Prevalence and Correlates of Quitline Awareness and Utilization in the United States
Wednesday, December 11, 2013
Posted by: Natalia Gromov
Nicotine Tob Res. 2013 Nov 22. [Epub ahead of print]
Schauer GL, Malarcher AM, Zhang L, Engstrom MC, Zhu SH.
Tobacco quitlines are evidence-based cessation resources but
have been underutilized. The purpose of this study is to provide
population-level data about quitline awareness and utilization in the United
States and to assess correlates of awareness and utilization. Data were from
the 2009-2010 National Adult Tobacco Survey. Quitline awareness among the total
sample was 33.9% (current smokers 53.9%, former smokers 34.0%, never-smokers
27.0%). Awareness varied by state (range: 35.8%-84.6% for current smokers).
Among current smokers who tried to quit in the past year, correlates of lower
awareness included being Black, non-Hispanic, and making <$50,000 annually;
correlates of higher awareness included having seen a health professional,
higher state tobacco program expenditures, and being female. Among smokers who
made at least one quit attempt in the previous year and were aware of the quitline,
quitline utilization was 7.8%. Higher state tobacco program expenditure, health
professional advice, and being Black, non-Hispanic were correlated with higher
utilization; older age was correlated with lower utilization. Awareness was
significantly associated with use at the state level (r = .98, p < .01).
Although the majority of smokers in the United States are aware of quitlines, only
a small percentage of those trying to quit utilize them. State tobacco program
expenditures and receipt of advice from a health professional were associated
with both higher quitline awareness and higher utilization.