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American Indian/Alaska Native Smokers' Utilization of a Statewide Tobacco Quitline: Engagement and Quitting Behaviors From 2008 to 2018 (Nicotine and Tobacco Research)

Publication Topics

American Indian and Alaskan Native; Tobacco/Smoking; 2009 California Health Interview Survey (CHIS 2009); 2011 California Health Interview Survey (CHIS 2011); 2012 California Health Interview Survey (CHIS 2012); 2013 California Health Interview Survey (CHIS 2013); 2014 California Health Interview Survey (CHIS 2014); 2015 California Health Interview Survey (CHIS 2015); 2016 California Health Interview Survey (CHIS 2016); 2017 California Health Interview Survey (CHIS 2017)

Publication Type

CHIS Journal Article

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<a onclick="OpenPopUpPage('http:\u002f\\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1847\u0026RootFolder=*', RefreshPage); return false;" href=";ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1847&amp;RootFolder=*">Brianna A. Lienemann</a>

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<a onclick="OpenPopUpPage('http:\u002f\\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=151\u0026RootFolder=*', RefreshPage); return false;" href=";ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=151&amp;RootFolder=*">et al</a>

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Summary: Authors examine access, engagement, and quitting behaviors of American Indian/Alaska Native (AIAN) callers to the California Smokers' Helpline. Telephone counseling is the primary function of the quitline. The overarching theoretical framework for California's quitline is social cognitive theory, although it also utilizes motivational interviewing and cognitive-behavioral strategies.

AIAN (n = 16,089) and white (n = 17,425) California quitline callers from 2009 to 2018 were compared on their characteristics, engagement, and quitting behaviors. Quitline callers responded to a telephone survey at intake. A random selection was called for evaluation seven months later. Data from the 2009 to 2017 California Health Interview Survey (CHIS) were used as a reference point for AIANs.

Findings: The quitline and CHIS had similar proportions of AIANs (4.6% vs. 4.3%, respectively). AIAN smokers were more likely than white smokers to report physical (53.6% vs. 44.9%) and mental (65.7% vs. 57.8%) health conditions at intake. AIANs were more likely to participate in counseling than white callers (67.1% vs. 65.7%). Among those who received counseling, AIANs had greater odds than white smokers of making a quit attempt and similar odds of quitting for 180 days.

Rates of access, engagement, and quitting suggest that individualized quitline counseling was as effective with AIANs as it was with white smokers. Increasing efforts to refer AIANs to existing state quitlines can help more smokers quit.

This study showed that AIAN smokers were well represented among California quitline callers, even without a targeted campaign. It also found that AIAN smokers engaged in quitline services and were as able to quit as their white counterparts were, even after adjusting for other baseline characteristics. One implication is that public health programs can promote quitlines using broad-based campaigns knowing that they will still motivate AIAN smokers to seek help. Another implication is that a standard, individualized counseling protocol delivered by culturally competent quitline staff can effectively help AIAN smokers to quit.


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Journal Article: American Indian/Alaska Native Smokers' Utilization of a Statewide Tobacco Quitline: Engagement and Quitting Behaviors From 2008 to 2018

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Press Release

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California Health Interview Survey (CHIS)

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Version: 3.0
Created at 2/16/2021 8:18 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 2/17/2021 8:48 AM by i:0#.f|uclachissqlmembershipprovider|celeste