Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Am J Prev Med. 2015 Jan;48(1 Suppl 1):S54-60. doi: 10.1016/j.amepre.2014.09.028.
The prevalence of smokeless tobacco use in the U.S. is increasing and its use is a risk factor for a number of adverse health outcomes. Currently, there is limited evidence on the effectiveness of quitlines for tobacco cessation among smokeless tobacco users.
To examine factors related to tobacco abstinence among exclusive smokeless tobacco users registering for services with the Oklahoma Tobacco Helpline.
Participants included 959 male exclusive smokeless tobacco users registering with the Helpline between 2004 and 2012; a total of 374 completed a follow-up survey 7 months post-registration. Data were collected between 2004 and 2013 and included baseline data at Helpline registration, services received, and 7-month follow-up for 30-day point-prevalence for tobacco abstinence. Univariate and multiple logistic regression examined associations between abstinence and participant characteristics, intensity of Helpline intervention, and behavioral factors. ORs and 95% CIs were reported. Analyses were completed in 2013.
At the 7-month follow-up, 43% of the participants reported 30-day abstinence from tobacco. Each additional completed Helpline call increased the likelihood of tobacco cessation by 20% (OR=1.20, 95% CI=1.05, 1.38). Smokeless tobacco users with higher levels of motivation to quit at baseline were twice as likely to be abstinent than those with low or moderate levels of motivation (OR=2.05, 95% CI=1.25, 3.35). Use of nicotine replacement therapy was not associated with abstinence when adjusted for Helpline calls, income, and level of motivation.
Tobacco quitlines offer an effective intervention to increase smokeless tobacco abstinence.
美国无烟气烟草制品的使用日益普遍，其使用是许多不良健康后果的一个风险因素。目前，关于戒烟热线在无烟气烟草制品使用者戒烟方面的有效性的证据有限。
在俄克拉荷马州烟草热线登记服务的无烟气烟草制品使用者中，研究与烟草戒除相关的因素。
参与者包括 2004 年至 2012 年间在热线登记的 959 名男性无烟气烟草制品使用者；共有 374 人在登记后 7 个月完成了一项随访调查。数据收集于 2004 年至 2013 年期间，包括热线登记时的基线数据、所接受的服务以及 7 个月随访时的 30 天烟草戒除点患病率数据。单变量和多变量逻辑回归检验了戒除和参与者特征、热线干预强度以及行为因素之间的关联。报告了 OR 值和 95%置信区间。分析于 2013 年完成。
在 7 个月的随访中，43%的参与者报告 30 天戒除了烟草。每多完成一次热线电话，戒烟的可能性就会增加 20%（OR=1.20，95% CI=1.05，1.38）。基线时戒烟动机较高的无烟气烟草制品使用者戒除的可能性是低或中度戒烟动机者的两倍（OR=2.05，95% CI=1.25，3.35）。在调整热线电话、收入和戒烟动机水平后，使用尼古丁替代疗法与戒除无关。
戒烟热线为增加无烟气烟草戒除提供了一种有效的干预措施。
