Re-examining phone counseling for smoking cessation: Does the evidence apply to low-SES smokers?

Garg, Rachel; McQueen, Amy; Evbuoma-Fike, Ebuwa I.; Kreuter, Matthew W.

doi:10.1016/j.pec.2021.11.008

Cited by 4 publications

(6 citation statements)

References 20 publications

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“…Thus, it remains imperative to reach smokers with prevention messaging about potential health consequences of smoking (Liu et al, 2015). Meeting this challenge is important, because it can be difficult to reach smokers with tobacco education and cessation programs due to perceived and structural barriers including concerns about anxiety, insomnia, weight gain, and transportation (Garg et al, 2022; McHugh et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Health and Demographic Factors for Chronic Obstructive Pulmonary Disease Among Hispanic Adults in the United States: Analysis of Behavioral Risk Factor Surveillance System Survey Data

Workman,

Nabors

2023

Hisp Health Care Int

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Introduction: Appropriate diagnosis and regular primary care appointments are markers of quality chronic obstructive pulmonary disease (COPD) care. Underdiagnosis of COPD has been associated with an absence of health insurance, lower socioeconomic status, and race and ethnicity. Methods: This study examined predictors of COPD using data from the Behavioral Risk Factor Surveillance System (BRFSS, 2021) to provide information for prevention messaging and interventions. Participants included Hispanic adults ( n = 17,782) aged 45 years and older. Chi-square tests and a multinomial logistic regression analysis (adjusted with the BRFSS weighting variable) were used to understand how sex, income, health status, smoking behaviors, asthma morbidity, and health insurance coverage were related to having COPD. Results: Patients with poor health, lower income level, current smokers, former smokers, or asthma were more likely to report COPD. Females were more likely to report COPD than males. Patients with COPD were more likely to be without health insurance when compared to those who did not have COPD, indicating unmet medical needs. Conclusion: Studies such as this one, aiming to evaluate the relationship between COPD prevalence and predictors of health and outcomes among Hispanic patients in the United States will remain important for developing health messaging to attenuate disease progression.

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Section: Discussionmentioning

confidence: 99%

Health and Demographic Factors for Chronic Obstructive Pulmonary Disease Among Hispanic Adults in the United States: Analysis of Behavioral Risk Factor Surveillance System Survey Data

Workman,

Nabors

2023

Hisp Health Care Int

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“…This helps explain some of the defining sample characteristics. For example, compared to 65 studies we recently reviewed examining phone counseling for cessation, 37 our sample is among a very small number with such low-income levels. Although remote biochemical verification was largely acceptable to the participants who used it, 48 usage was low.…”

Section: Discussionmentioning

confidence: 99%

“…Among smokers who use NRT or other cessation services, those living in poverty have higher discontinuation rates than others. 11 , 36 Low interest in and use of cessation assistance among low-income smokers may also reflect a dearth of proven programs designed for them, 11 , 37 and incongruity between some staples of cessation assistance and low-income smokers’ needs. 38 For example, many low-income smokers lack flexibility in their work schedules to receive telephone counseling, or lack money or insurance to acquire NRT.…”

Section: Introductionmentioning

confidence: 99%

“…Multiple reviews 5 , 11 , 37 , 38 have concluded that cessation interventions for low-SES smokers should address upstream factors such as living conditions and material needs that are often sources of stress; social and cultural norms that influence smoking and cessation; and support for quitting with access to evidence-based interventions. We tested the effects of two such interventions: social needs navigation to help smokers get help with food, rent and other social needs; and a specialized quitline designed to address unique factors that make cessation challenging for low-income smokers.…”

Section: Introductionmentioning

confidence: 99%

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Helping low-income smokers quit: findings from a randomized controlled trial comparing specialized quitline services with and without social needs navigation

Kreuter,

Garg,

et al. 2023

The Lancet Regional Health - Americas

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“…Studies also have found a positive association between use of quitline services and cessation among low-SES populations ( 15 , 16 ). However, a 2021 review concluded that evidence for the efficacy of quitlines among low-SES participants is less clear given that few studies evaluating quitline effectiveness considered or reported the generalizability of findings to this population ( 17 ). Additionally, a 2022 systematic review concluded that additional research is needed examining whether and to what extent quitline usage differs by population characteristics, including SES ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

A Safety Net Tobacco Use Cessation Resource: Quitline Service Usage, 2019

Tetlow,

Zhang,

Borowiecki

et al. 2023

Prev. Chronic Dis.

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Introduction Quitlines are free, accessible evidence-based services that may provide an important resource for people facing barriers to clinical treatment for cessation of tobacco use. Methods Using 2019 intake data from the National Quitline Data Warehouse, we examined quitline service usage, stratified by sociodemographic characteristics. Only US quitlines reporting service type data were included (n = 40 [of 51]). Callers (aged ≥12 years) who registered with a quitline, reported current use of a tobacco product, and received at least 1 service comprised the analytic data. Chi-square tests examined differences in quitline services received by participant characteristics. Results In 2019, 182,544 people reporting current use of a tobacco product received at least 1 service from a quitline in 39 states and the District of Columbia. Among them, 80.4% had attained less than a college or university degree and 70.4% were uninsured or enrolled in Medicaid or in Medicare (aged <65 years). By educational attainment (aged ≥25 years), receipt of cessation medications ranged from 59.4% of callers with a college or university degree to 65.0% of callers with a high school diploma ( P < . 001). The range by insurance coverage was 59.3% of callers with private insurance to 74.7% of callers with Medicare (aged <65 years) ( P < . 001). Conclusion Quitlines served as a resource for low-SES populations in 2019, providing cessation services to many people who may face barriers to clinical cessation treatment. Strengthening and expanding quitlines may help to increase cessation among populations with a disproportionately high prevalence of tobacco product use and improve the health and well-being of people in the US.

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Re-examining phone counseling for smoking cessation: Does the evidence apply to low-SES smokers?

Cited by 4 publications

References 20 publications

Health and Demographic Factors for Chronic Obstructive Pulmonary Disease Among Hispanic Adults in the United States: Analysis of Behavioral Risk Factor Surveillance System Survey Data

Health and Demographic Factors for Chronic Obstructive Pulmonary Disease Among Hispanic Adults in the United States: Analysis of Behavioral Risk Factor Surveillance System Survey Data

Helping low-income smokers quit: findings from a randomized controlled trial comparing specialized quitline services with and without social needs navigation

A Safety Net Tobacco Use Cessation Resource: Quitline Service Usage, 2019

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