Next Article in Journal
Disasters without Borders: The Coronavirus Pandemic, Global Climate Change and the Ascendancy of Gradual Onset Disasters
Next Article in Special Issue
The Utilization of National Tobacco Cessation Services among Female Smokers and the Need for a Gender-Responsive Approach
Previous Article in Journal
Indoor Fungal Contamination in Temporary Housing after the East Japan Great Earthquake Disaster
Article

The Association between Quitline Characteristics and Smoking Cessation by Educational Attainment, Income, Race/Ethnicity, and Sex

1
Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
2
Biostatistics Core, Rogel Cancer Center, University of Michigan, Ann Arbor, MI 48109, USA
3
Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
4
Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA
5
Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
6
Center for Population Health Research, Department of Tobacco Research, National Institute of Public Health, Cuernavaca 62100, Mexico
*
Author to whom correspondence should be addressed.
Academic Editors: Zubair Kabir, Kenneth D. Ward and Christopher Seitz
Int. J. Environ. Res. Public Health 2021, 18(6), 3297; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18063297
Received: 28 January 2021 / Revised: 12 March 2021 / Accepted: 18 March 2021 / Published: 23 March 2021
(This article belongs to the Special Issue Current Status of Tobacco Control Policies)
Little research examines how tobacco quitlines affect disparities in smoking cessation in the United States. Our study utilized data from the Tobacco Use Supplement to the Current Population Survey (2010, 2011, 2012, 2015, 2018) (TUS-CPS) and state-level quitline data from the North American Quitline Consortium and National Quitline Data Warehouse. We ran multilevel logistic regression models assessing a state-run quitline’s budget, reach, number of counseling sessions offered per caller, and hours of operation on 90-day smoking cessation. Multiplicative interactions between all exposures and sex, race/ethnicity, income, and education were tested to understand potential effect modification. We found no evidence that budget, reach, number of counseling sessions, or hours available for counseling were associated with cessation in the main effects analyses. However, when looking at effect modification by sex, we found that higher budgets were associated with greater cessation in males relative to females. Further, higher budgets and offering more sessions had a stronger association with cessation among individuals with lower education, while available counseling hours were more strongly associated with cessation among those with higher education. No quitline characteristics examined were associated with smoking cessation. We found evidence for effect modification by sex and education. Despite proven efficacy at the individual-level, current resource allocation to quitlines may not be sufficient to improve rates of cessation. View Full-Text
Keywords: smoking cessation; quitlines; disparities; tobacco control; health policy smoking cessation; quitlines; disparities; tobacco control; health policy
Show Figures

Figure 1

MDPI and ACS Style

Colston, D.C.; Simard, B.J.; Xie, Y.; McLeod, M.C.; Elliott, M.R.; Thrasher, J.F.; Fleischer, N.L. The Association between Quitline Characteristics and Smoking Cessation by Educational Attainment, Income, Race/Ethnicity, and Sex. Int. J. Environ. Res. Public Health 2021, 18, 3297. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18063297

AMA Style

Colston DC, Simard BJ, Xie Y, McLeod MC, Elliott MR, Thrasher JF, Fleischer NL. The Association between Quitline Characteristics and Smoking Cessation by Educational Attainment, Income, Race/Ethnicity, and Sex. International Journal of Environmental Research and Public Health. 2021; 18(6):3297. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18063297

Chicago/Turabian Style

Colston, David C., Bethany J. Simard, Yanmei Xie, Marshall C. McLeod, Michael R. Elliott, James F. Thrasher, and Nancy L. Fleischer 2021. "The Association between Quitline Characteristics and Smoking Cessation by Educational Attainment, Income, Race/Ethnicity, and Sex" International Journal of Environmental Research and Public Health 18, no. 6: 3297. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18063297

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop