Okuyemi Kolawole S, James Aimee S, Mayo Matthew S, Nollen Nicole, Catley Delwyn, Choi Won S, Ahluwalia Jasjit S
University of Minnesota Medical School, Minneapolis 55455, USA.
Health Educ Behav. 2007 Feb;34(1):43-54. doi: 10.1177/1090198106288046. Epub 2006 Jun 15.
Despite high smoking rates among those living in poverty, few cessation studies are conducted in these populations. This cluster-randomized trial tested nicotine gum plus motivational interviewing (MI) for smoking cessation in 20 low-income housing developments (HDs). Intervention participants (10 HDs, n = 66) received educational materials, 8 weeks of 4 mg nicotine gum, and 5 MI sessions on quitting smoking. Comparison participants (10 HDs, n = 107) received 5 MI sessions and educational materials addressing fruit and vegetable consumption. Participants had a mean age of 46.3 years and were predominantly female (70%) and African American (83%). Biochemically-verified 7-day abstinence rates at 8 weeks were 6.1% and 5.6% in the intervention and comparison arms, respectively (p = ns); and at 26 weeks were 7.6% and 9.3%, respectively (p = ns). Results suggest that nicotine gum plus MI were not effective for smoking cessation in low-income housing. Programs are needed to enhance the effectiveness of pharmacotherapy and counseling in underserved populations.
尽管生活在贫困中的人群吸烟率很高，但针对这些人群开展的戒烟研究却很少。这项整群随机试验在20个低收入住房开发区（HDs）测试了尼古丁口香糖加动机性访谈（MI）用于戒烟的效果。干预组参与者（10个HDs，n = 66）接受了教育材料、为期8周的4毫克尼古丁口香糖以及5次关于戒烟的动机性访谈。对照组参与者（10个HDs，n = 107）接受了5次动机性访谈以及关于水果和蔬菜消费的教育材料。参与者的平均年龄为46.3岁，主要为女性（70%）和非裔美国人（83%）。干预组和对照组在8周时经生化验证的7天戒烟率分别为6.1%和5.6%（p = 无统计学意义）；在26周时分别为7.6%和9.3%（p = 无统计学意义）。结果表明，尼古丁口香糖加动机性访谈对低收入住房人群戒烟无效。需要开展相关项目以提高在服务不足人群中药物治疗和咨询的效果。
