Reaching Spanish-Speaking Smokers: State-Level Evidence of Untapped Potential for QuitLine Utilization

Reaching Spanish-Speaking Smokers: State-Level Evidence of Untapped Potential for QuitLine Utilization
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DOI:
10.2105/ajph.2009.166322
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发表时间:
2010-01-01
影响因子:
12.7
通讯作者:
Levinson, Arnold H.
Levinson, Arnold H.
中科院分区:
医学2区
文献类型:
--
作者:
Burns, Emily K.;Levinson, Arnold H.

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目标。我们调查了西班牙语媒体宣传活动对国家支持的Quitline在拉丁裔吸烟者中的覆盖范围和结果的影响。在这项准实验性(两组,事后)研究中,我们分析了来自科罗拉多州Quitline来电者在媒体活动之前(2007年4月至8月)和期间(2007年9月至11月)的数据。比较243名拉丁裔和527名非拉丁裔来电者在7个月随访时的呼叫量、服务利用率和退座率。在竞选期间,拉丁裔的Quitline电话增加了57.6%(3个月期间为1169次,而3个月为1842次)。与竞选前的拉美裔受访者相比,竞选期间的拉美裔受访者明显年轻(低于45岁),更多地说西班牙语,没有保险,受教育程度较低。在拉丁裔参与者中,计划完成率和尼古丁替代疗法的使用在活动前和活动期间相似,活动期间戒烟率略有提高至显著(7天禁欲:29.6%比41.0%,P=0.07;6个月禁欲:9.6%比18.8%,P=0.04)。一项精心设计的全州西班牙语媒体宣传活动扩大了Quitline的覆盖面,并改善了社会经济地位较低的年轻拉丁裔人口的戒烟结果。在这些吸烟者中,Quitline支持的戒烟可以增加。(我是J公共卫生。2010年;100:S165-S170。DOI:10.2105/AJPH.2009.166322)
Objectives. We examined the effects of a Spanish-language media campaign on the reach and outcomes of a state-sponsored QuitLine among Latino smokers.Methods. In this quasiexperimental (2-group, pre-post) study, we analyzed data from Colorado QuitLine callers before (April-August 2007) and during (September-November 2007) the media campaign. Call volume, service utilization, and quit rates at 7-month follow-up were compared between Latino (n=243) and non-Latino (n=527) callers.Results. QuitLine calls increased among Latinos during the campaign by 57.6% (1169 vs 1842 in 3-month periods). Compared with precampaign Latino study respondents, Latino respondents during the campaign were significantly younger (younger than 45 years), more often Spanish speaking, uninsured, and less educated. Among Latino enrollees, program completion and nicotine replacement therapy use were similar before and during the campaign, and quit rates during the campaign improved marginally to significantly (7-day abstinence: 29.6% vs 41.0%, P=.07; 6-month abstinence: 9.6% vs 18.8%, P=.04).Conclusions. A well-designed, statewide Spanish-language media campaign increased QuitLine reach and improved cessation outcomes among a young Latino population of low socioeconomic status. QuitLine-supported cessation can be increased among these smokers. (Am J Public Health. 2010;100: S165-S170. doi:10.2105/AJPH.2009.166322)