Comparing two approaches to remote biochemical verification of self-reported cessation in very low-income smokers.
Comparing two approaches to remote biochemical verification of self-reported cessation in very low-income smokers.
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DOI：
10.1016/j.abrep.2021.100343
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发表时间：
2021-06
影响因子：
--
通讯作者：
Kreuter MW
中科院分区：
文献类型：
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作者：
Garg R;McQueen A;Wolff J;Butler T;Thompson T;Caburnay C;Kreuter MW
低收入吸烟者更喜欢尿检而不是呼吸测试来确认戒烟。完成家庭尿检的比率与先前研究中的比率相当。许多尿检结果的数码照片是不确定的，限制了它们的价值。尿检对低收入吸烟者来说是可以接受的，但需要得到更清晰的结果。关于低收入和种族多样性吸烟者自我报告戒烟的远程生化验证的可接受性和使用情况知之甚少。我们在一项以社区为基础的随机戒烟试验中，比较了270名在6个月随访时报告连续戒烟7天的成年人对一氧化碳呼气试验和家庭尿可替宁试验的反应。一半的参与者（50%）报告家庭年收入低于10，000美元，四分之一（28%）没有完成高中学业，69%是黑人或非洲裔美国人。无论这两项测试是单独提供的，顺序提供的，还是作为一个面对面的选择，参与者都更有可能接受尿液测试而不是呼吸测试（89%对32%），并完成它（46%对13%）。完成尿检并返回检测结果数码照片的参与者比例与使用不太不利的样本完成的几项研究相当。74%的参与者通过尿检确认了自我报告，并得到了结论性的检测结果，尽管高比例（39%）的检测结果是不确定的。对于许多低收入吸烟者来说，家庭尿液检测似乎是可以接受和可行的，但目前检测技术和响应率的挑战限制了其增加自我报告信心的价值。
Low-income smokers preferred urine tests over breath tests to confirm cessation. Rates of completing in-home urine tests were comparable to rates in prior studies. Many digital photos of urine test results were inconclusive, limiting their value. Urine tests are acceptable to low-income smokers, but need to yield clearer results. Little is known about the acceptability and use of remote biochemical verification of self-reported cessation among low-income and racially diverse smokers. We compared responses to an in-person carbon monoxide breath test and in-home urine cotinine test among 270 adults who reported 7-day continuous abstinence at 6-month follow-up in a community-based randomized cessation trial. Half of participants (50%) reported annual household income below $10,000, one in four (28%) had not completed high school, and 69% were Black or African American. Regardless of whether the two tests were offered separately, sequentially, or as a head-to-head choice, participants were more likely to accept an offer to take the urine test than the breath test (89% vs. 32%), and complete it (46% vs. 13%). The proportion of participants completing the urine test and returning a digital photo of the test result is comparable to several studies completed with less disadvantaged samples. Self-report was confirmed by urine test for 74% of participants with a conclusive test result, although a high percentage (39%) of test results were inconclusive. In-home urine testing appears both acceptable and feasible for many low-income smokers, but challenges with testing technology and response rates currently limit its value to increase confidence in self-reports.