University of New South Wales (UNSW), National Drug and Alcohol Research Centre (NDARC), 22-32 King Street, Randwick, New South Wales 2031, Australia.
University of New South Wales (UNSW), National Drug and Alcohol Research Centre (NDARC), 22-32 King Street, Randwick, New South Wales 2031, Australia.
Addict Behav. 2019 Feb;89:113-120. doi: 10.1016/j.addbeh.2018.09.029. Epub 2018 Sep 25.
To examine factors associated with Quitline and pharmacotherapy utilisation in low socioeconomic status (low-SES) smokers enrolled in a smoking cessation trial.
Baseline data was used from a large-scale smoking cessation randomised controlled trial (RCT). Logistic regression models were used to examine predictors of treatment utilisation prior to entering the RCT and perceived effectiveness of past and future use.
A total of 1047 smokers consented and prior to enrolment 92% had previously tried to quit smoking, 86% had ever used quit support, 83% had used pharmacotherapy at least once and 38% had ever utilised Quitline. For those who had used pharmacotherapies, 71% used NRT, of which 21% had used dual NRT products. In the last 12-months, 27% utilised Quitline and 50% utilised NRT. Ever use of Quitline was negatively associated with self-efficacy to quit (OR: 0.80; 95% CI: 0.68, 0.94 p < .01) and positively associated with being diagnosed with a mental health condition (OR: 1.50; 95% CI: 1.01, 2.25 p < .05). Recent use of NRT was positively associated with mental health condition (OR: 1.39; 95% CI: 1.02, 1.90 p < .05) and negatively associated with alcohol consumption (OR: 0.69; 95% CI: 0.52, 0.92 p < .01).
Past use of Quitline and pharmacotherapy treatment was associated with self-efficacy to quit, sociodemographic variables, mental health conditions and alcohol consumption. Community-based strategies that target smoking, mental health and drug and alcohol problems may overcome some of the barriers that prevent low-SES populations from engaging with smoking cessation support.
探讨与社会经济地位较低（低 SES）吸烟者在参加戒烟试验时使用戒烟热线和药物治疗相关的因素。
使用一项大规模戒烟随机对照试验（RCT）的基线数据。使用逻辑回归模型来检验进入 RCT 之前治疗的预测因素，以及过去和未来使用的有效性。
共有 1047 名吸烟者同意参加，在入组前 92%的人曾试图戒烟，86%的人曾使用过戒烟支持，83%的人曾至少使用过一次药物治疗，38%的人曾使用过戒烟热线。对于那些使用过药物治疗的人，71%的人使用了 NRT，其中 21%的人使用了双重 NRT 产品。在过去的 12 个月中，27%的人使用了戒烟热线，50%的人使用了 NRT。曾使用过戒烟热线与戒烟自信心呈负相关（OR：0.80；95%CI：0.68，0.94 p<.01），与被诊断为心理健康状况呈正相关（OR：1.50；95%CI：1.01，2.25 p<.05）。最近使用 NRT 与心理健康状况呈正相关（OR：1.39；95%CI：1.02，1.90 p<.05），与饮酒量呈负相关（OR：0.69；95%CI：0.52，0.92 p<.01）。
过去使用戒烟热线和药物治疗与戒烟自信心、社会人口统计学变量、心理健康状况和酒精消费有关。以吸烟、心理健康和药物及酒精问题为目标的基于社区的策略可能会克服一些阻止低 SES 人群参与戒烟支持的障碍。
