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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Impact of economic policies on reducing tobacco use among Medicaid clients in New York.
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Impact of economic policies on reducing tobacco use among Medicaid clients in New York.

机译：经济政策对纽约医疗补助客户减少烟草使用的影响。

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BACKGROUND: New York State (NYS) recently implemented Medicaid coverage for prescription pharmacologic adjuncts for cessation and a 55-cent excise tax on a pack of cigarettes. This study examined awareness and use of stop smoking medications and changes in smoking/purchasing behavior among Medicaid clients. METHODS: Participants (n = 173) were English-speaking Medicaid clients ages 18-64 years who currently smoked cigarettes and volunteered to be interviewed while waiting to reregister with the NYC Medicaid Office during early 2001. Data were collected using a brief (10-min) interviewer-administered questionnaire. RESULTS: Over 80% of Medicaid clients reported some desire to stop smoking and 40% intended to stop smoking in the next 6 months. Awareness of Medicaid coverage for tobacco cessation pharmacotherapy was 7% for nicotine replacement therapy and 13% for bupropion. Use of these stop smoking medications varied across products but in general was low (<10%). Half of the Medicaid clients reported changing their smoking behavior as a result of the cigarette tax increase. CONCLUSIONS: The majority of Medicaid clients report a desire to stop smoking, but these economic influences alone are insufficient to substantially reduce smoking in this population. These findings emphasize the importance of allocating a portion of tobacco tax revenue to promote both expanded awareness of this prescription benefit among Medicaid clients and to support programs to further assist low-income smokers in their attempts to stop smoking.
机译：背景：纽约州（NYS）最近实施了针对停药的处方药助剂的医疗补助计划，并对一包香烟征收55美分的消费税。这项研究调查了医疗补助对象中停止吸烟药物的意识和使用以及吸烟/购买行为的变化。方法：参与者（n = 173）是说英语的Medicaid客户，年龄在18-64岁之间，他们目前吸烟，并自愿在2001年初等待在NYC Medicaid办公室重新注册时接受采访。数据收集时使用了简短的（10-分钟）由访调员管理的问卷。结果：超过80％的医疗补助客户表示有一定的戒烟意愿，而40％的客户打算在未来6个月内戒烟。尼古丁替代疗法对戒烟药物疗法的医疗补助覆盖率为7％，安非他酮为13％。这些停止吸烟药物的使用因产品而异，但总体上较低（<10％）。一半的医疗补助客户报告说，由于卷烟税增加而改变了他们的吸烟行为。结论：大多数医疗补助客户都表示希望戒烟，但仅凭这些经济影响不足以实质性减少该人群的吸烟。这些发现强调了分配一部分烟草税收入的重要性，既可以提高医疗补助客户对这种处方药利益的认识，也可以支持进一步帮助低收入吸烟者戒烟的计划。

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