Lothumalla Sahana, Tomlinson Devin C, Duguid Isabelle, Wilkins Chelsea, Bayrakdarian Natalie D, Hellman Lauren, Jannausch Mary, Werner Pam, Lapidos Adrienne, Coughlin Lara N
Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, United States.
Bureau of Community Based Services, Lansing, United States.
Tob Prev Cessat. 2025 Feb 24;11. doi: 10.18332/tpc/200025. eCollection 2025.
Certified peer support specialists, recovery coaches and community health workers uniquely connect to individuals who smoke through shared experiences. This study examines peers' perceptions of tobacco cessation supports to enhance policy and intervention opportunities in rural and non-rural communities.
Peers (n=172) responded to a needs assessment available from 30 November 2023 to 1 February 2024. Peers were asked questions about their perceptions of currently available and additional support for tobacco cessation. We report overall ratings of these services, as well as ratings stratified by rurality.
Over half of peers perceived widely available tobacco cessation services (Quitline, counseling, NRT, medications, peer-to-peer support) as somewhat effective. Peers tended to favor financial accessibility, holistic health approaches, flexible approaches focused on harm reduction, and increased tobacco cessation services awareness, as well as peer support as additional services. When stratified by rurality, more rural-residing peers reported current tobacco cessation services as at least somewhat effective, but called for greater access to these services and/or the need for novel approaches specifically for individuals in rural communities. Rural peers emphasized the importance of more holistic support, cessation services awareness, virtual opportunities, peer-led services, and healthcare provider education for stigma prevention than their urban counterparts.
Most peers view existing supports as somewhat effective, with peer-to-peer support rated highest. Rural-residing peers favored holistic and virtual supports and urban-residing peers emphasized harm reduction and healthcare coverage, suggesting future cessation efforts within the peer workforce should address rural-specific barriers and leverage community-centered, flexible approaches.
认证同伴支持专家、康复教练和社区卫生工作者通过共同经历与吸烟者建立了独特的联系。本研究考察了同伴对戒烟支持的看法，以增加农村和非农村社区的政策及干预机会。
同伴（n = 172）对2023年11月30日至2024年2月1日期间提供的需求评估做出回应。同伴被问及他们对当前可用的戒烟支持以及额外支持的看法。我们报告了这些服务的总体评分，以及按农村地区分层的评分。
超过一半的同伴认为广泛可用的戒烟服务（戒烟热线、咨询、尼古丁替代疗法、药物、同伴支持）有些效果。同伴倾向于支持经济可及性、整体健康方法、注重减少危害的灵活方法、提高戒烟服务意识，以及将同伴支持作为额外服务。按农村地区分层时，更多居住在农村的同伴报告称当前的戒烟服务至少有些效果，但呼吁能更方便地获得这些服务，和/或需要专门针对农村社区个人的新方法。与城市同伴相比，农村同伴更强调更全面支持、戒烟服务意识、虚拟机会、同伴主导服务以及医疗保健提供者关于消除污名化的教育的重要性。
大多数同伴认为现有支持有些效果，其中同伴支持的评分最高。居住在农村的同伴倾向于整体和虚拟支持，而居住在城市的同伴强调减少危害和医疗保健覆盖，这表明未来同伴群体中的戒烟工作应解决农村特有的障碍，并利用以社区为中心的灵活方法。
