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Factors associated with Quitline and pharmacotherapy utilisation among low-socioeconomic status smokers

journal contribution
posted on 20.12.2018, 00:00 by VC Boland, RP Mattick, M Siahpush, D Barker, Christopher Doran, KA Martire, B Bonevski, H McRobbie, R Borland, M Farrell
Aims: To examine factors associated with Quitline and pharmacotherapy utilisation in low socioeconomic status (low-SES) smokers enrolled in a smoking cessation trial. Methods: 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. Results: 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). Conclusion: 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. © 2018 Elsevier Ltd

Funding

Category 3 - Industry and Other Research Income

History

Volume

89

Start Page

113

End Page

120

Number of Pages

8

eISSN

1873-6327

ISSN

0306-4603

Publisher

Pergamon Press, UK

Peer Reviewed

Yes

Open Access

No

Acceptance Date

24/09/2018

External Author Affiliations

University College London; Cancer Council Victoria; Queen Mary University of London; University of Newcastle; University of New South Wales; University of Nebraska Medical Center

Author Research Institute

Centre for Indigenous Health Equity Research

Era Eligible

Yes

Journal

Addictive Behaviors