Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
J Public Health Manag Pract. 2023;29(2):142-150. doi: 10.1097/PHH.0000000000001690. Epub 2022 Dec 6.
Diabetes and cigarette smoking are major causes of morbidity and mortality. Individuals with type 2 diabetes (T2D) who smoke are at an increased risk of smoking- and diabetes-related morbidity and mortality.
We examined utilization patterns, satisfaction, and tobacco cessation outcomes among persons with T2D to determine whether the Oklahoma Tobacco Helpline is an equally effective intervention for tobacco users with T2D compared with those without diabetes.
This study was a retrospective cohort design using registration and follow-up data from a state tobacco quitline.
We examined Oklahoma Tobacco Helpline registration data from July 2015 to June 2021 to compare Helpline utilization among individuals who self-reported a previous diagnosis of T2D compared with those not reporting a diagnosis of diabetes.
Oklahoma Tobacco Helpline registrants enrolled in a call program, either the single- or multiple-call program, who reported diabetes status at baseline. We compared tobacco use history, program enrollment, and services received for individuals self-reporting T2D with those without diabetes.
We compared 30-day point-prevalence abstinence at 7 months and evaluated program satisfaction.
Registrants with T2D were more likely to receive a higher intensity of services including the number of coaching calls and the amount of nicotine replacement therapy. At 7-month follow-up, 32.3% of registrants with T2D and 35.1% of those without diabetes reported 30-day point-prevalence abstinence, but the differences were not statistically significant.
While findings demonstrate similar effectiveness, more research is needed to better understand why the prevalence of tobacco use remains high among individuals with T2D and how to improve cessation in this population.
糖尿病和吸烟是发病率和死亡率的主要原因。患有 2 型糖尿病（T2D）的吸烟者患与吸烟和糖尿病相关的发病率和死亡率的风险增加。
我们研究了 T2D 患者的利用模式、满意度和戒烟结果，以确定俄克拉荷马州烟草热线是否与没有糖尿病的患者相比，对 T2D 烟草使用者同样是一种有效的干预措施。
这是一项使用州烟草戒烟热线的注册和随访数据的回顾性队列设计。
我们检查了 2015 年 7 月至 2021 年 6 月期间俄克拉荷马州烟草热线的注册数据，以比较报告 T2D 既往诊断的个人与未报告糖尿病诊断的个人之间的热线利用率。
在基线时报告糖尿病状况并参加电话计划（单或多次电话计划）的俄克拉荷马州烟草热线注册者。我们比较了报告 T2D 的个人与没有糖尿病的个人的吸烟史、计划注册和所接受的服务。
我们比较了 7 个月时 30 天点预断率，并评估了计划满意度。
患有 T2D 的注册者更有可能接受更高强度的服务，包括咨询电话的数量和尼古丁替代疗法的用量。在 7 个月的随访中，32.3%的 T2D 注册者和 35.1%的无糖尿病注册者报告了 30 天点预断率，但差异无统计学意义。
虽然研究结果表明有效性相似，但需要进一步研究，以更好地了解为什么 T2D 患者的烟草使用率仍然很高，以及如何改善该人群的戒烟效果。
