National Healthcare Quality and Disparities Report
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Topics
- Access to Care (1)
- Adverse Events (2)
- Alcohol Use (3)
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- Healthcare-Associated Infections (HAIs) (1)
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- Primary Care: Models of Care (1)
- Provider: Health Personnel (1)
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- Quality of Care (1)
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- Racial and Ethnic Minorities (6)
- Respiratory Conditions (8)
- Risk (9)
- Screening (3)
- Skin Conditions (1)
- Sleep Problems (1)
- Social Determinants of Health (3)
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- Stress (1)
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- (-) Tobacco Use (83)
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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
51 to 75 of 83 Research Studies DisplayedPesko 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
Kantor R, Kim A, Thyssen JP
Association of atopic dermatitis with smoking: a systematic review and meta-analysis.
The authors examined the association between atopic dermatitis (AD) and exposure to tobacco smoke. They found that a diagnosis of AD was associated with higher odds of active smoking and exposure to passive smoke but not to maternal smoking during pregnancy, and concluded that active and passive tobacco smoke exposure are associated with increased AD prevalence.
AHRQ-funded; HS023011.
Citation: Kantor R, Kim A, Thyssen JP .
Association of atopic dermatitis with smoking: a systematic review and meta-analysis.
J Am Acad Dermatol 2016 Dec;75(6):1119-25.e1. doi: 10.1016/j.jaad.2016.07.017.
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Keywords: Skin Conditions, Tobacco Use, Risk, Evidence-Based Practice
Sood A, Petersen H, Qualls C
Spirometric variability in smokers: transitions in COPD diagnosis in a five-year longitudinal study.
The researchers hypothesized that spirometrically-defined chronic obstructive pulmonary disease (COPD) states could undergo beneficial transitions. Their observational study of ever smokers, shows that spirometrically-defined COPD states, may not be uniformly progressive and can improve or resolve over time. The implication of these findings is that the spirometric diagnosis of COPD can be unstable.
AHRQ-funded; HS023093.
Citation: Sood A, Petersen H, Qualls C .
Spirometric variability in smokers: transitions in COPD diagnosis in a five-year longitudinal study.
Respir Res 2016 Nov 10;17(1):147. doi: 10.1186/s12931-016-0468-7.
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Keywords: Tobacco Use, Respiratory Conditions, Patient-Centered Outcomes Research
Bailey SR, Hoopes MJ, Marino M
Effect of gaining insurance coverage on smoking cessation in community health centers: a cohort study.
This study aimed to determine if uninsured community health center (CHC) patients who gain Medicaid coverage experience greater primary care utilization, receive more cessation medication orders, and achieve higher quit rates, compared to continuously uninsured smokers. It found that newly insured patients had increased odds of quit smoking status over 24 months of follow-up than those who remained uninsured.
AHRQ-funded; HS021522; HS024270.
Citation: Bailey SR, Hoopes MJ, Marino M .
Effect of gaining insurance coverage on smoking cessation in community health centers: a cohort study.
J Gen Intern Med 2016 Oct;31(10):1198-205. doi: 10.1007/s11606-016-3781-4.
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Keywords: Tobacco Use, Health Insurance, Community-Based Practice, Medicaid, Healthcare Utilization
Nadpara PA, Madhavan SS, Tworek C
Tobacco-use cessation counseling service usage.
The authors evaluated patterns of receipt of Tobacco-use Cessation Counseling (TCC) services among elderly lung cancer patients. They found a critical need to address disparities in receipt of TCC services among elderly. They concluded that, although lung cancer preventive services are covered under the Medicare program, these services are underutilized.
AHRQ-funded; HS018622.
Citation: Nadpara PA, Madhavan SS, Tworek C .
Tobacco-use cessation counseling service usage.
W V Med J 2016 Sep-Oct;112(5):66-71.
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Keywords: Cancer, Cancer: Lung Cancer, Elderly, Healthcare Utilization, Lifestyle Changes, Tobacco Use
Jarlenski M, Hyon Baik S, Zhang Y
Trends in use of medications for smoking cessation in Medicare, 2007-2012.
This study investigated trends in utilization of smoking-cessation medications in Medicare from 2007 to 2012. It found that sixteen percent of tobacco users ever filled a prescription for a smoking-cessation medication. The proportion of beneficiaries who filled prescriptions for varenicline increased in 2007 but sharply declined corresponding to public warnings about adverse effects.
AHRQ-funded; HS018657.
Citation: Jarlenski M, Hyon Baik S, Zhang Y .
Trends in use of medications for smoking cessation in Medicare, 2007-2012.
Am J Prev Med 2016 Sep;51(3):301-8. doi: 10.1016/j.amepre.2016.02.018.
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Keywords: Medicare, Medication, Tobacco Use
Ngo-Metzger Q, Owings J
AHRQ Author: Ngo-Metzger Q
Screening for abnormal blood glucose and type 2 diabetes mellitus.
This case study involves a 43-year-old woman with a seven pack-year smoking history. She has no health concerns and has not visited a physician in four years. Her blood pressure and pulse are normal, and her body mass index (BMI) is 27 kg per m2. She does not have a family history of diabetes mellitus. The case study poses three multiple choice questions together with the U.S. Preventive Services Task Force recommendations and related background information.
AHRQ-authored.
Citation: Ngo-Metzger Q, Owings J .
Screening for abnormal blood glucose and type 2 diabetes mellitus.
Am Fam Physician 2016 Jun 15;93(12):1025-6.
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Keywords: U.S. Preventive Services Task Force (USPSTF), Diabetes, Screening, Tobacco Use, Guidelines
Fan T, Blitz J
AHRQ Author: Fan T
Behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults, including pregnant women.
This case study involves a 40-year-old woman presenting for a routine antepartum visit. She is 20 weeks pregnant and smokes half a pack of cigarettes per day. She asks if your clinic offers services to help with tobacco smoking cessation and if she should try using e-cigarettes to stop smoking. The authors next pose three multiple choice questions and then give the U.S. Preventive Services Task Force recommendations and related background information.
AHRQ-authored.
Citation: Fan T, Blitz J .
Behavioral and pharmacotherapy interventions for tobacco smoking cessation in adults, including pregnant women.
Am Fam Physician 2016 May 15;93(10):861-2.
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Keywords: U.S. Preventive Services Task Force (USPSTF), Tobacco Use, Behavioral Health, Medication, Guidelines
Rokicki S, Adamkiewicz G, Fang SC
Assessment of residents' attitudes and satisfaction before and after implementation of a smoke-free policy in Boston multiunit housing.
The researchers sought to characterize Boston Housing Authority (BHA) resident experiences before and after the 2012 smoke-free policy implementation. They concluded that resident support for smoke-free policies is high, but that lack of enforcement may cause frustration and resentment among residents, potentially leading to a decrease in housing satisfaction.
AHRQ-funded; HS000055.
Citation: Rokicki S, Adamkiewicz G, Fang SC .
Assessment of residents' attitudes and satisfaction before and after implementation of a smoke-free policy in Boston multiunit housing.
Nicotine Tob Res 2016 May;18(5):1282-9. doi: 10.1093/ntr/ntv239.
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Keywords: Policy, Policy, Prevention, Tobacco Use
Prochaska JJ, Michalek AK, Brown-Johnson C
Likelihood of unemployed smokers vs nonsmokers attaining reemployment in a one-year observational study.
The researchers examined the differences in reemployment by smoking status in a 12-month period. This study, the first to prospectively track reemployment success by smoking status, concluded that smokers had a lower likelihood of reemployment at 1 year and were paid significantly less than nonsmokers when reemployed.
AHRQ-funded; HS022192.
Citation: Prochaska JJ, Michalek AK, Brown-Johnson C .
Likelihood of unemployed smokers vs nonsmokers attaining reemployment in a one-year observational study.
JAMA Intern Med 2016 May;176(5):662-70. doi: 10.1001/jamainternmed.2016.0772.
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Keywords: Tobacco Use, Racial and Ethnic Minorities, Lifestyle Changes, Risk
Schulte DM, Duster M, Warrack S
Feasibility and patient satisfaction with smoking cessation interventions for prevention of healthcare-associated infections in inpatients.
The primary aim of this pilot, randomized-controlled trial was to examine the feasibility and acceptability of a tobacco cessation intervention compared with usual care in inpatients. It found overall high levels of satisfaction with the intervention, indicating good feasibility and acceptance among patients.
AHRQ-funded; HS024039.
Citation: Schulte DM, Duster M, Warrack S .
Feasibility and patient satisfaction with smoking cessation interventions for prevention of healthcare-associated infections in inpatients.
Subst Abuse Treat Prev Policy 2016 Apr 26;11:15. doi: 10.1186/s13011-016-0059-0.
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Keywords: Healthcare-Associated Infections (HAIs), Patient Experience, Patient Experience, Prevention, Tobacco Use
Stevens VJ, Solberg LI, Bailey SR
Assessing trends in tobacco cessation in diverse patient populations.
This study examined change in tobacco use over 4 years among the general population of patients in six diverse health care organizations using electronic medical record data. It found that among smokers who regularly used these care systems, one in seven had achieved long-term cessation after 4 years. The study shows the practicality of using electronic medical records for monitoring patient smoking status over time.
AHRQ-funded; HS019828.
Citation: Stevens VJ, Solberg LI, Bailey SR .
Assessing trends in tobacco cessation in diverse patient populations.
Nicotine Tob Res 2016 Mar;18(3):275-80. doi: 10.1093/ntr/ntv092.
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Keywords: Tobacco Use, Electronic Health Records (EHRs), Patient-Centered Outcomes Research, Healthcare Delivery, Lifestyle Changes
Sawchuk CN, Roy-Byrne P, Noonan C
The association of panic disorder, posttraumatic stress disorder, and major depression with smoking in American Indians.
This survey asked whether lifetime panic disorder, posttraumatic stress disorder, and major depression were related to lifetime cigarette smoking in two geographically distinct American Indian tribes. It found that the odds of smoking were two times higher in Southwest participants with panic disorder and major depression, and 1.7 times higher in those with posttraumatic stress disorder, after controlling for sociodemographic variables.
AHRQ-funded; HS010854.
Citation: Sawchuk CN, Roy-Byrne P, Noonan C .
The association of panic disorder, posttraumatic stress disorder, and major depression with smoking in American Indians.
Nicotine Tob Res 2016 Mar;18(3):259-66. doi: 10.1093/ntr/ntv071.
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Keywords: Depression, Tobacco Use, Racial and Ethnic Minorities, Stress
Iyer AS, Bhatt SP, Garner JJ
Depression is associated with readmission for acute exacerbation of chronic obstructive pulmonary disease.
The authors characterized the associations between depression and anxiety and COPD readmission risk. They found that depression is an independent risk factor for both short- and long-term readmissions for acute exacerbation of COPD and may represent a modifiable risk factor. They also found that in-hospital tobacco cessation counseling was associated with reduced 1-year readmission.
AHRQ-funded; HS013852.
Citation: Iyer AS, Bhatt SP, Garner JJ .
Depression is associated with readmission for acute exacerbation of chronic obstructive pulmonary disease.
Ann Am Thorac Soc 2016 Feb;13(2):197-203. doi: 10.1513/AnnalsATS.201507-439OC.
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Keywords: Respiratory Conditions, Depression, Hospital Readmissions, Risk, Tobacco Use
Depp TB, McGinnis KA, Kraemer K
Risk factors associated with acute exacerbation of chronic obstructive pulmonary disease in HIV-infected and uninfected patients.
This study sought to determine the association between HIV infection and other risk factors for acute exacerbation of chronic obstructive pulmonary disease (AECOPD). It concluded that HIV infection, especially with lower CD4 cell count, is an independent risk factor for AECOPD. Enhanced susceptibility to harm from current smoking or unhealthy alcohol use in HIV-infected patients may also contribute to the greater rate of AECOPD.
AHRQ-funded; HS023258.
Citation: Depp TB, McGinnis KA, Kraemer K .
Risk factors associated with acute exacerbation of chronic obstructive pulmonary disease in HIV-infected and uninfected patients.
AIDS 2016 Jan 28;30(3):455-63. doi: 10.1097/qad.0000000000000940.
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Keywords: Respiratory Conditions, Human Immunodeficiency Virus (HIV), Risk, Substance Abuse, 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