ABSTRACT
INTRODUCTION We investigated associations between counseling by a dentist or physician and quit intentions/ attempts using longitudinal data. METHODS Analyses were performed with longitudinal data from the 2010–2011 Tobacco Use Supplement to the Current Population Survey (TUS-CPS). Participants were followed over a one-year period and provided repeated measurements. Multivariable logistic regression was used to measure associations between cessation counseling and study endpoints. All data were weighted to yield nationally representative estimates. RESULTS Of smokers who visited a dentist at both baseline and follow-up in TUS-CPS, 51.7% were not counselled on either occasion;only 19.2% were counselled on both occasions.In contrast, 52.6% of smokers who visited a physician at both baseline and follow-up at 1 year were counseled on both occasions and only 17.6% were not counseled on any occasion. Dentist-only advice at baseline was associated with higher odds of intention to quit in the next 30 days (AOR=1.96;95% CI: 1.04–3.68), but not with a past-year quit attempt. Physician-only advice at baseline was associated with intention to quit in the next 6 months (AOR=1.52;95% CI: 1.18–1.94), as was advice delivered by both a dentist and physician at baseline (AOR=1.54;95% CI: 1.05–2.28). CONCLUSIONS Dental patients are less likely to receive cessation counselling at every visit than medical patients. Intensified efforts are needed to increase counselling within dental settings © 2023 Agaku I. et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial 4.0 International License. (http://creativecommons.org/licenses/by-nc/4.0)
ABSTRACT
INTRODUCTION Omicron cases are surging in a pandemicweary US population. As breakthrough infections increase, and with just about a quarter of the US vaccinated population having received a booster dose, adherence to non-pharmacological anti-contagion measures is critical. We examined prevalence, trends, and correlates of adherence to non-pharmacological anti-contagion measures. METHODS We used cross-sectional data from six cycles of the Household Pulse Survey during April–July 2021. The Pulse Survey is a telephone-based survey of adults aged ≥18 years in all 50 US states and D.C. Between 66262 and 78467 US adults completed each survey cycle (pooled n=425460). RESULTS During the most recent cycle analyzed (23 June–5 July 2021), 13.6% of US adults reported ever COVID-19 diagnosis, ranging from 5.0% in Hawaii to 20.5% in North Dakota;in New York State, prevalence was 14.0%. Overall, 80.9% reported having received ≥1 dose of a COVID-19 vaccine during 23 June–5 July 2021, ranging from 93.5% in D.C. to 60.1% in Wyoming;in New York State, prevalence was 83.0%. Within trend analysis over the six survey cycles (14 April–5 July 2021), the percentage of vaccinated adults who reported ‘I have decreased prevention behaviors since getting a vaccine’ increased from 10.1% at baseline during 14 April–26 April 2021, to 52.5% during 23 June–5 July 2021 (p<0.01). Significant increases occurred in all 50 US states and D.C. Those with reduced adherence were more likely to be males, more educated, married, younger, living in the Midwest, and residing in a one-family house. CONCLUSIONS During April–July 2021, the percentage of vaccinated US adults reporting reduced adherence to public COVID-19 prevention behaviors increased five-fold, suggesting growing fatigue with COVID-19 prevention measures, with major implications for community spread from omicron and possibly future variants. Intensified efforts to increase vaccine coverage, including booster doses, may benefit public health. © 2022 Agaku I. et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial 4.0 International License. (http://creativecommons.org/licenses/by-nc/4.0)