative smoking cessation programs for patients undergoing elective colorectal surgery. It concluded that a preoperative smoking cessation program is predicted to be cost-saving over the global postoperative period if the cost of the intervention is below $304 per patient.
AHRQ-funded; HS020025; HS022959.
Citation: Gaskill CE, Kling CE, Varghese TK, Jr. .
Financial benefit of a smoking cessation program prior to elective colorectal surgery.
J Surg Res 2017 Jul;215:183-89. doi: 10.1016/j.jss.2017.03.067.
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Keywords: Tobacco Use, Surgery, Healthcare Costs, Adverse Events
Beckman AL, Herrin J, Nasir K
Trends in cardiovascular health of US adults by income, 2005-2014.
This research letter discusses the trends in cardiovascular health of US adults by income from 2005-2014. The investigators assessed national trends in cardiovascular risk factors by income level among adults aged 25 years and older using data from the National Health and Nutrition Examination Surveys, a nationally representative, multistage probability sample of the US population, across 5 periods: 2005 to 2006, 2007 to 2008, 2009 to 2010, 2011 to 2012, and 2013 to 2014.
AHRQ-funded; HS023000.
Citation: Beckman AL, Herrin J, Nasir K .
Trends in cardiovascular health of US adults by income, 2005-2014.
JAMA Cardiol 2017 Jul;2(7):814-16. doi: 10.1001/jamacardio.2017.1654..
Keywords: Cardiovascular Conditions, Risk, Disparities, Health Status, Blood Pressure, Obesity, Diabetes, Low-Income, Tobacco Use
Pesko MF, Maclean JC, Kaplan CM
AHRQ Author: Hill SC
Trends over time in enrollment in non-group health insurance plans by tobacco use in the United States.
The researchers tabulated enrollment information for 35 states offering insurance plans through Healthcare.gov in both 2014 and 2016. They found that non-tobacco user enrollment rose faster than reported tobacco user enrollment in 30 out of 35 states. Reported tobacco users are enrolling in marketplace plans at a lower rate and are more likely to enroll in less generous plans.
AHRQ-authored.
Citation: Pesko MF, Maclean JC, Kaplan CM .
Trends over time in enrollment in non-group health insurance plans by tobacco use in the United States.
Prev Med Rep 2017 May 17;7:46-49. doi: 10.1016/j.pmedr.2017.05.010.
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Keywords: Health Insurance, Tobacco Use
Tucker JS, Shadel WG, Galvan FH
Pilot evaluation of a brief intervention to improve nicotine patch adherence among smokers living with HIV/AIDS.
This article presents results from a pilot evaluation of a brief smoking cessation treatment to improve adherence to the nicotine patch among Latino smokers living with HIV/AIDS. Although this small pilot was conducted to estimate effect sizes and was not powered to detect group differences, results were promising and suggested that adding a 10-min module focused on nicotine patch adherence to a standard 5 As protocol could increase abstinence rates.
AHRQ-funded; HS000062.
Citation: Tucker JS, Shadel WG, Galvan FH .
Pilot evaluation of a brief intervention to improve nicotine patch adherence among smokers living with HIV/AIDS.
Psychol Addict Behav 2017 Mar;31(2):148-53. doi: 10.1037/adb0000221.
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Keywords: Human Immunodeficiency Virus (HIV), Patient Adherence/Compliance, Racial and Ethnic Minorities, Tobacco Use
Ford JH, 2nd, Oliver KA, Giles M
Maintenance of certification: how performance in practice changes improve tobacco cessation in addiction psychiatrists' practice.
This study reports on findings from a Maintenance of Certification (MOC) Performance in Practice (PIP) module designed and evaluated by addiction psychiatrists who are members of the American Academy of Addiction Psychiatry. It found that simple change projects designed to improve clinical practice led to substantial changes in self-reported chart documentation for the selected measure.
AHRQ-funded; HS021962.
Citation: Ford JH, 2nd, Oliver KA, Giles M .
Maintenance of certification: how performance in practice changes improve tobacco cessation in addiction psychiatrists' practice.
Am J Addict 2017 Jan;26(1):34-41. doi: 10.1111/ajad.12480.
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Keywords: Behavioral Health, Education: Continuing Medical Education, Provider: Health Personnel, Quality Improvement, Tobacco Use
Patnode CD, Henderson JT, Thompson JH
Behavioral counseling and pharmacotherapy interventions for tobacco cessation in adults, including pregnant women: a review of reviews for the U.S. Preventive Services Task Force.
The researchers reviewed the effectiveness and safety of pharmacotherapy and behavioral interventions for tobacco cessation. They concluded that behavioral and pharmacotherapy interventions improve rates of smoking cessation among the general adult population, alone or in combination. Data on the effectiveness and safety of electronic nicotine delivery systems are limited.
AHRQ-funded; 290201200015I.
Citation: Patnode CD, Henderson JT, Thompson JH .
Behavioral counseling and pharmacotherapy interventions for tobacco cessation in adults, including pregnant women: a review of reviews for the U.S. Preventive Services Task Force.
Ann Intern Med 2015 Oct 20;163(8):608-21. doi: 10.7326/m15-0171..
Keywords: Behavioral Health, Evidence-Based Practice, Medication, Pregnancy, Prevention, Tobacco Use, U.S. Preventive Services Task Force (USPSTF), Women
Silverberg MJ, Lau B, Achenbach CJ
Cumulative incidence of cancer among persons with HIV in North America: a cohort study.
The primary objective of the study was to compare time trends in cumulative cancer incidence in persons with and without HIV. It concluded that the high cumulative incidences by age 75 years for Kaposi sarcoma, non-Hodgkin lymphoma, and lung cancer support early and sustained antiretroviral therapy and smoking cessation.
AHRQ-funded; 90047713/PHS.
Citation: Silverberg MJ, Lau B, Achenbach CJ .
Cumulative incidence of cancer among persons with HIV in North America: a cohort study.
Ann Intern Med 2015 Oct 6;163(7):507-18. doi: 10.7326/m14-2768..
Keywords: Cancer, Human Immunodeficiency Virus (HIV), Tobacco Use
Yawn BP, Rank MA, Bertram SL
Obesity, low levels of physical activity and smoking present opportunities for primary care asthma interventions: an analysis of baseline data from the asthma tools study.
The researchers calculated cross-sectional frequencies of activity levels, smoking, secondhand smoke exposure and the presence of obesity, as well as rates of out-of-control asthma and asthma exacerbations. They found that tobacco smoke exposure, obesity, low activity levels, poverty, inadequately controlled asthma and high asthma-related health-care utilization were common. Across all age groups, obesity was associated with poorer asthma outcomes.
AHRQ-funded; HS018431.
Citation: Yawn BP, Rank MA, Bertram SL .
Obesity, low levels of physical activity and smoking present opportunities for primary care asthma interventions: an analysis of baseline data from the asthma tools study.
NPJ Prim Care Respir Med 2015 Oct 1;25:15058. doi: 10.1038/npjpcrm.2015.58..
Keywords: Asthma, Obesity, Tobacco Use, Primary Care, Outcomes
Ware JE, Gandek B, Kulasekaran A
Evaluation of smoking-specific and generic quality of life measures in current and former smokers in Germany and the United States.
The researchers evaluated the psychometric properties of German- and English-language versions of survey scales representing both types of measures in samples of current and former smokers. They concluded that German- and English-language Tobacco Quality of Life Impact Tool (TQOLIT) surveys have comparable and satisfactory psychometric properties. Cross-sectional tests, including correlations with four biomarkers, support the validity of the new smoking-specific measures for use in studies of otherwise healthy smokers.
AHRQ-funded; HS023117.
Citation: Ware JE, Gandek B, Kulasekaran A .
Evaluation of smoking-specific and generic quality of life measures in current and former smokers in Germany and the United States.
Health Qual Life Outcomes 2015 Aug 16;13:128. doi: 10.1186/s12955-015-0316-3..
Keywords: Quality of Life, Tobacco Use
Aschbrenner KA, Brunette MF, McElvery R
Cigarette smoking and interest in quitting among overweight and obese adults with serious mental illness enrolled in a fitness intervention.
The authors explored cigarette smoking, health status, and interest in quitting among overweight and obese adults with serious mental illness enrolled in a fitness intervention. Using the In SHAPE fitness intervention data, the researchers found that 84% of smokers were interested in quitting. Smokers in the intervention had lower high-density lipoprotein cholesterol and were less ready to reduce dietary fat.
AHRQ-funded; HS021695.
Citation: Aschbrenner KA, Brunette MF, McElvery R .
Cigarette smoking and interest in quitting among overweight and obese adults with serious mental illness enrolled in a fitness intervention.
J Nerv Ment Dis 2015 Jun;203(6):473-6. doi: 10.1097/nmd.0000000000000309.
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Keywords: Health Status, Lifestyle Changes, Behavioral Health, Obesity, Tobacco Use
Leeman J, Myers AE, Ribisl KM
Disseminating policy and environmental change interventions: insights from obesity prevention and tobacco control.
This paper describes the approach that two projects developed to disseminate policy and environmental change interventions. The Center for Training and Research Translation (Center TRT) disseminates evidence-based interventions (EBIs) to promote physical activity and healthy eating. Counter Tobacco disseminates EBIs to counter tobacco product sales and marketing in the retail environment.
AHRQ-funded; HS019468.
Citation: Leeman J, Myers AE, Ribisl KM .
Disseminating policy and environmental change interventions: insights from obesity prevention and tobacco control.
Int J Behav Med 2015 Jun;22(3):301-11. doi: 10.1007/s12529-014-9427-1..
Keywords: Communication, Evidence-Based Practice, Obesity, Policy, Prevention, Public Health, Tobacco Use, Implementation
Witt WP, Mandell KC, Wisk LE
Predictors of alcohol and tobacco use prior to and during pregnancy in the US: the role of maternal stressors.
The purpose of the study was to understand the association between stressful life events prior to conception (PSLEs) and women’s alcohol and tobacco use prior to and during pregnancy, and the continuation of such use through pregnancy. It finds that PSLEs are associated with increased tobacco use prior to and during pregnancy, as well as an increased amount of alcohol use during pregnancy among U.S. women.
AHRQ-funded; HS000063; HS000083.
Citation: Witt WP, Mandell KC, Wisk LE .
Predictors of alcohol and tobacco use prior to and during pregnancy in the US: the role of maternal stressors.
Arch Womens Ment Health 2015 Jun;18(3):523-37. doi: 10.1007/s00737-014-047-9.
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Keywords: Pregnancy, Lifestyle Changes, Alcohol Use, Tobacco Use, Maternal Care
Mabry-Hernandez I, Chu K
AHRQ Author: Mabry-Hernandez I
Screening for oral cancer.
This case study involves a 35-year-old man with a 15-year history of using chewing tobacco. It poses three multiple choice questions together with the U.S. Preventive Services Task Force recommendations and related background information.
AHRQ-authored.
Citation: Mabry-Hernandez I, Chu K .
Screening for oral cancer.
Am Fam Physician 2015 Mar 15;91(6):387-8..
Keywords: Cancer, Tobacco Use, U.S. Preventive Services Task Force (USPSTF), Risk, Case Study
Wen KY, Miller SM, Roussi P
A content analysis of self-reported barriers and facilitators to preventing postpartum smoking relapse among a sample of current and former smokers in an underserved population.
The researchers conducted in-person interviews to characterize the barriers and facilitators that prevent postpartum relapse and maintain smoking abstinence among a socioeconomically underserved population. They found that participants reported four main strategies that helped them to successfully cope with postpartum cravings and relapses, including being informed of smoking risks, maintaining goal-oriented thoughts, focusing on their concerns about the baby's health, and receiving positive social support from families and friends.
AHRQ-funded; HS019001.
Citation: Wen KY, Miller SM, Roussi P .
A content analysis of self-reported barriers and facilitators to preventing postpartum smoking relapse among a sample of current and former smokers in an underserved population.
Health Educ Res 2015 Feb;30(1):140-51. doi: 10.1093/her/cyu048.
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Keywords: Education: Patient and Caregiver, Healthcare Delivery, Prevention, Tobacco Use, Vulnerable Populations
Aschbrenner KA, Ferron JC, Mueser KT
Social predictors of cessation treatment use among smokers with serious mental illness.
The aim of this exploratory study was to prospectively examine the influence of social factors on use of smoking cessation treatment among individuals with serious mental illness. For people with serious mental illness, social factors appear to influence use of smoking cessation treatment above and beyond personal factors and may be specific to the type of treatment.
AHRQ-funded; HS021695.
Citation: Aschbrenner KA, Ferron JC, Mueser KT .
Social predictors of cessation treatment use among smokers with serious mental illness.
Addict Behav 2015 Feb;41:169-74. doi: 10.1016/j.addbeh.2014.10.020..
Keywords: Tobacco Use, Behavioral Health, Outcomes
Lebrun-Harris LA, Fiore MC, Tomoyasu N
AHRQ Author: Ngo-Metzger Q
Cigarette smoking, desire to quit, and tobacco-related counseling among patients at adult health centers.
A national survey of adult patients at health centers found a higher prevalence of cigarette smoking (31 percent) than among the general adult population (21 percent). Among the currently smoking health center patients, 83 percent desired to quit and 68 percent had received tobacco counseling.
AHRQ-authored
Citation: Lebrun-Harris LA, Fiore MC, Tomoyasu N .
Cigarette smoking, desire to quit, and tobacco-related counseling among patients at adult health centers.
Am J Public Health. 2015 Jan;105(1):180-8..
Keywords: Behavioral Health, Community-Based Practice, Tobacco Use
Shadel WG, Elliott MN, Haas AC
Clinician advice to quit smoking among seniors.
This study describes patterns of clinician cessation advice to US seniors, including variation by Medicare beneficiary characteristics. It found that only 51% of smokers say they receive cessation advice “always” or “usually” at doctor visits, with advice more often given to the young, those in low-smoking regions, Asians, and women.
AHRQ-funded; HS016978.
Citation: Shadel WG, Elliott MN, Haas AC .
Clinician advice to quit smoking among seniors.
Prev Med 2015 Jan;70:83-9. doi: 10.1016/j.ypmed.2014.11.020..
Keywords: Tobacco Use, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Education: Patient and Caregiver, Medicare, Clinician-Patient Communication
Chavez LJ, Ornelas IJ, Lyles CR
Racial/ethnic workplace discrimination: association with tobacco and alcohol use.
The authors examined the association between workplace discrimination and tobacco and alcohol use in a large, multistate sample of U.S. adult respondents to the Behavioral Risk Factor Surveillance System survey Reactions to Race Module (2004-2010). They found that, among Hispanics, workplace discrimination was associated with increased heavy and binge drinking, but not any alcohol use or smoking. Workplace discrimination among black non-Hispanics and white Non-Hispanics was associated with increased current and daily smoking, but not alcohol outcomes.
AHRQ-funded; HS013853; HS022408; HS022800.
Citation: Chavez LJ, Ornelas IJ, Lyles CR .
Racial/ethnic workplace discrimination: association with tobacco and alcohol use.
Am J Prev Med 2015 Jan;48(1):42-9. doi: 10.1016/j.amepre.2014.08.013.
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Keywords: Alcohol Use, Lifestyle Changes, Patient-Centered Outcomes Research, Racial and Ethnic Minorities, Tobacco Use
Bauer NS, Anand V, Carroll AE
Secondhand smoke exposure, parental depressive symptoms and preschool behavioral outcomes.
In order to learn about the association of second-hand smoke (SHS) exposure to behavioral conditions among preschoolers, the researchers looked at billing and pharmacy claims and medical encounter level data. They found that SHS is associated with behavioral conditions such as attention deficit-hyperactivity disorder and disruptive behavior disorder.
AHRQ-funded; HS018453; HS017939
Citation: Bauer NS, Anand V, Carroll AE .
Secondhand smoke exposure, parental depressive symptoms and preschool behavioral outcomes.
J Pediatr Nurs. 2015 Jan-Feb;30(1):227-35. doi: 10.1016/j.pedn.2014.06.004..
Keywords: Children/Adolescents, Behavioral Health, Tobacco Use