Reaching Youth Smokers Through a Multipronged Approach: Comparison of Three Recruitment Methods of a Youth Quitline in Hong Kong

IF 5.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health Pub Date : 2024-09-27 DOI:10.1016/j.jadohealth.2024.07.017

Hong Chen M.Med. , Annie On Ni Yip M.Soc.Sc. , Yee Tak Derek Cheung Ph.D. , Sophia Siu Chee Chan Ph.D. , Tai Hing Lam M.D. , Man Ping Wang Ph.D. , Tzu Tsun Luk Ph.D.

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引用次数: 0

Abstract

Purpose

Using multipronged recruitment strategies is crucial for reaching diverse smokers, yet research specifically focusing on youths is lacking. This prospective study compared the characteristics and abstinence outcomes of youth smokers enrolled in a youth-centered cessation service by three different methods.

Methods

From December 2016 to February 2022, the Youth Quitline enrolled 1,197 smokers aged 10–25 (mean = 19.4) years through traditional method (incoming calls or referrals, n = 276), proactive outreach (n = 735), and online method (website or social media platforms, n = 186). Logistic regression was used to calculate the odds ratio (OR) of biochemically validated tobacco abstinence at 6 months by recruitment methods.

Results

Proportionally more participants recruited via online method than traditional method and outreach had moderate to heavy nicotine dependence (53.2% vs. 40.9% vs. 27.6%, p < .001), poor self-rated health (27.6% vs. 21.9% vs. 12.3%, p < .001), and risk of depression (51.4% vs. 42.5% vs. 37.4%, p = .003). More participants recruited by outreach (71.6%) had no intention to quit in 30 days than traditional (58.3%) and online (59.7%) methods (p < .001). Compared with traditional method, the 6-month validated abstinence rate was similar in smokers recruited by online method (crude OR 0.77, 95% confidence interval 0.44–1.34) but significantly lower in those recruited by outreach (crude OR 0.44, 95% confidence interval 0.28–0.67). Results were similar after adjusting for sociodemographic and baseline predictors of abstinence.

Discussion

Online recruitment can attract youth smokers with greater nicotine dependence and poorer health, whereas outreach can engage those with less motivation to quit. The lower quit rate in outreach-recruited participants indicated the need for more effective interventions.

查看原文本刊更多论文

通过多管齐下的方法接触青少年吸烟者：香港青少年戒烟热线三种招募方法的比较。

目的：采用多管齐下的招募策略对于帮助不同的吸烟者至关重要，但目前还缺乏专门针对青少年的研究。这项前瞻性研究比较了以青少年为中心的戒烟服务通过三种不同方法招募的青少年吸烟者的特征和戒烟结果：从2016年12月到2022年2月，"青少年戒烟热线 "通过传统方法（来电或转介，n = 276）、主动外联（n = 735）和在线方法（网站或社交媒体平台，n = 186）招募了1197名年龄在10-25岁（平均= 19.4）的吸烟者。采用逻辑回归法计算了不同招募方法的生化验证戒烟6个月的几率比（OR）：通过在线方式招募的参与者中，尼古丁依赖程度为中度至重度（53.2% vs. 40.9% vs. 27.6%，p < .001）、自我健康评价较差（27.6% vs. 21.9% vs. 12.3%，p < .001）和抑郁风险较高（51.4% vs. 42.5% vs. 37.4%，p = .003）的比例高于传统方式和外联方式。与传统方法（58.3%）和在线方法（59.7%）相比，更多通过外展方法招募的参与者（71.6%）在 30 天内无意戒烟（p < .001）。与传统方法相比，在线方法招募的吸烟者的6个月验证戒烟率相似（粗略OR为0.77，95%置信区间为0.44-1.34），但外展方法招募的吸烟者的6个月验证戒烟率明显较低（粗略OR为0.44，95%置信区间为0.28-0.67）。在对社会人口学因素和戒烟基线预测因素进行调整后，结果相似：讨论：在线招募可以吸引尼古丁依赖性较强、健康状况较差的青少年吸烟者，而外展招募则可以吸引戒烟动机较弱的青少年。外展招募参与者的戒烟率较低，表明需要更有效的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Adolescent Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

10.40

自引率

3.90%

发文量

526

审稿时长

46 days

期刊介绍： The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.