Abstract 18367: Association of Neighborhood Socioeconomic Status With Smoking Cessation Assistance Provided in the Cardiology Practices: Insights From the NCDR PINNACLE Registry

Background: Disadvantaged neighborhood socioeconomic status (SES) is associated with increased cardiovascular risk, including smoking. We hypothesized that neighborhood SES is also associated with smoking cessation assistance (counseling or pharmacotherapy). We analyzed the association between lower neighborhood SES and cessation assistance rates in the NCDR PINNACLE registry. Methods: Among 332582 current smokers seen between 1/1/2013 and 12/31/2016 in 348 PINNACLE cardiology practices, we determined the rates of cessation assistance. We then extracted lower neighborhood SES variables using the American Community Survey data (Table 1). Using multivariable hierarchical logistic regression models, we assessed the association between the SES variables and cessation assistance provision. We also measured the practice variation in cessation assistance, using a median rate ratio (MRR, table footnote). Results: Cessation assistance was provided to 115279 (35%) smokers. Higher rates of English proficiency and hi...