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Quitline Use and Outcomes among Callers with and without Mental Health Conditions: A 7-Month Follow-Up Evaluation in Three States

Objectives. To examine abstinence outcomes among tobacco users with and without a reported mental health condition (MHC) who enrolled in state tobacco quitline programs. Methods. Data were analyzed from a 7-month follow-up survey (response rate: 41% [3,132/7,459]) of three state-funded telephone qui...

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Autores principales: Vickerman, Katrina A., Schauer, Gillian L., Malarcher, Ann M., Zhang, Lei, Mowery, Paul, Nash, Chelsea M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4529922/
https://www.ncbi.nlm.nih.gov/pubmed/26273647
http://dx.doi.org/10.1155/2015/817298
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author Vickerman, Katrina A.
Schauer, Gillian L.
Malarcher, Ann M.
Zhang, Lei
Mowery, Paul
Nash, Chelsea M.
author_facet Vickerman, Katrina A.
Schauer, Gillian L.
Malarcher, Ann M.
Zhang, Lei
Mowery, Paul
Nash, Chelsea M.
author_sort Vickerman, Katrina A.
collection PubMed
description Objectives. To examine abstinence outcomes among tobacco users with and without a reported mental health condition (MHC) who enrolled in state tobacco quitline programs. Methods. Data were analyzed from a 7-month follow-up survey (response rate: 41% [3,132/7,459]) of three state-funded telephone quitline programs in the United States that assessed seven self-reported MHCs at quitline registration. We examined 30-day point prevalence tobacco quit rates for callers with any MHC versus none. Data were weighted to adjust for response bias and oversampling. Multivariable logistic regression was used to examine cessation outcomes. Results. Overall, 45.8% of respondents reported ≥1 MHC; 57.4% of those reporting a MHC reported ≥2 MHCs. The unadjusted quit rate for callers with any MHC was lower than for callers with no MHC (22.0% versus 31.0%, P < 0.001). After adjusting for demographics, nicotine dependence, and program engagement, callers reporting ≥1 MHC were less likely to be abstinent at follow-up (adjusted OR = 0.63, 95% CI = 0.51–0.78, P < 0.001). Conclusions. More intensive or tailored quitline programs may need to be developed among callers with MHCs as their quit rates appear to be lower than callers without MHCs.
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spelling pubmed-45299222015-08-13 Quitline Use and Outcomes among Callers with and without Mental Health Conditions: A 7-Month Follow-Up Evaluation in Three States Vickerman, Katrina A. Schauer, Gillian L. Malarcher, Ann M. Zhang, Lei Mowery, Paul Nash, Chelsea M. Biomed Res Int Research Article Objectives. To examine abstinence outcomes among tobacco users with and without a reported mental health condition (MHC) who enrolled in state tobacco quitline programs. Methods. Data were analyzed from a 7-month follow-up survey (response rate: 41% [3,132/7,459]) of three state-funded telephone quitline programs in the United States that assessed seven self-reported MHCs at quitline registration. We examined 30-day point prevalence tobacco quit rates for callers with any MHC versus none. Data were weighted to adjust for response bias and oversampling. Multivariable logistic regression was used to examine cessation outcomes. Results. Overall, 45.8% of respondents reported ≥1 MHC; 57.4% of those reporting a MHC reported ≥2 MHCs. The unadjusted quit rate for callers with any MHC was lower than for callers with no MHC (22.0% versus 31.0%, P < 0.001). After adjusting for demographics, nicotine dependence, and program engagement, callers reporting ≥1 MHC were less likely to be abstinent at follow-up (adjusted OR = 0.63, 95% CI = 0.51–0.78, P < 0.001). Conclusions. More intensive or tailored quitline programs may need to be developed among callers with MHCs as their quit rates appear to be lower than callers without MHCs. Hindawi Publishing Corporation 2015 2015-07-26 /pmc/articles/PMC4529922/ /pubmed/26273647 http://dx.doi.org/10.1155/2015/817298 Text en Copyright © 2015 Katrina A. Vickerman et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Vickerman, Katrina A.
Schauer, Gillian L.
Malarcher, Ann M.
Zhang, Lei
Mowery, Paul
Nash, Chelsea M.
Quitline Use and Outcomes among Callers with and without Mental Health Conditions: A 7-Month Follow-Up Evaluation in Three States
title Quitline Use and Outcomes among Callers with and without Mental Health Conditions: A 7-Month Follow-Up Evaluation in Three States
title_full Quitline Use and Outcomes among Callers with and without Mental Health Conditions: A 7-Month Follow-Up Evaluation in Three States
title_fullStr Quitline Use and Outcomes among Callers with and without Mental Health Conditions: A 7-Month Follow-Up Evaluation in Three States
title_full_unstemmed Quitline Use and Outcomes among Callers with and without Mental Health Conditions: A 7-Month Follow-Up Evaluation in Three States
title_short Quitline Use and Outcomes among Callers with and without Mental Health Conditions: A 7-Month Follow-Up Evaluation in Three States
title_sort quitline use and outcomes among callers with and without mental health conditions: a 7-month follow-up evaluation in three states
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4529922/
https://www.ncbi.nlm.nih.gov/pubmed/26273647
http://dx.doi.org/10.1155/2015/817298
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