Long-term Quit Rates in Fax-Referred as Compared to Self-Referred Tobacco Quitline Registrants
Autor: | Laura A. Beebe, Lindsay Boeckman, Stephen R. Gillaspy, Dana S. Mowls |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male Referral Epidemiology media_common.quotation_subject Psychological intervention 03 medical and health sciences 0302 clinical medicine Environmental health Hotlines Medicine Humans 030212 general & internal medicine Longitudinal Studies Referral and Consultation media_common Tobacco Use Cessation 030505 public health business.industry Hotline Tobacco control Public Health Environmental and Occupational Health Abstinence Middle Aged Quitline Relative risk Observational study Female 0305 other medical science business Demography |
Zdroj: | American journal of preventive medicine. 52(4) |
ISSN: | 1873-2607 |
Popis: | To increase the use of quitlines for treating tobacco use and dependence, quitline referral interventions are recommended for healthcare systems and providers. Research is limited as to whether fax-referred smokers have quit outcomes similar to those of traditional self-callers to quitlines.Oklahoma Tobacco Helpline registration data from March 2013 to October 2014 and 7-month follow-up data were used to compare hospital- and clinic-based fax-referred registrants (n=537) to self-callers (n=2,577). Contingency table chi-square tests and relative risks were used to identify differences in 30-day point prevalence abstinence at 7-month follow-up. Two-sided p-values0.05 were considered statistically significant. Analyses were conducted in 2015.Fax-referred registrants versus self-callers were significantly more likely to be older (49.4 vs 47.6 years), white (70.6% vs 59.1%), non-Hispanic (96.8% vs 94.2%), and to have smoked fewer than one pack of cigarettes per day (54.0% vs 44.9%). Self-callers versus fax-referred registrants were significantly more likely to be uninsured (36.5% vs 29.4%) and have received nicotine-replacement therapy from the Helpline (92.3% vs 79.9%). At 7-month follow-up, a similar proportion of fax-referred registrants reported not using tobacco in the past 30 days as compared to self-callers (29.3% vs 31.8%, p=0.2945).Although differences in sociodemographics, tobacco use behavior, and Helpline services were observed between fax-referred registrants and self-callers, quit outcomes at follow-up did not differ. This observational study has important implications for tobacco control initiatives as it shows patients fax-referred by hospitals and clinics to quitlines may be as successful as self-callers in quitting smoking. |
Databáze: | OpenAIRE |
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