Appeal of Tobacco Quitline Services Among Low-Income Smokers.
Appeal of Tobacco Quitline Services Among Low-Income Smokers.
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DOI：
10.5888/pcd20.220214
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发表时间：
2023-03-02
影响因子：
5.5
通讯作者：
Kreuter MW
中科院分区：
文献类型：
--
作者：
Grimes LM;Garg R;Weng O;Wolff JM;McQueen A;Carpenter KM;Kreuter MW
国家戒烟热线正在通过越来越多样化的渠道提供戒烟援助。然而，各州提供的帮助不尽相同，许多吸烟者不知道有什么可提供的，也不清楚对不同类型帮助的需求有多大。特别是，低收入吸烟者对在线和数字戒烟干预措施的需求尚未得到充分了解，他们承受着与烟草有关的疾病的不成比例的负担。我们研究了在9个州的1605名低收入吸烟者的种族多样化样本中使用13种烟草戒烟热线服务的兴趣，这些吸烟者曾拨打2-1-1帮助热线，并参加了2020年6月至2022年9月期间正在进行的干预试验。我们将服务分类为标准服务（≥90%的州戒烟热线使用的服务[例如，戒烟教练的电话、尼古丁替代疗法、印刷的戒烟小册子]）或非标准服务（移动应用程序、个性化网页、个性化文本、与戒烟教练在线聊天）。对非标准服务的兴趣很高。半数以上的受访者表示，他们对帮助自己戒烟的手机应用（65%）、个性化网络项目（59%）或与戒烟教练在线聊天（49%）非常或有些兴趣。在多变量回归分析中，年轻吸烟者比年长吸烟者对数字和在线戒烟服务更感兴趣，女性和尼古丁依赖程度更高的吸烟者也是如此。平均而言，参与者对至少3种不同的戒烟服务非常感兴趣，这表明可以设计捆绑或联合干预措施来吸引不同的低收入吸烟者群体。研究结果提供了一些初步的线索，说明潜在的亚群体和他们可能在快速变化的戒烟行为干预中使用的服务。
State tobacco quitlines are delivering cessation assistance through an increasingly diverse range of channels. However, offerings vary from state to state, many smokers are unaware of what is available, and it is not yet clear how much demand exists for different types of assistance. In particular, the demand for online and digital cessation interventions among low-income smokers, who bear a disproportionate burden of tobacco-related disease, is not well understood. We examined interest in using 13 tobacco quitline services in a racially diverse sample of 1,605 low-income smokers in 9 states who had called a 2-1-1 helpline and participated in an ongoing intervention trial from June 2020 through September 2022. We classified services as standard (used by ≥90% of state quitlines [eg, calls from a quit coach, nicotine replacement therapy, printed cessation booklets]) or nonstandard (mobile app, personalized web, personalized text, online chat with quit coach). Interest in nonstandard services was high. Half or more of the sample reported being very or somewhat interested in a mobile app (65%), a personalized web program (59%), or chatting online with quit coaches (49%) to help them quit. In multivariable regression analyses, younger smokers were more interested than older smokers in digital and online cessation services, as were women and smokers with greater nicotine dependence. On average, participants were very interested in at least 3 different cessation services, suggesting that bundled or combination interventions might be designed to appeal to different groups of low-income smokers. Findings provide some initial hints about potential subgroups and the services they might use in a rapidly changing landscape of behavioral interventions for smoking cessation.
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影响因子：
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作者：
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通讯作者：
MERMELSTEIN, R
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通讯作者：
Kreuter MW