Cessation Among State Quitline Participants with a Mental Health Condition
Abstract
INTRODUCTION: Telephone quitlines are an effective treatment option for tobacco cessation in the general population. Many participants who use quitline services have mental health conditions (MHC), yet few published studies have examined the use of quitline services in this population. This study examined the prevalence of MHC among state quitline participants and compared cessation outcomes among those with and without MHC. METHODS: Demographic and tobacco use data were collected at enrollment and 7 months post-enrollment using standardized assessments for 10,720 eligible participants who enrolled in a state quitline between September, 2010 and August, 2012. RESULTS: The prevalence of self-reported MHC was 19.8% (2,086/10,720 callers). The intent to treat quit rate for participants with a MHC was 16.4% compared to 21.5% for those without a MHC (p < .001), and the responder quit rate was 36.9% for those with a MHC compared to 44.4% for those without (p < .001). The adjusted odds ratio describing the association of MHC status and tobacco cessation was identical for both the intent-to-treat and responder populations, and indicated that participants with MHC were 23% less likely to quit (p < .05). CONCLUSIONS: This study identified that participants with MHC accessed a state quitline, but were less likely to quit. The finding was independent of other factors influencing tobacco cessation, such as gender, race, and education. These findings indicate that although quitline services are an option for tobacco cessation among persons with MHC, further research is needed to determine why cessation rates are lower.
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Evidence-based telephone-delivered smoking cessation interventions can be efficacious but have yielded relatively low cessation rates among people with mental health disorders, typically ranging from 3% to 18%.
“Although evidence-based telephone-delivered smoking cessation interventions can be efficacious [33], they have yielded relatively low cessation rates among people with mental health disorders, typically ranging from 3% to 18% [33, 34, 35, 36, 37].”
From Can an Acceptance and Commitment Therapy-Based Smartphone App Help Individuals with Mental Health Disorders Quit Smoking? (2024) · cites this paper as [35]
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- Authors
- Kerkvliet, J. L., Wey, H., & Fahrenwald, N. L.
- Affiliations
- South Dakota State University (US)
- Venue
- Nicotine & Tobacco Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-11-09
- Volume
- 17
- Issue
- 6
- Pages
- 735-741
- ISSN
- 1462-2203 (ISSN-L)
- 1469-994X
- OpenAlex
- W2112708384
- Cited by
- 29
- References
- 24
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 5 · 2022: 3 · 2021: 7 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 1
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nicotine & Tobacco Research (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- telephone quitline, tobacco cessation, mental illness, smoking cessation outcomes
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Mental Disorders, Female, Humans, Male, Mental Health, Middle Aged, Smoking, South Dakota, Telephone, Tobacco Use Disorder, Hotlines, Comorbidity, Prevalence, Smoking Cessation, Treatment Outcome, Young Adult
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