Vermont Department of Health, Burlington, VT, USA.
Rutgers Center for Tobacco Studies, New Brunswick, NJ, USA.
Health Promot Pract. 2024 Mar;25(2):167-169. doi: 10.1177/15248399231171143. Epub 2023 Apr 28.
Since 2017, the Vermont Tobacco Control Program (VTCP) has worked to reduce the impact of flavored tobacco products on Vermonters. With the proposed U.S. Food and Drug Administration (FDA) rules banning menthol cigarettes and flavored cigars and proposed legislation banning sales of all menthol and flavored tobacco products in Vermont, VTCP prioritized resources to support cessation among Vermonters who use menthol tobacco products. In March 2021, VTCP began offering a tailored quitline protocol for adults who use menthol tobacco, including financial incentives, for completed coaching sessions. From March 2021 to May 2022, 66 quitline callers enrolled in the menthol incentive protocol, representing 8% of all quitline callers and 25% of participants in the state's quitline incentive programs. A greater proportion of callers in the menthol incentive program completed three or more quitline calls (58% vs. 38%) and enrolled in phone and text support (61% vs. 32%). Quitline callers enrolled in any incentive protocols (menthol, Medicaid/uninsured, or pregnant) were more likely to request one or two forms of nicotine replacement therapy (NRT). Quitlines remain an effective, evidence-based method of tobacco cessation, especially in reaching vulnerable populations. Given the targeted marketing of menthol brands to Black and African American populations, LGBTQ+ populations, youth, and neighborhoods with lower incomes, addressing menthol cigarette use is key to improving health equity and health of Vermonters. Early data indicates that the use of financial incentives can increase engagement with a state quitline among menthol tobacco users through greater completion of cessation coaching calls, enrollment in text message support, and NRT usage.
自 2017 年以来,佛蒙特州烟草控制计划(VTCP)一直致力于减少调味烟草制品对佛蒙特州居民的影响。随着美国食品和药物管理局(FDA)提议禁止薄荷醇香烟和调味雪茄,并提议在佛蒙特州禁止销售所有薄荷醇和调味烟草制品,VTCP 优先利用资源,为使用薄荷醇烟草制品的佛蒙特州居民提供戒烟支持。2021 年 3 月,VTCP 开始为使用薄荷醇烟草的成年人提供定制的戒烟热线协议,包括完成教练课程的经济奖励。从 2021 年 3 月到 2022 年 5 月,66 名戒烟热线来电者参加了薄荷醇激励计划,占戒烟热线来电者的 8%,占该州戒烟热线激励计划参与者的 25%。薄荷醇激励计划中的来电者完成三个或更多戒烟热线电话的比例(58%对 38%)和参加电话和短信支持的比例(61%对 32%)更高。参加任何激励计划(薄荷醇、医疗补助/无保险或孕妇)的戒烟热线来电者更有可能要求一种或两种尼古丁替代疗法(NRT)。戒烟热线仍然是一种有效的、基于证据的戒烟方法,尤其是在接触弱势群体方面。考虑到薄荷醇品牌针对黑人和非裔美国人、LGBTQ+ 人群、青年和收入较低的社区的定向营销,解决薄荷醇香烟的使用问题是提高佛蒙特州居民健康公平和健康的关键。早期数据表明,使用经济奖励可以通过增加戒烟辅导电话的完成次数、参加短信支持和使用 NRT,增加薄荷醇烟草使用者对州戒烟热线的参与度。