TY - JOUR
T1 - Predictors of Tobacco Cessation Among American Indian/Alaska Native Adults Enrolled in a State Quitline
AU - Yuan, Nicole P.
AU - Schultz, Jennifer L.
AU - Nair, Uma S.
AU - Bell, Melanie L.
N1 - Funding Information:
This research was supported by Arizona Department of Health Services grants ADHS13-026130, ADHS11-007339, and HS160051-0/E1H37741 and the National Cancer Institute of the National Institutes of Health under award number P30 CA023074. The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding agencies or the University of Arizona.
Publisher Copyright:
© 2019, © 2019 Taylor & Francis Group, LLC.
PY - 2020/2/3
Y1 - 2020/2/3
N2 - Background: High rates of smoking are documented among some American Indian and Alaska Native (AI/AN) communities, with potential variability by region and urban/rural settings. Quitlines are a cost-effective strategy for providing evidence-based cessation treatment, but little is known about the effectiveness of quitline services for the AI/AN population. Objectives: This study compared demographic characteristics, tobacco use, and cessation and program utilization behaviors between AI/AN (n = 297) and Non-Hispanic White (NHW; n = 13,497) quitline callers. The study also identified predictors of 30-day cessation at 7-month follow-up among AI/AN callers and determined if predictors were different between AI/AN and NHW callers. Methods: Data from callers to the Arizona Smokers’ Helpline between January 2011 and June 2016 were analyzed. Results: At enrollment, AI/AN callers were less likely to use tobacco daily and were less dependent on nicotine compared to NHW callers. Both groups reported similar rates of 30-day cessation at 7-month follow-up (37.3% and 39.7% for AI/AN and NHW callers, respectively). For AI/AN callers, 30-day cessation was significantly associated with tobacco cessation medication use (OR = 2.24, 95% CI: 1.02–4.93), number of coaching sessions (OR = 1.14, 95% CI: 1.04–1.26), and other smokers in the home (OR = 0.41, 95% CI: 0.19–0.91). The effect of other smokers in the home was significantly different between AI/AN and NHW callers (p =.007). Conclusions: Different individual characteristics and predictors of cessation among AI/AN callers compared to NHW callers were documented. Findings may be used to inform the development of culturally-tailored strategies and protocols for AI/AN quitline callers.
AB - Background: High rates of smoking are documented among some American Indian and Alaska Native (AI/AN) communities, with potential variability by region and urban/rural settings. Quitlines are a cost-effective strategy for providing evidence-based cessation treatment, but little is known about the effectiveness of quitline services for the AI/AN population. Objectives: This study compared demographic characteristics, tobacco use, and cessation and program utilization behaviors between AI/AN (n = 297) and Non-Hispanic White (NHW; n = 13,497) quitline callers. The study also identified predictors of 30-day cessation at 7-month follow-up among AI/AN callers and determined if predictors were different between AI/AN and NHW callers. Methods: Data from callers to the Arizona Smokers’ Helpline between January 2011 and June 2016 were analyzed. Results: At enrollment, AI/AN callers were less likely to use tobacco daily and were less dependent on nicotine compared to NHW callers. Both groups reported similar rates of 30-day cessation at 7-month follow-up (37.3% and 39.7% for AI/AN and NHW callers, respectively). For AI/AN callers, 30-day cessation was significantly associated with tobacco cessation medication use (OR = 2.24, 95% CI: 1.02–4.93), number of coaching sessions (OR = 1.14, 95% CI: 1.04–1.26), and other smokers in the home (OR = 0.41, 95% CI: 0.19–0.91). The effect of other smokers in the home was significantly different between AI/AN and NHW callers (p =.007). Conclusions: Different individual characteristics and predictors of cessation among AI/AN callers compared to NHW callers were documented. Findings may be used to inform the development of culturally-tailored strategies and protocols for AI/AN quitline callers.
KW - American Indian
KW - ethnic differences
KW - quitlines
KW - smokers
KW - tobacco cessation
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U2 - 10.1080/10826084.2019.1683204
DO - 10.1080/10826084.2019.1683204
M3 - Article
C2 - 31694464
AN - SCOPUS:85074858865
VL - 55
SP - 452
EP - 459
JO - Substance Use and Misuse
JF - Substance Use and Misuse
SN - 1082-6084
IS - 3
ER -