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Table 3 Multiple logistic regression analyses for the recording of smoking status and cessation advice in 2002, 2004 and 2008

From: The impact of the Quality and Outcomes Framework (QOF) on the recording of smoking targets in primary care medical records: cross-sectional analyses from The Health Improvement Network (THIN) database

 

2002

2004

2008

 

Record 27

Advice 15

Record 27

Advice 15

Record 27

Advice 15

N

1,998,631

421,358

2,053,840

453,646

2,149,026

463,457

 

AOR

P

AOR

P

AOR

P

AOR

P

AOR

p

AOR

P

 

(95% CI)

 

(95% CI)

 

(95% CI)

 

(95% CI)

 

(95% CI)

 

(95% CI)

 

Age

15-24

1

<0.001

1

<0.001

1

<0.001

1

<0.001

1

<0.001

1

<0.001

25-34

1.25

 

0.73

 

1.25

 

0.64

 

1.06

 

0.78

 
 

(1.19-1.31)

 

(0.69-0.77)

 

(1.20-1.29)

 

(0.62-0.67)

 

(1.02-1.10)

 

(0.75-0.81)

 

35-44

1.26

 

0.77

 

1.24

 

0.65

 

1.08

 

0.82

 
 

(1.19-1.31)

 

(0.72-0.82)

 

(1.19-1.29)

 

(0.62-0.68)

 

(1.04-1.13)

 

(0.79-0.85)

 

45-54

1.40

 

0.79

 

1.40

 

0.72

 

1.21

 

0.90

 
 

(1.33-1.47)

 

(0.73-0.85)

 

(1.34-1.46)

 

(0.68-0.75)

 

(1.15-1.26)

 

(0.86-0.94)

 

55-64

1.51

 

0.75

 

1.62

 

0.80

 

1.38

 

0.98

 
 

(1.43-1.60)

 

(0.69-0.81)

 

(1.54-1.70)

 

(0.76-0.84)

 

(1.32-1.45)

 

(0.94-1.02)

 

65-74

1.41

 

0.66

 

1.84

 

0.85

 

1.80

 

1.25

 
 

(1.32-1.50)

 

(0.60-0.72)

 

(1.73-1.96)

 

(0.77-0.93)

 

(1.68-1.92)

 

(1.16-1.35)

 

≥ 75

0.93

 

0.37

 

1.29

 

0.62

 

1.28

 

1.02

 
 

(0.85-1.03)

 

(0.32-0.43)

 

(1.20-1.40)

 

(0.55-0.71)

 

(1.19-1.38)

 

(0.92-1.13)

 

Gender

Male

1

n/a

1

n/a

1

n/a

1

n/a

1

n/a

1

n/a

Female

1.54

<0.001

1.27

<0.001

1.68

<0.001

1.47

<0.001

1.71

<0.001

1.71

<0.001

 

(1.48-1.60)

 

(1.22-1.31)

 

(1.63-1.73)

 

(1.43-1.50)

 

(1.65-1.77)

 

(1.66-1.77)

 

Townsend Category

I

1

<0.001

1

<0.001

1

<0.001

1

<0.001

1

<0.001

1

<0.001

II

1.06

 

1.06

 

1.06

 

1.04

 

1.10

 

1.11

 
 

(1.00-1.17)

 

(0.98-1.14)

 

(1.01-1.10)

 

(0.98-1.10)

 

(1.06-1.14)

 

(1.06-1.15)

 

III

1.08

 

1.10

 

1.11

 

1.18

 

1.18

 

1.17

 
 

(1.04-1.25)

 

(1.00-1.21)

 

(1.04-1.18)

 

(1.10-1.26)

 

(1.11-1.25)

 

(1.10-1.25)

 

IV

1.14

 

1.14

 

1.16

 

1.23

 

1.25

 

1.19

 
 

(1.06-1.28)

 

(1.01-1.29)

 

(1.08-1.25)

 

(1.14-1.33)

 

(1.16-1.34)

 

(1.12-1.26)

 

V

1.07

 

1.06

 

1.12

 

1.21

 

1.35

 

1.20

 
 

(0.93-1.23)

 

(0.90-1.26)

 

(1.00-1.26)

 

(1.09-1.35)

 

(1.21-1.49)

 

(1.10-1.30)

 

Missing

0.90

 

0.83

 

0.99

 

1.20

 

1.05

 

1.06

 
 

(0.70-1.15)

 

(0.59-1.17)

 

(0.85-1.15)

 

(0.96-1.48)

 

(0.92-1.21)

 

(0.90-1.26)

 

Chronic Conditions

CHD

3.02

<0.001

2.16

<0.001

5.12

<0.001

3.66

<0.001

4.16

<0.001

7.14

<0.001

 

(2.78-3.27)

 

(1.92-2.43)

 

(4.72-5.56)

 

(3.37-3.97)

 

(3.77-4.59)

 

(6.43-7.93)

 

Stroke / TIA

1.28

<0.001

1.23

<0.001

1.74

<0.001

1.82

<0.001

1.83

<0.001

4.56

<0.001

 

(1.22-1.33)

 

(1.11-1.36)

 

(1.67-1.85)

 

(1.68-1.96)

 

(1.71-1.95)

 

(4.02-5.17)

 

CKD

1.07

0.662

0.58

0.175

0.73

0.305

0.78

0.515

1.42

<0.001

1.76

<0.001

 

(0.78-1.47)

 

(0.26-1.28)

 

(0.40-1.33)

 

(0.37-1.66)

 

(1.33-1.52)

 

(1.61-1.91)

 

Psychoses

1.12

0.027

1.11

0.072

1.28

<0.001

1.26

<0.001

2.51

<0.001

1.77

<0.001

 

(1.01-1.24)

 

(0.99-1.25)

 

(1.20-1.37)

 

(1.17-1.36)

 

(2.35-2.69)

 

(1.64-1.91)

 

COPD

2.03

<0.001

1.81

<0.001

3.37

<0.001

2.72

<0.001

15.38

<0.001

11.72

<0.001

 

(1.90-2.17)

 

(1.65-1.99)

 

(3.11-3.65)

 

(2.50-2.96)

 

(13.70-17.27)

 

(10.41-13.21)

 

Hypertension

1.87

<0.001

1.51

<0.001

2.58

<0.001

2.29

<0.001

2.95

<0.001

8.49

<0.001

 

(1.77-1.97)

 

(1.41-1.61)

 

(2.45-2.72)

 

(2.17-2.42)

 

(2.76-3.15)

 

(7.74-9.32)

 

Diabetes

3.20

<0.001

1.74

<0.001

6.23

<0.001

3.99

<0.001

7.85

<0.001

12.00

<0.001

 

(2.82-3.63)

 

(1.41-2.15)

 

(5.61-6.93)

 

(3.58-4.45)

 

(6.95-8.86)

 

(10.66-13.52)

 

Asthma

2.05

<0.001

1.74

<0.001

3.34

<0.001

3.14

<0.001

6.70

<0.001

10.26

<0.001

 

(1.93-2.18)

 

(1.63-1.84)

 

(3.15-3.54)

 

(2.93-3.36)

 

(6.27-7.17)

 

(9.37-11.23)

 

≥ 1 CC

2.76

<0.001

2.11

<0.001

4.16

<0.001

3.70

<0.001

5.80

<0.001

10.83

<0.001

 

(2.63-2.89)

 

(1.99-2.24)

 

(3.98-4.34)

 

(3.51-3.90)

 

(5.49-6.14)

 

(10.16-11.53)

 
  1. [AOR = Adjusted Odds Ratio; Record 27 = Patients with a record of smoking status within the previous 27 months; Advice 15 = Patients who are current smokers with a record of advice against smoking within the previous 15 months; adjustments made for age category, gender, Townsend category and presence of chronic illness; P = p value: LRT used for age and Townsend quintiles, Wald test used for other covariates].