Int. J. Environ. Res. Public Health 2011, 8(1), 253-263; doi:10.3390/ijerph8010253

Tobacco Use among Emergency Department Patients

Received: 10 December 2010; in revised form: 14 January 2010 / Accepted: 19 January 2011 / Published: 21 January 2011
(This article belongs to the Special Issue Tobacco Smoking: Public Health, Science and Policy)
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Abstract: This is the first study to systematically track the tobacco use prevalence in an entire emergency department (ED) population and compare age-stratified rates to the general population using national, provincial, and regional comparisons. A tobacco use question was integrated into the ED electronic registration process from 2007 to 2010 in 11 northern hospitals (10 rural, 1 urban). Results showed that tobacco use documentation (85–89%) and tobacco use (26–27%) were consistent across years with the only discrepancy being higher tobacco prevalence in 2007 (32%) due to higher rates at the urban hospital. Age-stratified outcomes showed that tobacco use remained high up to 50 years old (36%); rates began to decrease for patients in their 50’s (26%) and 60’s (16%), and decreased substantially after age 70 (5%). The age-stratified ED tobacco rates were almost double those of the general population nationally and provincially for all but the oldest age groups but were virtually identical to regional rates. The tobacco use tracking and age-stratified general population comparisons in this study improves on previous attempts to document prevalence in the ED population, and at a more local level, provides a “big picture” overview that highlights the magnitude of the tobacco-use problem in these communities.
Keywords: tobacco prevalence; epidemiology; population surveillance; ED tobacco prevalence; hospital tobacco prevalence; tobacco use identification and documentation
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Smith, P.M. Tobacco Use among Emergency Department Patients. Int. J. Environ. Res. Public Health 2011, 8, 253-263.

AMA Style

Smith PM. Tobacco Use among Emergency Department Patients. International Journal of Environmental Research and Public Health. 2011; 8(1):253-263.

Chicago/Turabian Style

Smith, Patricia M. 2011. "Tobacco Use among Emergency Department Patients." Int. J. Environ. Res. Public Health 8, no. 1: 253-263.

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