IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i6p3297-d522263.html
   My bibliography  Save this article

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

Author

Listed:
  • David C. Colston

    (Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

  • Bethany J. Simard

    (Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

  • Yanmei Xie

    (Biostatistics Core, Rogel Cancer Center, University of Michigan, Ann Arbor, MI 48109, USA)

  • Marshall Chandler McLeod

    (Biostatistics Core, Rogel Cancer Center, University of Michigan, Ann Arbor, MI 48109, USA)

  • Michael R. Elliott

    (Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
    Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA)

  • James F. Thrasher

    (Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
    Center for Population Health Research, Department of Tobacco Research, National Institute of Public Health, Cuernavaca 62100, Mexico)

  • Nancy L. Fleischer

    (Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA)

Abstract

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.

Suggested Citation

  • David C. Colston & Bethany J. Simard & Yanmei Xie & Marshall Chandler McLeod & Michael R. Elliott & James F. Thrasher & Nancy L. Fleischer, 2021. "The Association between Quitline Characteristics and Smoking Cessation by Educational Attainment, Income, Race/Ethnicity, and Sex," IJERPH, MDPI, vol. 18(6), pages 1-15, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:3297-:d:522263
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/6/3297/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/6/3297/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Trinidad, D.R. & Pérez-Stable, E.J. & White, M.M. & Emery, S.L. & Messer, K., 2011. "A nationwide analysis of US racial/ethnic disparities in smoking behaviors, smoking cessation, and cessation-related factors," American Journal of Public Health, American Public Health Association, vol. 101(4), pages 699-706.
    2. Nathan Mann & James Nonnemaker & Kevin Davis & LeTonya Chapman & Jesse Thompson & Harlan R. Juster, 2019. "The Potential Impact of the New York State Smokers’ Quitline on Population-Level Smoking Rates in New York," IJERPH, MDPI, vol. 16(22), pages 1-12, November.
    3. Saul, J.E. & Bonito, J.A. & Provan, K. & Ruppel, E. & Leischow, S.J., 2014. "Implementation of tobacco cessation quitline practices in the United States and Canada," American Journal of Public Health, American Public Health Association, vol. 104(10), pages 98-105.
    4. Varghese, M. & Sheffer, C. & Stitzer, M. & Landes, R. & Brackman, S.L. & Munn, T., 2014. "Socioeconomic disparities in telephone-based treatment of tobacco dependence," American Journal of Public Health, American Public Health Association, vol. 104(8), pages 76-84.
    5. Iffath Unissa Syed, 2020. "Clearing the Smoke Screen: Smoking, Alcohol Consumption, and Stress Management Techniques among Canadian Long-Term Care Workers," IJERPH, MDPI, vol. 17(17), pages 1-15, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nerea Jiménez-Picón & Macarena Romero-Martín & José Antonio Ponce-Blandón & Lucia Ramirez-Baena & Juan Carlos Palomo-Lara & Juan Gómez-Salgado, 2021. "The Relationship between Mindfulness and Emotional Intelligence as a Protective Factor for Healthcare Professionals: Systematic Review," IJERPH, MDPI, vol. 18(10), pages 1-14, May.
    2. Yoonyoung Choi & Hui Zheng, 2023. "Onset and Cessation of Smoking: Temporal Dynamics and Racial Difference in Educational Smoking Disparities among Women," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(6), pages 1-26, December.
    3. Javad J. Fatollahi & Sean Bentley & Neal Doran & Arthur L. Brody, 2021. "Changes in Tobacco Use Patterns among Veterans in San Diego during the Recent Peak of the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(22), pages 1-13, November.
    4. Michael J. Zvolensky & Bryce K. Clausen & Justin M. Shepherd & Brooke Y. Redmond & Lorra Garey & Luke F. Heggeness & Andre Bizier & Richard A. Brown & Daniel Bogiaizian & Patricio López Salazar, 2023. "Latinx Individuals Who Smoke Daily with and without a Probable Anxiety Disorder: Differences in Smoking Behavior and Beliefs about Abstinence," IJERPH, MDPI, vol. 20(4), pages 1-13, February.
    5. Rony F. Arauz & Margaret Mayer & Carolyn Reyes-Guzman & Bríd M. Ryan, 2022. "Racial Disparities in Cigarette Smoking Behaviors and Differences Stratified by Metropolitan Area of Residence," IJERPH, MDPI, vol. 19(5), pages 1-13, March.
    6. Allison M. Glasser & Julianna M. Nemeth & Amanda J. Quisenberry & Abigail B. Shoben & Erika S. Trapl & Elizabeth G. Klein, 2022. "Cigarillo Flavor and Motivation to Quit among Co-Users of Cigarillos and Cannabis: A Structural Equation Modeling Approach," IJERPH, MDPI, vol. 19(9), pages 1-15, May.
    7. Yuping Dong & Helin Liu & Tianming Zheng, 2021. "Association between Green Space Structure and the Prevalence of Asthma: A Case Study of Toronto," IJERPH, MDPI, vol. 18(11), pages 1-25, May.
    8. Alexander, Adam C. & Nollen, Nicole L. & Ahluwalia, Jasjit S. & Hébert, Emily T. & Businelle, Michael S. & Kendzor, Darla E., 2019. "Darker skin color is associated with a lower likelihood of smoking cessation among males but not females," Social Science & Medicine, Elsevier, vol. 240(C).
    9. Christine Sheffer & Sharon Brackman & Charnette Lercara & Naomi Cottoms & Mary Olson & Luana Panissidi & Jami Pittman & Helen Stayna, 2015. "When Free Is Not for Me: Confronting the Barriers to Use of Free Quitline Telephone Counseling for Tobacco Dependence," IJERPH, MDPI, vol. 13(1), pages 1-11, December.
    10. Nathan Mann & James Nonnemaker & Kevin Davis & LeTonya Chapman & Jesse Thompson & Harlan R. Juster, 2019. "The Potential Impact of the New York State Smokers’ Quitline on Population-Level Smoking Rates in New York," IJERPH, MDPI, vol. 16(22), pages 1-12, November.
    11. Jennifer W. Kahende & Ann M. Malarcher & Anna Teplinskaya & Kat J. Asman, 2011. "Quit Attempt Correlates among Smokers by Race/Ethnicity," IJERPH, MDPI, vol. 8(10), pages 1-18, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:3297-:d:522263. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.