Grunseit Anne C, Ding Ding, Anderson Caroline, Crosbie Debra, Dunlop Sally, Bauman Adrian
Prevention Research Collaboration, School of Public Health, University of Sydney, Camperdown, New South Wales, Australia;
Screening and Prevention, Cancer Institute NSW, Eveleigh, New South Wales, Australia;
Nicotine Tob Res. 2015 May;17(5):617-21. doi: 10.1093/ntr/ntu198. Epub 2014 Sep 25.
One population-level solution to smoking cessation are quitlines, telephone-based services to aid quitting. Monitoring the profile of quitline callers in a changing tobacco policy environment is important for informing future policy strategies and identifying target groups to improve the reach and impact of quitline services.
De-identified data from 43,618 new callers to the New South Wales Quitline, Australia between January 2008 and October 2011 (inclusive) were extracted from the Quitline database. Regression analyses explored the effect of year of first call on the distribution of demographic and smoking-related variables.
Men calling the Quitline increased proportionately (prevalence ratio [PR] = 1.05, 95% CI = 1.03-1.08), but callers from non-major city areas fell (PR = 0.90, 95% CI = 0.87-0.93) in 2011 versus 2008. The proportion of callers not working demonstrated a significant increasing linear trend (PR = 1.08, p < .001), although area-level socioeconomic status did not change. The proportions of new Quitline callers who had stopped smoking (relative to still smoking) (relative risk ratio [RRR] = 1.29, 95% CI = 1.14-1.46) and who were classified as low nicotine dependent (vs. high nicotine dependent, RRR = 1.60, 95% CI = 1.39-1.83) were higher in 2011 versus 2008. Proportionately, more callers nominated "money" as a motivation to quit in 2010 (PR = 1.58, 95% CI = 1.49-1.66) and 2011 (PR = 1.70, 95% CI = 1.62-1.79) compared with 2008.
Quitline callers showed decreasing tobacco consumption and dependence 2008 to 2011, but remained more addicted than the average NSW smoker. Clear effects of tobacco policy were shown, as money as a motivator increased dramatically in conjunction with increased tobacco taxation, highlighting the importance of promoting cessation services concurrent with policy change to capitalize on increased motivation to quit.
戒烟热线是一种针对整个人口层面的戒烟解决方案，它是通过电话提供的戒烟辅助服务。在不断变化的烟草政策环境中监测戒烟热线来电者的情况，对于为未来的政策策略提供信息以及确定目标群体以提高戒烟热线服务的覆盖面和影响力至关重要。
从澳大利亚新南威尔士州戒烟热线的数据库中提取了2008年1月至2011年10月（含）期间43618名新来电者的匿名数据。回归分析探讨了首次来电年份对人口统计学和吸烟相关变量分布的影响。
与2008年相比，2011年拨打戒烟热线的男性比例有所增加（患病率比值[PR]=1.05，95%置信区间[CI]=1.03 - 1.08），但来自非主要城市地区的来电者比例下降（PR = 0.90，95% CI = 0.87 - 0.93）。未工作的来电者比例呈现出显著的线性上升趋势（PR = 1.08，p < 0.001），尽管地区层面的社会经济地位没有变化。与2008年相比，2011年已戒烟的新戒烟热线来电者比例（相对于仍在吸烟）（相对风险比[RRR]=1.29，95% CI = 1.14 - 1.46）以及被归类为低尼古丁依赖的来电者比例（相对于高尼古丁依赖，RRR = 1.60，95% CI = 1.39 - 1.83）更高。与2008年相比，2010年（PR = 1.58，95% CI = 1.49 - 1.66）和2011年（PR = 1.70，95% CI = 1.62 - 1.79）将“金钱”作为戒烟动机的来电者比例相对更高。
2008年至2011年期间，戒烟热线来电者的烟草消费和依赖程度有所下降，但仍比新南威尔士州的普通吸烟者更容易上瘾。烟草政策产生了明显影响，随着烟草税的增加，金钱作为一种激励因素显著增加，这凸显了在政策变化的同时推广戒烟服务以利用增加的戒烟动机的重要性。
