The Equity Impact of Proactive Outreach to Smokers: Analysis of a Randomized Trial
The Equity Impact of Proactive Outreach to Smokers: Analysis of a Randomized Trial
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DOI：
10.1016/j.amepre.2018.05.023
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发表时间：
2018-10-01
影响因子：
5.5
通讯作者：
Burgess, Diana J.
中科院分区：
文献类型：
--
作者：
Danan, Elisheva R.;Fu, Steven S.;Burgess, Diana J.
介绍：基于人口的戒烟服务往往优先有利于高社会经济地位的吸烟者，可能会加剧差距。包括主动外展，电话咨询和免费或低成本戒烟药物在内的干预措施可能更有可能帮助低SES吸烟者戒烟。该分析评估了SES在吸烟者对基于人群的主动戒烟干预的反应中的作用。方法：本研究于2016年和2017年进行，是退伍军人战胜烟草研究的二次分析，该研究是2009年至2011年进行的主动戒烟干预的多中心实用RCT。使用逻辑回归模型来测试收入或教育水平对1年随访时6个月长期禁欲的影响。结果：在5，123名符合条件的随机参与者中，2，565人（50%）报告了他们的教育水平，2，430人（47%）报告了他们的收入水平。教育（p=0.07）或收入（p=0.74）X治疗组之间的相互作用在0.05水平上无统计学显著性。干预措施的最大效应量在教育程度最低的吸烟者中发现（
Introduction: Population-based smoking-cessation services tend to preferentially benefit high-SES smokers, potentially exacerbating disparities. Interventions that include proactive outreach, telephone counseling, and free or low-cost cessation medications may be more likely to help low-SES smokers quit. This analysis evaluated the role of SES in smokers' response to a population-based proactive smoking-cessation intervention.Methods: This study, conducted in 2016 and 2017, was a secondary analysis of the Veterans Victory Over Tobacco Study, a multicenter pragmatic RCT of a proactive smoking-cessation intervention conducted from 2009 to 2011. Logistic regression modeling was used to test the effect of income or education level on 6-month prolonged abstinence at 1-year follow-up.Results: Of the 5,123 eligible, randomized participants, 2,565 (50%) reported their education level and 2,430 (47%) reported their income level. The interactions between education (p=0.07) or income (p=0.74) X treatment arm were not statistically significant at the 0.05 level. The largest effect sizes for the intervention were found among smokers in the lowest education category (