Background
Burden of tobacco use
General practitioner intervention for smoking
Sub-optimal detection of smoking in general practice
Aims
Methods
Statistical analysis
Results
Sample
n | % | ||
---|---|---|---|
Gender
| Male | 32 | 63 |
Female | 19 | 37 | |
Age
| 25-44 | 12 | 24 |
45-54 | 20 | 39 | |
≥55 | 19 | 37 | |
Years in general practice
| <5 | 21 | 41 |
6-19 | 8 | 16 | |
≥20 | 22 | 43 | |
No of sessions per week
| ≤5 | 27 | 53 |
5.5-10 | 23 | 45 | |
>10 | 1 | 2 |
n | % | ||
---|---|---|---|
Gender
| Male | 608 | 39 |
Female | 965 | 61 | |
Age
| 18-29 | 170 | 11 |
30-44 | 329 | 21 | |
45-64 | 558 | 35 | |
≥65 | 516 | 33 | |
Highest level of education*
| High school or below | 612 | 43 |
Technical certificate or Diploma | 211 | 15 | |
University or Postgraduate | 562 | 39 | |
Other | 47 | 3.3 | |
Ethnicity
| Aboriginal or Torres Strait Islander | 6 | 0.4 |
Caucasian (i.e. White) | 1369 | 87 | |
Other | 198 | 13 | |
Private health insurance
| Yes | 916 | 58 |
No | 657 | 42 | |
Number of times seen this general practitioner in last 12 months^
| 0-3 | 465 | 31 |
4-6 | 554 | 37 | |
7-10 | 235 | 16 | |
More than 10 | 261 | 17 | |
Visited this clinic previously
~
| Yes | 1436 | 97 |
No | 48 | 3 | |
Health care concession card
| Yes | 339 | 22 |
No | 1234 | 78 | |
History type 2 diabetes
| Yes | 134 | 9 |
No | 1439 | 91 | |
History high blood pressure
| Yes | 509 | 32 |
No | 1064 | 68 | |
History high cholesterol
| Yes | 390 | 25 |
No | 1183 | 75 | |
History heart problems
| Yes | 187 | 12 |
No | 1386 | 88 | |
Overweight or obese
+
| Not at risk | 681 | 46 |
At risk | 791 | 54 | |
Alcohol consumption
†
| Not at risk | 667 | 44 |
At risk | 854 | 56 |
Accuracy
Patient and general practitioner characteristics associated with detection of smoking
Unadjusted OR (95%CI) | Unadjusted | Adjusted OR#(95%CI) | Adjusted | ||
---|---|---|---|---|---|
p-value | p-value† | ||||
General practitioner characteristics
| |||||
Gender
| Male | Reference | 0.858 | ||
Female | 0.93 (.41-2.11) | ||||
Age
| 25-44 | Reference | 0.027 | Reference | |
45-54 | 2.85 (1.23-6.60) | 2.78 (1.15-6.76) | 0.057 | ||
≥55 | 2.46 (1.08-5.60) | 2.38 (0.95-5.96) | |||
Years in general practice
| <5 | NA | |||
6-19 | |||||
≥20 | |||||
Number of sessions per week
| ≤5 | NA | |||
5.5-10 | |||||
>10 | |||||
Patient characteristics
| |||||
Gender
| Male | Reference | 0.920 | ||
Female | 1.03 (0.60-1.78) | ||||
Age
| 18-29 | Reference | |||
30-44 | 1.43 (0.73-2.78) | ||||
45-64 | 2.57 (1.36-4.87) | ||||
≥65 | 2.22 (0.63-7.79) | ||||
Highest level of education
| High school or below | Reference | 0.013 | Reference | |
Technical certificate, Diploma, University or Other | 0.45 (0.24-0.85) | 0.52 (0.27-0.99) | 0.046 | ||
Ethnicity
| Aboriginal/Torres Strait Islander or Other | Reference | 0.830 | ||
Caucasian | 0.91 (0.38-2.20) | ||||
Private health insurance
| Yes | Reference | 0.036 | ||
No | 2.12 (1.05-4.26) | ||||
Number of times seen this general practitioner in last 12 months
| 0-3 | Reference | 0.530 | ||
4-6 | 1.53 (0.66-3.58) | ||||
7-10 | 0.90 (0.38-2.13) | ||||
More than 10 | 1.63 (0.69-3.81) | ||||
Visited this clinic previously
| Yes | Reference | 0.717 | ||
No | 1.49 (0.17-12.95) | ||||
Health care concession card
| Yes | Reference | 0.475 | ||
No | 0.78 (0.40-1.53) | ||||
History type 2 diabetes
| Yes | Reference | 0.138 | ||
No | 0.34 (0.08-1.41) | ||||
History high blood pressure
| Yes | Reference | 0.011 | Reference | |
No | 0.38 (0.18-0.80) | 0.48 (0.20-1.10) | 0.084 | ||
History high cholesterol
| Yes | Reference | 0.076 | ||
No | 0.44 (0.17-1.09) | ||||
History of heart problems or stroke
| Yes | Reference | 0.326 | ||
No | 2.12 (0.47-9.51) | ||||
Overweight or obese
| Not at risk | Reference | 0.070 | ||
At risk | 0.58 (0.32-1.04) | ||||
Alcohol consumption
| Not at risk | Reference | 0.071 | ||
At risk | 0.50 (0.23-1.06) |