Appeal of Tobacco Quitline Services among Low-income Smokers.
Friday, March 17, 2023
Posted by: Natalia Gromov
Grimes
LM, Garg R, Weng O, Wolff JM, McQueen A, Carpenter KM, Kreuter MW.
Appeal of Tobacco Quitline
Services among Low-income Smokers.
Prev Chronic Dis. 2023 Mar 2;20:E11. doi: 10.5888/pcd20.220214. PMID: 36862604;
PMCID: PMC9983599.
Introduction. State
tobacco quitlines are delivering cessation assistance through an increasingly
diverse range of channels. However, offerings vary from state to state, many
smokers are unaware of what is available, and it is not yet clear how much
demand exists for different types of assistance. In particular, the demand for
online and digital cessation interventions among low-income smokers, who bear a
disproportionate burden of tobacco-related disease, is not well understood.
Methods. We
examined interest in using 13 tobacco quitline services in a racially diverse
sample of 1,605 low-income smokers in 9 states who had called a 2-1-1 helpline
and participated in an ongoing intervention trial from June 2020 through
September 2022. We classified services as standard (used by ≥90% of state
quitlines [eg, calls from a quit coach, nicotine replacement therapy, printed
cessation booklets]) or nonstandard (mobile app, personalized web, personalized
text, online chat with quit coach).
Results. Interest
in nonstandard services was high. Half or more of the sample reported being
very or somewhat interested in a mobile app (65%), a personalized web program
(59%), or chatting online with quit coaches (49%) to help them quit. In
multivariable regression analyses, younger smokers were more interested than
older smokers in digital and online cessation services, as were women and
smokers with greater nicotine dependence.
Conclusion. On
average, participants were very interested in at least 3 different cessation
services, suggesting that bundled or combination interventions might be
designed to appeal to different groups of low-income smokers. Findings provide
some initial hints about potential subgroups and the services they might use in
a rapidly changing landscape of behavioral interventions for smoking cessation.
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