Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N Martin Ave, PO Box 245211, Tucson, AZ 85724. Email:
Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona.
Prev Chronic Dis. 2017 Oct 26;14:E105. doi: 10.5888/pcd14.170139.
The implementation of a home smoking ban (HSB) is associated with tobacco use cessation. We identified which quitline callers were most likely to report 30-day cessation among those who implemented complete HSBs after enrollment.
Our sample consisted of callers to the Arizona Smokers' Helpline who enrolled from January 1, 2011, through July 26, 2015, and who reported no HSB at enrollment and a complete HSB by 7-month follow-up. We used logistic regression to estimate associations between no use of tobacco in the previous 30 days (30-day quit) at 7-month follow-up and demographic characteristics, health conditions, tobacco use, and cessation strategies.
At 7-month follow-up, 65.4% of 399 callers who implemented a complete HSB reported 30-day quit. Lower odds of tobacco use cessation were associated with having a chronic health condition (odds ratio [OR], 0.31; 95% confidence interval [CI], 0.18-0.56) and living with other smokers (OR, 0.46; 95% CI, 0.29-0.73). Higher odds of tobacco cessation were associated with completing 5 or more telephone coaching sessions (OR, 2.48; 95% CI, 1.54-3.98) and having confidence to quit (OR, 2.05; 95% CI, 1.05-3.99). However, confidence to quit was not significant in the sensitivity analysis.
Implementing an HSB after enrolling in quitline services increases the likelihood of cessation among some tobacco users. Individuals with complete HSBs were more likely to quit if they did not have a chronic health condition, did not live with another smoker, and were actively engaged in coaching services. These findings may be used by quitlines to develop HSB intervention protocols primarily targeting tobacco users most likely to benefit from them.
实施家庭吸烟禁令（HSB）与戒烟有关。我们确定了在登记后实施完全 HSB 的人中，哪些戒烟热线呼叫者最有可能报告 30 天戒烟。
我们的样本由 2011 年 1 月 1 日至 2015 年 7 月 26 日期间向亚利桑那州吸烟者求助热线登记的呼叫者组成，他们在登记时没有报告 HSB，并且在 7 个月的随访时报告了完全 HSB。我们使用逻辑回归来估计在 7 个月的随访时前 30 天（30 天戒烟）与人口统计学特征、健康状况、烟草使用和戒烟策略之间的关联。
在 7 个月的随访时，399 名实施完全 HSB 的呼叫者中有 65.4%报告 30 天戒烟。烟草使用戒烟的可能性较低与患有慢性健康状况（比值比 [OR]，0.31；95%置信区间 [CI]，0.18-0.56）和与其他吸烟者同住（OR，0.46；95% CI，0.29-0.73）有关。较高的烟草戒烟可能性与完成 5 次或更多次电话辅导课程（OR，2.48；95% CI，1.54-3.98）和有戒烟信心（OR，2.05；95% CI，1.05-3.99）有关。然而，在敏感性分析中，戒烟信心并不显著。
在登记参加戒烟热线服务后实施 HSB 会增加某些吸烟者戒烟的可能性。如果没有慢性健康状况、不与其他吸烟者同住且积极参与辅导服务，则实施完全 HSB 的个体更有可能戒烟。这些发现可被戒烟热线用于制定主要针对最有可能从中受益的吸烟者的 HSB 干预方案。
