Stress, depression, sleep problems and unmet social needs: Baseline characteristics of low-income smokers in a randomized cessation trial.
Stress, depression, sleep problems and unmet social needs: Baseline characteristics of low-income smokers in a randomized cessation trial.
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DOI：
10.1016/j.conctc.2021.100857
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发表时间：
2021-12
影响因子：
1.5
通讯作者：
Kreuter MW
中科院分区：
文献类型：
--
作者：
Garg R;McQueen A;Roberts C;Butler T;Grimes LM;Thompson T;Caburnay C;Wolff J;Javed I;Carpenter KM;Wartts JG;Charles C;Howard V;Kreuter MW
低收入的美国人吸烟率更高，戒烟率低于其他群体。为了提高他们对循证戒烟方法的参与度和成功率，我们使用2x2随机析因设计测试了两种干预措施：（1）电话导航，以减少经济压力并解决食品，租金和水电费等社会需求;（2）为低收入吸烟者设计的专门戒烟热线。从2017年6月到2020年11月，我们在美国密苏里州招募了1,944名低收入吸烟者，他们是通过密苏里州2-1-1戒烟热线招募的。本文介绍了这一高危人群的招募，主要特征和生活环境。在资格筛选后，1，944名参与者完成了基线并进行了随机分配。参与者种族多样（58%为非洲裔美国人），贫困（51% <10，000美元的税前家庭年收入），许多人报告不到高中教育（30%）。他们报告说，平均有2.5个未满足的社会需求，特别是儿童保育和支付账单，有很高的压力，抑郁症状和睡眠问题，大多数人的健康状况一般或较差。在四个研究组中，以及在COVID-19大流行之前和期间招募的参与者之间，这些变量之间几乎没有差异，烟草使用和戒烟变量之间也没有差异。通过2-1-1戒烟法进行的试验招募对于接触低收入吸烟者是可行的。低收入吸烟者每天面临着戒烟以外的无数挑战。戒烟干预措施需要考虑和解决这些生活环境。Clinicaltrials.gov NCT03194958.低收入吸烟者通过2-1-1网络招募。COVID-19减缓了招募，但各组之间的特征几乎没有差异。压力、抑郁和经济压力可能会阻碍低收入吸烟者戒烟。
Low-income Americans smoke cigarettes at higher rates and quit less than other groups. To increase their engagement in and success using evidence-based cessation methods, we tested two interventions using a 2x2 randomized factorial design: (1) telephone navigation to reduce financial strain and address social needs such as food, rent and utility payment; and (2) a specialized tobacco quitline designed for low-income smokers. From June 2017 to November 2020, we enrolled 1,944 low-income smokers in Missouri, USA, recruited through the Missouri 2-1-1 helpline, into the trial. This paper describes recruitment, key characteristics and life circumstances of this high-risk population. After eligibility screening, 1,944 participants completed baseline and were randomized. Participants were racially diverse (58% African American), poor (51% < $10,000 annual pre-tax household income) and many reported less than high school education (30%). They reported a mean of 2.5 unmet social needs, especially childcare and paying bills, had high rates of stress, depressive symptoms and sleep problems, and most were in fair or poor health. There were few differences between these variables, and no differences between tobacco use and cessation variables, across the four study groups and between participants recruited pre and during the COVID-19 pandemic. Trial recruitment through the 2-1-1 helpline is feasible for reaching a population of low-income smokers. Low-income smokers face myriad daily challenges beyond quitting smoking. Cessation interventions need to account for and address these life circumstances. Clinicaltrials.gov NCT03194958. Low-income smokers were recruited through the 2-1-1 helpline. COVID-19 slowed recruitment, but few characteristics differed between groups. Stress, depression and financial strain may impede quitting for low-income smokers.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
4.7
作者：
Christiansen, Bruce A.;Reeder, Kevin M.;Baker, Timothy B.
通讯作者：
Baker, Timothy B.
影响因子：
--
作者：
Garg R;McQueen A;Wolff J;Butler T;Thompson T;Caburnay C;Kreuter MW
通讯作者：
Kreuter MW
影响因子：
10.3
作者：
Albano, Jessica D.;Ward, Elizabeth;Thun, Michael J.
通讯作者：
Thun, Michael J.
影响因子：
12.7
作者：
Blazer, DG;Sachs-Ericsson, N;Hybels, CF
通讯作者：
Hybels, CF