Center for Tobacco Research and Intervention, University of Wisconsin School of Medicine and Public Health, Madison, USA.
Am J Prev Med. 2010 Mar;38(3 Suppl):S397-402. doi: 10.1016/j.amepre.2009.11.015.
Individuals living in poverty are more likely to smoke, and they suffer disproportionately from tobacco use. Strategies used to deliver tobacco-cessation interventions often fail to reach smokers living in poverty. Providing tobacco interventions to smokers when they present to community organizations is a potential strategy, but the acceptability and effectiveness of such interventions is unknown.
In this 2007 pilot study, 295 smokers seeking emergency assistance from the Salvation Army in Wisconsin were randomly assigned to either a very brief (30-second) smoking intervention condition or to a control no-intervention condition. All participants completed a follow-up survey at the end of their visit assessing their satisfaction with the community agency, interest in quitting, and motivation to quit.
This brief intervention increased the likelihood that smokers would seek help when they decided to quit (61% vs 44%, p<0.05) but did not affect intention to quit in the next 6 months or perceived difficulty of quitting. The intervention was well received by both participants and Salvation Army staff.
Smokers in this pilot study found it acceptable to have their smoking addressed when seeking services from a community agency. Such interventions may need to be more intense than the one used in this study in order to achieve the goal of increased motivation to quit. Community agencies should consider including brief tobacco-dependence interventions as a secondary mission to improve their clients' health.
生活贫困的人更有可能吸烟，而且他们受到烟草使用的不成比例的影响。用于提供戒烟干预的策略往往无法接触到生活贫困的吸烟者。在社区组织中为吸烟者提供烟草干预是一种潜在的策略，但这种干预的可接受性和有效性尚不清楚。
在这项 2007 年的试点研究中，295 名在威斯康星州救世军寻求紧急援助的吸烟者被随机分配到非常简短（30 秒）的吸烟干预组或对照组。所有参与者在访问结束时完成了一项后续调查，评估他们对社区机构的满意度、戒烟意愿和戒烟动机。
这种简短的干预增加了吸烟者在决定戒烟时寻求帮助的可能性（61%对 44%，p<0.05），但没有影响他们在接下来的 6 个月内戒烟的意愿或戒烟的难度感知。这种干预措施得到了参与者和救世军工作人员的好评。
在这项试点研究中，吸烟者发现当他们从社区机构寻求服务时，解决他们的吸烟问题是可以接受的。为了实现提高戒烟动机的目标，这种干预措施可能需要比本研究中使用的干预措施更加强烈。社区机构应考虑将简短的烟草依赖干预作为改善其客户健康的次要任务。
