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COMMENTS AND OPINIONS
The Presence of Tobacco Cessation Programs Is Not Sufficient for Low-Income Hospitalized Smokers
Lisa M. Shah, MD, MA;
Vineet Arora, MD, MA;
Andrea King, PhD;
Jerry Krishnan, MD, PhD
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We commend Dawood et al1 on their study, which found that simply giving smoking cessation counseling in the hospital, as mandated by current quality-initiative measures, does not result in smoking cessation. Factors that improved smoking cessation rates included receiving a referral to cardiac rehabilitation, the presence of a hospital-based smoking cessation program, and not experiencing depression. These findings are critical in helping to shape policy decisions regarding inpatient efforts to promote smoking cessation.
However, we are concerned with the authors' conclusion that "socioeconomic status of the patients did not predict" smoking cessation.1(p1965) This finding is based on multivariable analyses that included "economic burden" as a potential predictor (defined as "reported avoiding health care owing to cost over the past year"1[p1962]). There is some question as to the rationale and appropriateness of this single-item . . . [Full Text of this Article] AUTHOR INFORMATION
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RELATED LETTER
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Arch Intern Med. 2009;169(9):902-903.
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