Factors associated with patient-recalled smoking cessation advice in a low-income clinic.

Journal Article (Journal Article)

It is recommended that providers advise cessation to their patients who smoke. However, patients' reports of cessation advice indicate disparities based on patients' race, gender, age, and smoking level. Providers' reports do not corroborate these disparities. We investigated whether smokers who receive their care in a community health center recalled their providers advising them to quit smoking when their providers documented such advice. We examined 219 patient-provider dyads to assess factors associated with lack of agreement between providers' documentation and patient recall. Patients were asked to recall any provider advice to quit smoking in the post 2 years. After every visit, providers completed a form to record the content of the visit. Most of the patients were African American, married, and uninsured. Sixty-eight percent of the dyads agreed in their documentation/recall. Patient race was the only factor associated with lack of agreement; African-American patients were more likely than white patients to provide discrepant reports. Although this study can not disentangle the racial difference in patient-provider recall/documentation, results may indicate an important area in which health disparities exist. Future studies should address the dynamics of patient-provider communication about smoking cessation, especially in populations that include ethnically diverse patients.

Full Text

Duke Authors

Cited Authors

  • Pollak, KI; Yarnall, KSH; Rimer, BK; Lipkus, I; Lyna, PR

Published Date

  • May 2002

Published In

Volume / Issue

  • 94 / 5

Start / End Page

  • 354 - 363

PubMed ID

  • 12069216

Pubmed Central ID

  • PMC2594330

International Standard Serial Number (ISSN)

  • 0027-9684


  • eng

Conference Location

  • United States