Allen Sophia I, Bordner Candace R, D'Souza-Rushton Gail, Krebs Nicolle M, Hobkirk Andrea L, Calo William A, Houser Kenneth R, Livelsberger Craig, Foulds Jonathan, Henry Tilicea, Eisele Caroline, Yingst Jessica
Department of Public Health Sciences, Penn State Center for Research On Tobacco and Health, Penn State College of Medicine, 400 University Drive, Hershey, PA, 17033, USA.
Penn State Cancer Institute, Hershey, PA, 17033, USA.
J Racial Ethn Health Disparities. 2025 Aug 13. doi: 10.1007/s40615-025-02600-9.
Tobacco quitlines are efficacious, accessible, and cost-effective. While the prevalence of cigarette smoking remains higher among non-Hispanic White adults, the quit ratio has remained lower for African American (AA) and Hispanic or Latino (H/L) adults who smoke. The National Jewish Health Quitline (NJH QL) has sought to address whether current QL services provide effective and equitable tobacco cessation services. This study evaluated the experiences and perceptions of QL services among AA and H/L adults who smoke.
Our team recruited adults who smoke for a qualitative study from July 2021 through October 2021 who had or had not engaged with QL services across 9 states. NJH QL clients shared their perceptions of QL services and experiences with quitting smoking; non-users of QL services shared in-depth responses on their knowledge, perceptions, and barriers to using a telephone QL service. Interviews were recorded, transcribed, and coded to identify key themes. Inter-coder reliability was calculated, and agreement (kappa > .80) was achieved.
Fifty-four eligible participants were recruited and thirty-five (64.8%) participants (21 AA, 14 H/L) across 5 states completed an interview. Themes included an awareness of media campaigns, importance of enthusiastic support from coaches, uncertainty about the effectiveness of QLs, appreciation of free nicotine replacement therapy and clear instructions for use, and an interest in tailored advertising and counseling by race or ethnicity matched coaches.
The findings suggest that QL use among AA and H/L adults with historically low quit rates could be improved with tailored advertising and treatment conducted by enthusiastic and demographically matched coaches.
戒烟热线有效、便捷且具有成本效益。虽然非西班牙裔白人成年人中吸烟率仍然较高，但非裔美国人和西班牙裔或拉丁裔吸烟成年人的戒烟率一直较低。国家犹太健康戒烟热线（NJH QL）试图探讨当前的戒烟热线服务是否能提供有效且公平的戒烟服务。本研究评估了吸烟的非裔美国人和西班牙裔或拉丁裔成年人对戒烟热线服务的体验和看法。
我们的团队在2021年7月至2021年10月期间招募吸烟成年人进行定性研究，这些成年人来自9个州，有的使用过戒烟热线服务，有的未使用过。NJH QL的客户分享了他们对戒烟热线服务的看法以及戒烟经历；未使用过戒烟热线服务的人则深入回答了他们对使用电话戒烟热线服务的了解、看法和障碍。访谈进行了录音、转录和编码，以确定关键主题。计算了编码员间的信度，并达成了一致性（kappa＞0.80）。
招募了54名符合条件的参与者，来自5个州的35名（64.8%）参与者（21名非裔美国人，14名西班牙裔或拉丁裔）完成了访谈。主题包括对媒体宣传活动的认知、教练热情支持的重要性、对戒烟热线有效性的不确定性、对免费尼古丁替代疗法及清晰使用说明的赞赏，以及对由种族或族裔匹配的教练提供量身定制的广告和咨询的兴趣。
研究结果表明，通过由热情且人口统计学特征匹配的教练进行量身定制的广告宣传和治疗，可以提高历史上戒烟率较低的非裔美国人和西班牙裔或拉丁裔成年人对戒烟热线的使用率。
