Predictors of Tobacco Cessation Among American Indian/Alaska Native Adults Enrolled in a State Quitline
AffiliationUniv Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Dept Hlth Promot Sci
Univ Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Arizona Smokers Helpline
Univ Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Dept Epidemiol & Biostat
MetadataShow full item record
PublisherTAYLOR & FRANCIS INC
CitationNicole P. Yuan, Jennifer L. Schultz, Uma S. Nair & Melanie L. Bell (2019) Predictors of Tobacco Cessation Among American Indian/Alaska Native Adults Enrolled in a State Quitline, Substance Use & Misuse, DOI: 10.1080/10826084.2019.1683204
JournalSUBSTANCE USE & MISUSE
RightsCopyright © 2019 Taylor & Francis Group, LLC.
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at email@example.com.
AbstractBackground: 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.
Note12 month embargo; published online: 6 November 2019
VersionFinal accepted manuscript
SponsorsArizona Department of Health Services [ADHS13-026130, ADHS11-007339, HS160051-0/E1H37741]; National Cancer Institute of the National Institutes of HealthUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Cancer Institute (NCI) [P30 CA023074]
- American Indian/Alaska Native Smokers' Utilization of a Statewide Tobacco Quitline: Engagement and Quitting Behaviors From 2008 to 2018.
- Authors: Lienemann BA, Cummins SE, Tedeschi GJ, Wong S, Zhu SH
- Issue date: 2021 Jan 7
- Characteristics of American Indian/Alaskan Native Quitline Callers Across 14 States.
- Authors: Lukowski AV, Young SE, Morris CD, Tinkelman D
- Issue date: 2016 Nov
- Tobacco Use Cessation Among Quitline Callers Who Implemented Complete Home Smoking Bans During the Quitting Process.
- Authors: Jung AM, Schweers N, Bell ML, Nair U, Yuan NP
- Issue date: 2017 Oct 26
- Gender differences in utilization of services and tobacco cessation outcomes at a state quitline.
- Authors: Allen AM, Yuan NP, Wertheim BC, Krupski L, Bell ML, Nair U
- Issue date: 2019 Jul 16
- Feasibility and Early Outcomes of a Tailored Quitline Protocol for Smokers With Mental Health Conditions.
- Authors: Carpenter KM, Nash CM, Vargas-Belcher RA, Vickerman KA, Haufle V
- Issue date: 2019 Apr 17