Smoking prevalence in Medicaid has been declining at a negligible rate
In recent decades the overall smoking prevalence in the US has fallen steadily. This study examines whether the same trend is seen in the Medicaid population. National Health Interview Survey (NHIS) data from 17 consecutive annual surveys from 1997 to 2013 (combined N = 514,043) were used to compare...
Gespeichert in:
| Veröffentlicht in: | PloS one 2017-05, Vol.12 (5), p.e0178279-e0178279 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0178279 |
|---|---|
| container_issue | 5 |
| container_start_page | e0178279 |
| container_title | PloS one |
| container_volume | 12 |
| creator | Zhu, Shu-Hong Anderson, Christopher M Zhuang, Yue-Lin Gamst, Anthony C Kohatsu, Neal D |
| description | In recent decades the overall smoking prevalence in the US has fallen steadily. This study examines whether the same trend is seen in the Medicaid population.
National Health Interview Survey (NHIS) data from 17 consecutive annual surveys from 1997 to 2013 (combined N = 514,043) were used to compare smoking trends for 4 insurance groups: Medicaid, the Uninsured, Private Insurance, and Other Coverage. Rates of chronic disease and psychological distress were also compared.
Adjusted smoking prevalence showed no detectable decline in the Medicaid population (from 33.8% in 1997 to 31.8% in 2013, trend test P = 0.13), while prevalence in the other insurance groups showed significant declines (38.6%-34.7% for the Uninsured, 21.3%-15.8% for Private Insurance, and 22.6%-16.8% for Other Coverage; all P's |
| doi_str_mv | 10.1371/journal.pone.0178279 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_1902478649</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A492821990</galeid><doaj_id>oai_doaj_org_article_1274ba3371e74b6d949cab75491b44c7</doaj_id><sourcerecordid>A492821990</sourcerecordid><originalsourceid>FETCH-LOGICAL-c585t-5e57675d162fca64b305a61172aa4f79ce899d81ef6c3285ce988f30de7ec7443</originalsourceid><addsrcrecordid>eNptkl1v0zAUhi0EYqPwDxBEQkLctMQfseObSdPEYNIQF8C1deKcpC6uXex0Ev-eZM2mFnHlI_s57_nwS8hrWq4oV_TjJu5TAL_axYCrkqqaKf2EnFPN2VKykj89is_Ii5w3ZVnxWsrn5IzVlWCSq3Ny_X0bf7nQF7uEd-AxWCxcKL5i6yy4tlhDLhrEULRovQsTCUMBRcDeu941HosEA74kzzrwGV_N54L8vP704-rL8vbb55ury9ulrepqWFZYKamqlkrWWZCi4WUFklLFAESntMVa67am2EnLxyYt6rrueNmiQquE4Avy9qC78zGbeQXZUF0yoWop9EjcHIg2wsbskttC-mMiOHN_EVNvIA3OejSUKdEAH5eJYyBbLbSFRlVC00YIq0ati7navtliazEMCfyJ6OlLcGvTxztTCaWlmgQ-zAIp_t5jHszWZYveQ8C4v--bU1lqPvX97h_0_9PNVD_-lXGhi2NdO4maS6FZzageJRfk_RG1RvDDOke_H1wM-RQUB9CmmHPC7nE2WprJZQ9NmMllZnbZmPbmeC-PSQ-24n8BAA3NFA</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1902478649</pqid></control><display><type>article</type><title>Smoking prevalence in Medicaid has been declining at a negligible rate</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>Public Library of Science (PLoS)</source><creator>Zhu, Shu-Hong ; Anderson, Christopher M ; Zhuang, Yue-Lin ; Gamst, Anthony C ; Kohatsu, Neal D</creator><creatorcontrib>Zhu, Shu-Hong ; Anderson, Christopher M ; Zhuang, Yue-Lin ; Gamst, Anthony C ; Kohatsu, Neal D</creatorcontrib><description>In recent decades the overall smoking prevalence in the US has fallen steadily. This study examines whether the same trend is seen in the Medicaid population.
National Health Interview Survey (NHIS) data from 17 consecutive annual surveys from 1997 to 2013 (combined N = 514,043) were used to compare smoking trends for 4 insurance groups: Medicaid, the Uninsured, Private Insurance, and Other Coverage. Rates of chronic disease and psychological distress were also compared.
Adjusted smoking prevalence showed no detectable decline in the Medicaid population (from 33.8% in 1997 to 31.8% in 2013, trend test P = 0.13), while prevalence in the other insurance groups showed significant declines (38.6%-34.7% for the Uninsured, 21.3%-15.8% for Private Insurance, and 22.6%-16.8% for Other Coverage; all P's<0.005). Among individuals who have ever smoked, Medicaid recipients were less likely to have quit (38.8%) than those in Private Insurance (62.3%) or Other Coverage (69.8%; both P's<0.001). Smokers in Medicaid were more likely than those in Private Insurance and the Uninsured to have chronic disease (55.0% vs 37.3% and 32.4%, respectively; both P's<0.01). Smokers in Medicaid were also more likely to experience severe psychological distress (16.2% for Medicaid vs 3.2% for Private Insurance and 7.6% for the Uninsured; both P's<0.001).
The high and relatively unchanging smoking prevalence in the Medicaid population, low quit ratio, and high rates of chronic disease and severe psychological distress highlight the need to focus on this population. A targeted and sustained campaign to help Medicaid recipients quit smoking is urgently needed.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0178279</identifier><identifier>PMID: 28542637</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject><![CDATA[Adolescent ; Adult ; Adults ; Age Factors ; Aged ; Analysis ; Arches ; Biology and Life Sciences ; Cancer ; Chronic Disease - epidemiology ; Cigarette smoking ; Cigarettes ; Colleges & universities ; Cost engineering ; Costs ; Data processing ; Death ; Demographics ; Disease control ; Disorders ; Drug addiction ; Drugs ; Engineering and Technology ; Expansion ; Federal agencies ; Female ; Financing ; Gender aspects ; Government programs ; Health aspects ; Health care ; Health policy ; Humans ; Income ; Informed consent ; Insurance coverage ; Insurance, Health - statistics & numerical data ; Internet ; Liability ; Male ; Marketing ; Medicaid ; Medicaid - statistics & numerical data ; Medically Uninsured - statistics & numerical data ; Medicine and Health Sciences ; Mental disorders ; Middle Aged ; Nicotine ; Passive smoking ; People and Places ; Physical Sciences ; Policy research ; Polls & surveys ; Population studies ; Prevalence ; Prevalence studies (Epidemiology) ; Prevention ; Psychiatry ; Public awareness ; Public health ; Quality control ; Return on investment ; Sex differences ; Smoke ; Smoking ; Smoking - epidemiology ; Smoking cessation ; Smoking Cessation - statistics & numerical data ; Social Sciences ; Stress, Psychological - epidemiology ; Subpopulations ; Surveys and Questionnaires ; Taxation ; Tobacco ; United States - epidemiology ; World Wide Web ; Young Adult]]></subject><ispartof>PloS one, 2017-05, Vol.12 (5), p.e0178279-e0178279</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Zhu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Zhu et al 2017 Zhu et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c585t-5e57675d162fca64b305a61172aa4f79ce899d81ef6c3285ce988f30de7ec7443</citedby><cites>FETCH-LOGICAL-c585t-5e57675d162fca64b305a61172aa4f79ce899d81ef6c3285ce988f30de7ec7443</cites><orcidid>0000-0002-4149-3441</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5479677/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5479677/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28542637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Shu-Hong</creatorcontrib><creatorcontrib>Anderson, Christopher M</creatorcontrib><creatorcontrib>Zhuang, Yue-Lin</creatorcontrib><creatorcontrib>Gamst, Anthony C</creatorcontrib><creatorcontrib>Kohatsu, Neal D</creatorcontrib><title>Smoking prevalence in Medicaid has been declining at a negligible rate</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>In recent decades the overall smoking prevalence in the US has fallen steadily. This study examines whether the same trend is seen in the Medicaid population.
National Health Interview Survey (NHIS) data from 17 consecutive annual surveys from 1997 to 2013 (combined N = 514,043) were used to compare smoking trends for 4 insurance groups: Medicaid, the Uninsured, Private Insurance, and Other Coverage. Rates of chronic disease and psychological distress were also compared.
Adjusted smoking prevalence showed no detectable decline in the Medicaid population (from 33.8% in 1997 to 31.8% in 2013, trend test P = 0.13), while prevalence in the other insurance groups showed significant declines (38.6%-34.7% for the Uninsured, 21.3%-15.8% for Private Insurance, and 22.6%-16.8% for Other Coverage; all P's<0.005). Among individuals who have ever smoked, Medicaid recipients were less likely to have quit (38.8%) than those in Private Insurance (62.3%) or Other Coverage (69.8%; both P's<0.001). Smokers in Medicaid were more likely than those in Private Insurance and the Uninsured to have chronic disease (55.0% vs 37.3% and 32.4%, respectively; both P's<0.01). Smokers in Medicaid were also more likely to experience severe psychological distress (16.2% for Medicaid vs 3.2% for Private Insurance and 7.6% for the Uninsured; both P's<0.001).
The high and relatively unchanging smoking prevalence in the Medicaid population, low quit ratio, and high rates of chronic disease and severe psychological distress highlight the need to focus on this population. A targeted and sustained campaign to help Medicaid recipients quit smoking is urgently needed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Analysis</subject><subject>Arches</subject><subject>Biology and Life Sciences</subject><subject>Cancer</subject><subject>Chronic Disease - epidemiology</subject><subject>Cigarette smoking</subject><subject>Cigarettes</subject><subject>Colleges & universities</subject><subject>Cost engineering</subject><subject>Costs</subject><subject>Data processing</subject><subject>Death</subject><subject>Demographics</subject><subject>Disease control</subject><subject>Disorders</subject><subject>Drug addiction</subject><subject>Drugs</subject><subject>Engineering and Technology</subject><subject>Expansion</subject><subject>Federal agencies</subject><subject>Female</subject><subject>Financing</subject><subject>Gender aspects</subject><subject>Government programs</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health policy</subject><subject>Humans</subject><subject>Income</subject><subject>Informed consent</subject><subject>Insurance coverage</subject><subject>Insurance, Health - statistics & numerical data</subject><subject>Internet</subject><subject>Liability</subject><subject>Male</subject><subject>Marketing</subject><subject>Medicaid</subject><subject>Medicaid - statistics & numerical data</subject><subject>Medically Uninsured - statistics & numerical data</subject><subject>Medicine and Health Sciences</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>Nicotine</subject><subject>Passive smoking</subject><subject>People and Places</subject><subject>Physical Sciences</subject><subject>Policy research</subject><subject>Polls & surveys</subject><subject>Population studies</subject><subject>Prevalence</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Prevention</subject><subject>Psychiatry</subject><subject>Public awareness</subject><subject>Public health</subject><subject>Quality control</subject><subject>Return on investment</subject><subject>Sex differences</subject><subject>Smoke</subject><subject>Smoking</subject><subject>Smoking - epidemiology</subject><subject>Smoking cessation</subject><subject>Smoking Cessation - statistics & numerical data</subject><subject>Social Sciences</subject><subject>Stress, Psychological - epidemiology</subject><subject>Subpopulations</subject><subject>Surveys and Questionnaires</subject><subject>Taxation</subject><subject>Tobacco</subject><subject>United States - epidemiology</subject><subject>World Wide Web</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptkl1v0zAUhi0EYqPwDxBEQkLctMQfseObSdPEYNIQF8C1deKcpC6uXex0Ev-eZM2mFnHlI_s57_nwS8hrWq4oV_TjJu5TAL_axYCrkqqaKf2EnFPN2VKykj89is_Ii5w3ZVnxWsrn5IzVlWCSq3Ny_X0bf7nQF7uEd-AxWCxcKL5i6yy4tlhDLhrEULRovQsTCUMBRcDeu941HosEA74kzzrwGV_N54L8vP704-rL8vbb55ury9ulrepqWFZYKamqlkrWWZCi4WUFklLFAESntMVa67am2EnLxyYt6rrueNmiQquE4Avy9qC78zGbeQXZUF0yoWop9EjcHIg2wsbskttC-mMiOHN_EVNvIA3OejSUKdEAH5eJYyBbLbSFRlVC00YIq0ati7navtliazEMCfyJ6OlLcGvTxztTCaWlmgQ-zAIp_t5jHszWZYveQ8C4v--bU1lqPvX97h_0_9PNVD_-lXGhi2NdO4maS6FZzageJRfk_RG1RvDDOke_H1wM-RQUB9CmmHPC7nE2WprJZQ9NmMllZnbZmPbmeC-PSQ-24n8BAA3NFA</recordid><startdate>20170525</startdate><enddate>20170525</enddate><creator>Zhu, Shu-Hong</creator><creator>Anderson, Christopher M</creator><creator>Zhuang, Yue-Lin</creator><creator>Gamst, Anthony C</creator><creator>Kohatsu, Neal D</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4149-3441</orcidid></search><sort><creationdate>20170525</creationdate><title>Smoking prevalence in Medicaid has been declining at a negligible rate</title><author>Zhu, Shu-Hong ; Anderson, Christopher M ; Zhuang, Yue-Lin ; Gamst, Anthony C ; Kohatsu, Neal D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c585t-5e57675d162fca64b305a61172aa4f79ce899d81ef6c3285ce988f30de7ec7443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Analysis</topic><topic>Arches</topic><topic>Biology and Life Sciences</topic><topic>Cancer</topic><topic>Chronic Disease - epidemiology</topic><topic>Cigarette smoking</topic><topic>Cigarettes</topic><topic>Colleges & universities</topic><topic>Cost engineering</topic><topic>Costs</topic><topic>Data processing</topic><topic>Death</topic><topic>Demographics</topic><topic>Disease control</topic><topic>Disorders</topic><topic>Drug addiction</topic><topic>Drugs</topic><topic>Engineering and Technology</topic><topic>Expansion</topic><topic>Federal agencies</topic><topic>Female</topic><topic>Financing</topic><topic>Gender aspects</topic><topic>Government programs</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health policy</topic><topic>Humans</topic><topic>Income</topic><topic>Informed consent</topic><topic>Insurance coverage</topic><topic>Insurance, Health - statistics & numerical data</topic><topic>Internet</topic><topic>Liability</topic><topic>Male</topic><topic>Marketing</topic><topic>Medicaid</topic><topic>Medicaid - statistics & numerical data</topic><topic>Medically Uninsured - statistics & numerical data</topic><topic>Medicine and Health Sciences</topic><topic>Mental disorders</topic><topic>Middle Aged</topic><topic>Nicotine</topic><topic>Passive smoking</topic><topic>People and Places</topic><topic>Physical Sciences</topic><topic>Policy research</topic><topic>Polls & surveys</topic><topic>Population studies</topic><topic>Prevalence</topic><topic>Prevalence studies (Epidemiology)</topic><topic>Prevention</topic><topic>Psychiatry</topic><topic>Public awareness</topic><topic>Public health</topic><topic>Quality control</topic><topic>Return on investment</topic><topic>Sex differences</topic><topic>Smoke</topic><topic>Smoking</topic><topic>Smoking - epidemiology</topic><topic>Smoking cessation</topic><topic>Smoking Cessation - statistics & numerical data</topic><topic>Social Sciences</topic><topic>Stress, Psychological - epidemiology</topic><topic>Subpopulations</topic><topic>Surveys and Questionnaires</topic><topic>Taxation</topic><topic>Tobacco</topic><topic>United States - epidemiology</topic><topic>World Wide Web</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Shu-Hong</creatorcontrib><creatorcontrib>Anderson, Christopher M</creatorcontrib><creatorcontrib>Zhuang, Yue-Lin</creatorcontrib><creatorcontrib>Gamst, Anthony C</creatorcontrib><creatorcontrib>Kohatsu, Neal D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, Shu-Hong</au><au>Anderson, Christopher M</au><au>Zhuang, Yue-Lin</au><au>Gamst, Anthony C</au><au>Kohatsu, Neal D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Smoking prevalence in Medicaid has been declining at a negligible rate</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-05-25</date><risdate>2017</risdate><volume>12</volume><issue>5</issue><spage>e0178279</spage><epage>e0178279</epage><pages>e0178279-e0178279</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>In recent decades the overall smoking prevalence in the US has fallen steadily. This study examines whether the same trend is seen in the Medicaid population.
National Health Interview Survey (NHIS) data from 17 consecutive annual surveys from 1997 to 2013 (combined N = 514,043) were used to compare smoking trends for 4 insurance groups: Medicaid, the Uninsured, Private Insurance, and Other Coverage. Rates of chronic disease and psychological distress were also compared.
Adjusted smoking prevalence showed no detectable decline in the Medicaid population (from 33.8% in 1997 to 31.8% in 2013, trend test P = 0.13), while prevalence in the other insurance groups showed significant declines (38.6%-34.7% for the Uninsured, 21.3%-15.8% for Private Insurance, and 22.6%-16.8% for Other Coverage; all P's<0.005). Among individuals who have ever smoked, Medicaid recipients were less likely to have quit (38.8%) than those in Private Insurance (62.3%) or Other Coverage (69.8%; both P's<0.001). Smokers in Medicaid were more likely than those in Private Insurance and the Uninsured to have chronic disease (55.0% vs 37.3% and 32.4%, respectively; both P's<0.01). Smokers in Medicaid were also more likely to experience severe psychological distress (16.2% for Medicaid vs 3.2% for Private Insurance and 7.6% for the Uninsured; both P's<0.001).
The high and relatively unchanging smoking prevalence in the Medicaid population, low quit ratio, and high rates of chronic disease and severe psychological distress highlight the need to focus on this population. A targeted and sustained campaign to help Medicaid recipients quit smoking is urgently needed.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28542637</pmid><doi>10.1371/journal.pone.0178279</doi><orcidid>https://orcid.org/0000-0002-4149-3441</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2017-05, Vol.12 (5), p.e0178279-e0178279 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1902478649 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adolescent Adult Adults Age Factors Aged Analysis Arches Biology and Life Sciences Cancer Chronic Disease - epidemiology Cigarette smoking Cigarettes Colleges & universities Cost engineering Costs Data processing Death Demographics Disease control Disorders Drug addiction Drugs Engineering and Technology Expansion Federal agencies Female Financing Gender aspects Government programs Health aspects Health care Health policy Humans Income Informed consent Insurance coverage Insurance, Health - statistics & numerical data Internet Liability Male Marketing Medicaid Medicaid - statistics & numerical data Medically Uninsured - statistics & numerical data Medicine and Health Sciences Mental disorders Middle Aged Nicotine Passive smoking People and Places Physical Sciences Policy research Polls & surveys Population studies Prevalence Prevalence studies (Epidemiology) Prevention Psychiatry Public awareness Public health Quality control Return on investment Sex differences Smoke Smoking Smoking - epidemiology Smoking cessation Smoking Cessation - statistics & numerical data Social Sciences Stress, Psychological - epidemiology Subpopulations Surveys and Questionnaires Taxation Tobacco United States - epidemiology World Wide Web Young Adult |
| title | Smoking prevalence in Medicaid has been declining at a negligible rate |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-19T11%3A47%3A21IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Smoking%20prevalence%20in%20Medicaid%20has%20been%20declining%20at%20a%20negligible%20rate&rft.jtitle=PloS%20one&rft.au=Zhu,%20Shu-Hong&rft.date=2017-05-25&rft.volume=12&rft.issue=5&rft.spage=e0178279&rft.epage=e0178279&rft.pages=e0178279-e0178279&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0178279&rft_dat=%3Cgale_plos_%3EA492821990%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1902478649&rft_id=info:pmid/28542637&rft_galeid=A492821990&rft_doaj_id=oai_doaj_org_article_1274ba3371e74b6d949cab75491b44c7&rfr_iscdi=true |