To examine associations between identified factors to accessing Food and Drug Administration-approved quit medication (FDAQM) and use among a sample of tobacco users.
Design
Cross-sectional, online survey.
Setting
County in Central California.
Subjects
Current adult tobacco users (n = 76).
Measures
Demographics self-reported likelihood of quitting in the next month, contacting a healthcare provider about quitting, time since last healthcare visit, provider asking about tobacco/nicotine use, provider advice to quit, provider FDAQM prescription and FDAQM use in the past year.
Analysis
Logistic regression.
Results
Those with a higher likelihood of quitting had a lower odds of FDAQM use (OR = 0.15, 95% CI = 0.03, 0.73) while those who had contacted a healthcare provider had a higher odds (OR = 15.39, 95% CI = 2.72, 87.05).
Conclusion
While the sample was limited, this research provides evidence in an understudied tobacco cessation area. More work is needed to understand the generalizability of these results and develop interventions that address these factors.
National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention (US); 2014.
2.
SteadLFPereraRBullenC, et al.Nicotine replacement therapy for smoking cessation. Cochrane Database Syst Rev. 2012;11:CD000146. doi:10.1002/14651858.CD000146.pub4
3.
CorelliRLTuTGLeeKJDinhDGerickeKRHudmonKS. Smoking cessation pharmacotherapy utilization and costs to a Medicaid managed care plan. Pharmacoecon Open. 2021;5(4):649-653. doi:10.1007/s41669-021-00274-7
4.
StyklunasGMShahidNNParkER, et al.A qualitative analysis of nicotine replacement therapy uptake, consistent use, and persistence among primary care patients who smoke. Drug Alcohol Depend Rep. 2021;2:100018. doi:10.1016/j.dadr.2021.100018
5.
MasclansLDavisJM. Access to effective smoking cessation medications in patients with medicare, medicaid and private insurance. Public Health Pract (Oxf). 2023;6:100427. doi:10.1016/j.puhip.2023.100427
6.
BaileySRHoopesMJMarinoM, et al.Effect of gaining insurance coverage on smoking cessation in community health centers: a cohort study. J Gen Intern Med. 2016;31(10):1198-1205. doi:10.1007/s11606-016-3781-4
7.
GuDRaffertyHVijayaraghavanM. Factors associated with smoking cessation and the receipt of cessation services in a public, safety-net primary care system. J Gen Intern Med. 2024;39(9):1657-1665. doi:10.1007/s11606-024-08664-3
BabbSMalarcherASchauerGAsmanKJamalA. Quitting smoking among adults - United States, 2000-2015. MMWR Morb Mortal Wkly Rep. 2017;65(52):1457-1464. doi:10.15585/mmwr.mm6552a1
10.
WeaverKESnivelyBMHoganP, et al.Predictors of continued smoking and interest in cessation among older female smokers. J Aging Health. 2018;30(4):624-640. doi:10.1177/0898264316687622
11.
VogtFHallSMarteauTM. Understanding why smokers do not want to use nicotine dependence medications to stop smoking: qualitative and quantitative studies. Nicotine Tob Res. 2008;10(8):1405-1413. doi:10.1080/14622200802239280
12.
JusterHROrtega-PelusoCABrownEM, et al.A media campaign to increase health care provider assistance for patients who smoke cigarettes. Prev Chronic Dis. 2019;16:E143. doi:10.5888/pcd16.180613
13.
LoretanCGWangTWWatsonCVJamalA. Disparities in current cigarette smoking among US adults with mental health conditions. Prev Chronic Dis. 2022;19:E87. doi:10.5888/pcd19.220184
14.
BrunetteMFFerronJCAschbrennerKAPrattSIGeigerPKosydarS. Attitudes about smoking cessation treatment, intention to quit, and cessation treatment utilization among young adult smokers with severe mental illnesses. Addict Behav. 2019;89:248-255. doi:10.1016/j.addbeh.2018.09.028
15.
FoulstoneARKellyABKifleT. Partner influences on smoking cessation: a longitudinal study of couple relationships. J Subst Use. 2017;22(5):501-506.
16.
HomishGGLeonardKE. Spousal influence on smoking behaviors in a US community sample of newly married couples. Soc Sci Med. 2005;61(12):2557-2567. doi:10.1016/j.socscimed.2005.05.005
17.
LevinsonAHBorrayoEAEspinozaPFloresETPérez-StableEJ. An exploration of Latino smokers and the use of pharmaceutical aids. Am J Prev Med. 2006;31(2):167-171. doi:10.1016/j.amepre.2006.03.022
18.
RuttenLJBlakeKDAgunwambaAA, et al.Use of e-cigarettes among current smokers: associations among reasons for use, quit intentions, and current tobacco use. Nicotine Tob Res. 2015;17(10):1228-1234. doi:10.1093/ntr/ntv003
CummingsKMHylandAGiovinoGAHastrupJLBauerJEBansalMA. Are smokers adequately informed about the health risks of smoking and medicinal nicotine?Nicotine Tob Res. 2004;6(Suppl 3):S333-S340. doi:10.1080/14622200412331320734
