Racial/Ethnic Differences in the Response to Incentives for Quitline Engagement
Racial/Ethnic Differences in the Response to Incentives for Quitline Engagement
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DOI：
10.1016/j.amepre.2018.07.018
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发表时间：
2018-12-01
影响因子：
5.5
通讯作者：
Tong, Elisa K.
中科院分区：
文献类型：
--
作者：
Vijayaraghavan, Maya;Dove, Melanie S.;Tong, Elisa K.
Introduction: Certain racial and ethnic minorities have lower utilization of tobacco cessation services, such as Helpline counseling and cessation medications. The goal of the California Medicaid (Medi-Cal) Incentives to Quit Smoking Program was to facilitate successful cessation by promoting modest financial and cessation medication-related incentives to increase engagement with the California Smokers' Helpline counseling services. Differences in the response to incentives and outreach on engagement with Helpline services among racial/ethnic groups within the Medi-Cal population were examined.Study design: Analysis of Helpline caller data.Setting/participants: African American (n=18,656); English-speaking Latinx (n=12 ,792); Spanish-speaking Latinx (n=3,254); and white (n=45,907) Medi-Cal callers.Intervention: The Medi-Cal Incentives to Quit Smoking team conducted statewide and community-based outreach and facilitated direct-to-member all-household mailings about the Medi-Cal Incentives to Quit Smoking program to engage with Medi-Cal callers and promote Helpline services between March 2012 and July 2015 (analyzed 2017/2018). Medi-Cal callers could ask for a $20 gift card incentive after having completed a counseling session; in September 2013, callers were offered free nicotine replacement therapy.Main outcome measures: Three behavioral outcomes are reported that reflect activated callers and callers who engaged in treatment that is proven to improve chances of quitting smoking: receipt of the $20 incentive, receipt of nicotine replacement therapy, and receipt of counseling.Results: African Americans and English-speaking Latinx had higher engagement with the financial incentive than whites (African American APR=1.66, 95% CI=1.59, 1.73, English-speaking Latinx APR=1.29, 95% CI=1.22, 1.36). Spanish-speaking Latinx had lower initial engagement with the financial incentive (APR=0.75, 95% CI=0.66, 0.85), but higher engagement with Medi-Cal's all-household mailing (Spanish-speaking Latinx 30.6% vs whites 18.2%, p
