Assessing the Feasibility of Conducting Smoking Cessation Outreach in Food Pantries: A Pilot Intervention Study.
Assessing the Feasibility of Conducting Smoking Cessation Outreach in Food Pantries: A Pilot Intervention Study.
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评估在食品储藏室开展戒烟宣传活动的可行性：一项试点干预研究。
DOI：
10.1093/ntr/ntad137
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Trapl,ErikaS
中科院分区：
文献类型：
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作者：
Kim-Mozeleski,JinE;Smell,Adrianna;Castele,MadelineC;Ogden,Erin;Trapl,ErikaS
美国成年人的吸烟率很高，食物不安全。本研究探讨了如何食品援助设置，即食品储藏室，可以作为一个以社区为基础的场所，以达到食品不安全的成年人谁吸烟戒烟MethodsPartnering与当地的饥饿救济组织，我们进行了调查和焦点小组的食品储藏室客户在大克利夫兰，俄亥俄州，随后是食品储藏室为基础的外展活动，以连接吸烟的人到俄亥俄州戒烟热线。结果调查包括132名参与者谁访问了食品储藏室（法师 = 47人; 74%为女性; 39%为黑人/非裔美国人），其中35%使用烟草，31%吸烟。在目前吸烟的人中（Mcigarettes/day = 9），76%的人打算在未来6个月内戒烟，82%的人没有使用或听说过戒烟热线。 根据焦点小组的主题，我们在四个茶水间共进行了22次外展活动。在那些对戒烟资源感兴趣的外展活动（n= 54）中，78%的人随后能够联系到。 其中，74%的人同意戒烟热线转诊。其余人要么拒绝参与，要么无法参与。结论虽然利用食品储藏室进行戒烟外展是可行的，但总体覆盖范围较低。尽管戒烟的兴趣很高，但在没有适应每个茶水间环境、认识到当前的食物需求以及与COVID-19疫情相关的挑战的情况下，外展工作的成效有限。仍然迫切需要解决粮食不安全人口中吸烟率高的问题。影响戒烟服务越来越认识到需要解决粮食不安全和其他社会需求，这些需求通常发生在烟草使用率较高的人口中。这项研究强调了利用食品储藏室作为社区戒烟宣传场所的价值和挑战。除了改进推广模式外，还需要对结构性干预措施进行长期投资，以解决最终导致吸烟和粮食不安全方面差异的根本贫困和社会经济劣势。
IntroductionSmoking prevalence is high among US adults with food insecurity. This study examined how food assistance settings, namely food pantries, can serve as a community-based venue to reach food insecure adults who smoke for smoking cessation.MethodsPartnering with a local hunger relief organization, we conducted surveys and focus groups of food pantry clients in Greater Cleveland, Ohio, followed by food pantry-based outreach events to connect people who smoke to the Ohio Tobacco Quit Line.ResultsThe survey included 132 participants who visited a food pantry (Mage = 47; 74% women; 39% Black/African American), of whom 35% were using tobacco and 31% were smoking cigarettes. Among those currently smoking (Mcigarettes/day = 9), 76% intended to quit in the next 6 months, and 82% had not used nor heard of the quitline. Informed by focus group themes, we conducted a total of 22 outreach events at four pantries. Among those interested in smoking cessation resources from the outreach events (n= 54), 78% were able to be subsequently contacted. Of them, 74% provided consent for quitline referral. The remainder either declined or were unable to participate.ConclusionsWhile it was feasible to leverage food pantries for smoking cessation outreach, the overall reach was low. Despite high interest in quitting, there was limited effectiveness of outreach efforts without adaptations to each pantry setting and in recognition of the immediate food needs and with challenges related to the COVID-19 pandemic. There remains a critical need to address high rates of smoking among populations experiencing food insecurity.ImplicationsTobacco cessation services are increasingly recognizing the need to address food insecurity and other social needs that commonly occur in populations who use tobacco at higher rates. This research underscores both the value and the challenges related to leveraging food pantries as a community-based venue for smoking cessation outreach. In addition to improvements in outreach models, long-term investments in structural interventions are also needed to address underlying poverty and socioeconomic disadvantage that ultimately drive disparities in smoking and in food insecurity.