The initial and ongoing effect of the COVID-19 pandemic on the reach and impact of a US state tobacco quitline.

IF 1.9 Q3 SUBSTANCE ABUSE

Tobacco Prevention & Cessation Pub Date : 2025-05-23 eCollection Date: 2025-01-01 DOI:10.18332/tpc/203869

Lawrence C An, Karen S Brown, Allison K C Furgal, Mohammed A Saqib, Farid J Shamo

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Abstract

Introduction: This study examines the long-term effect of the COVID-19 pandemic on the reach and impact of one US state tobacco quitline while taking into account quitline offers of free nicotine replacement therapy (NRT).

Methods: This is a pre-post analysis from January 2017 through June 2023 of the reach and impact of Michigan's tobacco quitline after the start of the COVID-19 pandemic. We assess quitline reach (number of callers per month), effectiveness (self-reported 30-day abstinence at 6 months), and impact (number of new ex-tobacco users per month). We examine the main effects and interactions between pandemic status (i.e. pre vs post March 2020) and quitline offers of free NRT.

Results: The COVID-19 pandemic had a persistent negative effect on quitline reach (p=0.002) and impact (p<0.001). Abstinence rates decreased transiently during the first year of the pandemic. Offering free NRT had a positive effect on quitline reach (p<0.001) and impact (p<0.001) before and after the start of the pandemic. For quitline reach, we found a significant interaction between pandemic and free NRT effects with a substantial decrease in the mean number of callers per month after the pandemic during months when free NRT is being offered (750; 95% CI: 545-1033, pre-pandemic vs 302; 95% CI: 233-392, post-pandemic) compared to months when free NRT is not being offered (247; 95% CI: 187-327, pre-pandemic vs 159; 95% CI: 114-221, post-pandemic).

Conclusions: There is a critical need to assess and address the ongoing effects of the COVID-19 pandemic on tobacco quitline reach and impact.

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COVID-19大流行对美国州烟草戒烟线的范围和影响的初步和持续影响。

本研究考察了COVID-19大流行对美国一个州烟草戒烟线的影响范围和影响，同时考虑了戒烟线提供的免费尼古丁替代疗法（NRT）。方法：这是从2017年1月到2023年6月对2019冠状病毒病大流行开始后密歇根州烟草戒烟线的范围和影响进行的前后分析。我们评估戒烟热线的覆盖面（每月打电话的人数）、有效性（6个月后自我报告的30天戒烟情况）和影响（每月新戒烟者的人数）。我们研究了大流行状态（即2020年3月前后）与戒烟热线提供免费NRT之间的主要影响和相互作用。结果：2019冠状病毒病（COVID-19）大流行对烟草戒烟范围和影响有持续的负面影响（p=0.002）。结论：迫切需要评估和解决2019冠状病毒病大流行对烟草戒烟范围和影响的持续影响。

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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