Tobacco Use Insights最新文献

{"title":"Peer-Facilitated Tobacco Cessation in a Prison Setting: A Proof of Concept Study.","authors":"Christine E Garver-Apgar,&nbsp;Chad M Morris,&nbsp;Jim Pavlik,&nbsp;Tracy Lenartz,&nbsp;Michele Hamm","doi":"10.1177/1179173X231168511","DOIUrl":"https://doi.org/10.1177/1179173X231168511","url":null,"abstract":"<p><strong>Background: </strong>Despite the vast human and economic costs associated with tobacco use among U.S. inmates, smoking remains a largely ignored public health epidemic. Incarcerated individuals smoke at 3 to 4 times the rate of the general population and face tobacco-related health disparities.</p><p><strong>Purpose: </strong>This paper reports results from a single arm, pre/post pilot study designed to test the feasibility and initial effectiveness of an inmate-administered group tobacco cessation intervention within a men's pre-release program run by the Arizona Department of Corrections.</p><p><strong>Methods: </strong>Corrections staff and inmate peer mentors were trained in the DIMENSIONS: Tobacco Free Program, a manualized 6-session tobacco cessation group curriculum. Group sessions used evidence-based interventions for assisting inmates develop skills to live tobacco and nicotine free. In 2019-2020, 39 men who reported tobacco use voluntarily participated in one of three cessation groups. Wilcoxen signed-rank tests evaluated changes across group sessions in frequency of tobacco use and attitudes about nicotine-free living post release.</p><p><strong>Results: </strong>Most participants attended all six group sessions (79%) and made one or more quit attempts (78%). Overall, 24% of the sample reported quitting tobacco, and significant reductions in tobacco use were reported after only two sessions. Participants further reported significant positive changes in knowledge, plans, support, and confidence to live tobacco-free lives post-release.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first study to demonstrate that, with minimal investment, implementation of an evidence-based, peer-led tobacco free program is feasible and effective within an incarcerated population uniquely vulnerable to the burden of tobacco.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"16 ","pages":"1179173X231168511"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/e3/10.1177_1179173X231168511.PMC10084529.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9660170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Carbon Monoxide in Exhaled Breath using the Smokerlyzer Handheld Machine: A Cross- Sectional Study.","authors":"Vinod K Ramani,&nbsp;Manohar Mhaske,&nbsp;Radheshyam Naik","doi":"10.1177/1179173X231184129","DOIUrl":"https://doi.org/10.1177/1179173X231184129","url":null,"abstract":"Introduction Nicotine dependence is known to be a chronic remitting and relapsing addictive disorder. Among cancer patients who smoke, nicotine addiction has been found to be more when compared with smoking healthy individuals. Smokerlyzer machine can be used to test smoking substance use and de-addiction services can be provided at Preventive Oncology units. The objectives of the study include: (i) To assess eCO using a Smokerlyzer hand-held machine and correlate it with the smoking status, (ii) To assess the cut-off value for smoking use, and discusses the benefits of this method. Methods In this cross-sectional study, healthy individuals at the workplace were tested for exhaled CO (eCO), which is used as a biological marker for monitoring the tobacco smoking. We discuss the feasibility of testing and its implications for cancer patients. The Bedfont EC50 Smokerlyzer machine was used to measure the concentration of CO in the end-tidal expired air. Results Among 643 study subjects, we found a statistically significant difference (P < .001) of median (IQR) eCO (measured in ppm) among smokers and non-smokers 2(1,5) vs 1(1,2). A significant and moderate positive correlation (Spearman rank correlation coefficient: .463) was observed between eCO and subjects who used cigarettes (measured in pack years). The ROC curve shows a cut off value for eCO as 2.5 with sensitivity 43.6% and 1 – specificity 2.76% (Specificity: 97.24%), which was rounded to 3. The area under the curve is 74.9%, which indicates a moderate discrimination performance of the test. The diagnostic accuracy of the test is 82.89%, which shows the proportion of correct test results. Conclusion Estimating eCO in health care settings will enable monitoring the smoking substance use which has important impact on clinical outcomes. In cancer hospitals, when the goal is complete abstinence a stringent CO cutoff in the range of 3-4 ppm should be used.","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"16 ","pages":"1179173X231184129"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/6b/10.1177_1179173X231184129.PMC10293515.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10647429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Transition Patterns of Tobacco Use Among Youth and Young Adults Never Tobacco Product Users: Findings From the Population Assessment of Tobacco and Health Study, 2014-2019.","authors":"Meagan A Bluestein,&nbsp;Arnold E Kuk,&nbsp;Melissa B Harrell,&nbsp;Baojiang Chen,&nbsp;Emily T Hébert,&nbsp;Adriana Pérez","doi":"10.1177/1179173X231161314","DOIUrl":"https://doi.org/10.1177/1179173X231161314","url":null,"abstract":"<p><strong>Aims: </strong>To identify, visualize, and describe the prevalence of within-product patterns of tobacco use behaviors for e-cigarettes, cigarettes, and hookah (TP) by 3 age groups (ie, 12-14-year-old, 15-17-year-old, and 18-20-year-old) with U.S. nationally representative data.</p><p><strong>Methods: </strong>In 2014-2015, never users of each (TP) and age group were followed-up longitudinally between 2015-2019 using five transition states: non-susceptible to (TP) use, susceptible to (TP) use, ever (TP) use, past 30-day (TP) use, and discontinued past 30-day (TP) use. Sankey diagrams were used to graphically visualize patterns in tobacco use behaviors across time.</p><p><strong>Results: </strong>Among 12-14-year-old who were never users and susceptible to each TP from 2014-2017, 7% initiated ever e-cigarette use and 9.4% first reported past 30-day use by 2018-2019; 5.8% initiated ever cigarette use and 3% first reported past 30-day cigarette use by 2018-2019; and, 4.5% initiated ever hookah use and 1.0% first reported past 30-day hookah use by 2018-2019. Among 15-17-year-old who were never users and susceptible to each TP from 2014-2017, 4.2% initiated ever e-cigarette use and 9.0% first reported past 30-day use by 2018-2019; 4.5% initiated ever cigarette use and 3% first reported past 30-day cigarette use by 2018-2019; and, 4.5% initiated ever hookah use and 2.4% first reported past 30-day hookah use by 2018-2019. Among 18-20-year-old who were never users and susceptible to each TP from 2014-2017, 3.2% initiated ever e-cigarette use and 3.6% first reported past 30-day e-cigarette use by 2018-2019; 3.0% initiated ever cigarette use and 2.3% first reported past 30-day cigarette use; and, 2.8% initiated ever hookah use and 1.0% first reported past 30-day hookah use by 2018-2019.</p><p><strong>Conclusions: </strong>From 2014 to 2019, onset and progression of e-cigarette, cigarette, and hookah use occurred more frequently in 12-14 and 15-17-year-old than in young adults 18-20-year-old.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"16 ","pages":"1179173X231161314"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b0/76/10.1177_1179173X231161314.PMC10009036.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9428890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Impact of the Massachusetts Temporary Flavor Ban on Licensed Tobacco Retailers.","authors":"Matthew C Nali,&nbsp;Vidya Purushothaman,&nbsp;Zhuoran Li,&nbsp;Raphael Cuomo,&nbsp;Tim K Mackey","doi":"10.1177/1179173X231192821","DOIUrl":"https://doi.org/10.1177/1179173X231192821","url":null,"abstract":"<p><strong>Introduction: </strong>In 2019, the state of Massachusetts signed into law the first statewide sales restrictions of flavored ENDS/tobacco products for both physical and online shops in response to a previous executive order to curb E-Cigarette, or Vaping Product, Use Associated Lung Injury (EVALI) cases that were surging throughout the nation.</p><p><strong>Methodology: </strong>This study obtained licensure data from the Massachusetts Department of Revenue, to observe the changes in retail licensure comparing the pre ban (October 2018-August 2019) and post ban periods (October 2020- August 2021). A series of linear regression tests were conducted on both periods using census tract data to explore potential associations with sociodemographic covariates, including median age, median household income, and population proportion by gender, age, and race/ethnicity groups.</p><p><strong>Results: </strong>Analysis of the Massachusetts post-ban period (October 2020-August 2021) found that new tobacco retail licenses issued decreased by 52.9% (n = 968) when compared to the pre-ban period (October 2018-August 2019) of 1831. A significant positive association was discovered between change in new retailer count and proportion male population (2.48 ± 1.05, <i>P</i> = .018) as well as proportion Hispanic population (1.19 ± .25, <i>P</i> < .001) at the census tract level.</p><p><strong>Conclusion/discussion: </strong>Our analysis indicates that, following the temporary MA flavor sales ban, the total number of licenses decreased, though decreases were more pronounced for new licenses when compared to continuing licenses. Higher increases in new tobacco retailer density were significantly associated with concentration of male and Hispanic populations.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"16 ","pages":"1179173X231192821"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/dd/10.1177_1179173X231192821.PMC10392200.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10305498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decídetexto México: Recruitment and baseline characteristics of Mexican individuals who smoke in a cessation study.","authors":"Rosibel Rodríguez-Bolaños,&nbsp;Paula Ramírez-Palacios,&nbsp;Alejandra Bolaños,&nbsp;Daimarelys Lara,&nbsp;Gabriel Millan,&nbsp;Katia Gallegos-Carrillo,&nbsp;Yvonne N Flores,&nbsp;Raúl M Mejia,&nbsp;Ana Paula Cupertino,&nbsp;Francisco Cartujano-Barrera","doi":"10.1177/1179173X231157378","DOIUrl":"https://doi.org/10.1177/1179173X231157378","url":null,"abstract":"<p><p>The objective of this study was to evaluate the effectiveness of digital and traditional methods and strategies in the recruitment of Mexican individuals who smoke into a cessation study. Recruitment method refers in general to either digital or traditional recruitment. Recruitment strategies refer to the particular recruitment type utilized within each recruitment method. Traditional recruitment strategies included radio interviews, word of mouth, newspaper advertisement, posters/banners placed in primary healthcare clinics, and medical referrals. Digital recruitment strategies involved emails and study advertisements through social media (i.e., Facebook, Instagram and Twitter) and website. In a 4-month period, 100 Mexican individuals who smoke were successfully enrolled into a smoking cessation study. The majority of participants were enrolled via traditional recruitment strategies (86%) compared to the digital recruitment strategies (14%). Individuals screened in the digital method were more likely to be eligible to participate in the study, compared to the traditional method. Similarly, in comparison to the traditional method, individuals in the digital method were more likely to enroll in the study. However, these differences were not statistically significant. Both traditional and digital strategies made important contributions to the overall recruitment effort.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"16 ","pages":"1179173X231157378"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/17/ba/10.1177_1179173X231157378.PMC10326465.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10300408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure to E-Cigarette Advertising and Its Association With E-Cigarette Use Among Youth and Adolescents in Two Largest Cities in Vietnam 2020.","authors":"Thi Thanh Huong Le,&nbsp;Tu Hoang Le,&nbsp;Minh Dat Le,&nbsp;Tien Thang Nguyen","doi":"10.1177/1179173X231179676","DOIUrl":"https://doi.org/10.1177/1179173X231179676","url":null,"abstract":"<p><strong>Background: </strong>E-cigarette products have become more popular due to the marketing campaigns on various sources but caused adverse health impacts to users, especially adolescents and youths. This paper aims to describe the situation of exposure to e-cigarette advertisements of youth and adolescents living in two cities of Hanoi and Ho Chi Minh in 2020 and identify the associated factors of e-cigarette marketing with e-cigarettes use in these groups.</p><p><strong>Methodology: </strong>This was a cross-sectional study. The study participants were 1211 youth and adolescents aged 15-24 living in Hanoi and Ho Chi Minh City during the time of data collection (from January 2020 to September 2020). Two primary outcome variables included the ever e-cigarettes use and the intention to use e-cigarettes. Multivariate logistic regression models were used to assess the association between the outcome variables and e-cigarette marketing exposure.</p><p><strong>Results: </strong>The proportion of participants who ever use e-cigarettes was 7.4% and a proportion of 4.8% have intention to use e-cigarettes. The most popular source of exposure to e-cigarettes advertisements was social network (Facebook, Twitter, Instagram, Youtube, etc.) and this source had positive association with the odds of e-cigarette smoking among youth and adolescents (OR = 3.38, 95% CI: 1.59-7.14). In addition, referral marketers also contributed to making the participants more likely to smoke e-cigarettes (OR = 2.68, 95% CI: 1.03-6.95). Attractive color and free sample of e-cigarettes were also found to be the motivated factors associated with smoking behaviour among youth and adolescents.</p><p><strong>Conclusions: </strong>New policies should be considered to oppose the impact of youth-oriented e-cigarette advertisements which include regulating and restricting e-cigarette advertisements on social media, as well as through referral marketers.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"16 ","pages":"1179173X231179676"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/b7/10.1177_1179173X231179676.PMC10226302.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10301610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young Adults' Electronic Cigarette Use and Perceptions of Risk.","authors":"Shelby Kelsh,&nbsp;Anne Ottney,&nbsp;Mark Young,&nbsp;Michelle Kelly,&nbsp;Rodney Larson,&nbsp;Minji Sohn","doi":"10.1177/1179173X231161313","DOIUrl":"https://doi.org/10.1177/1179173X231161313","url":null,"abstract":"<p><p>In the United States<b>,</b> 18.6% of college students between 19-and 22-years old report e-cigarette use in the last 30 days. Information regarding e-cigarette use and perceptions in this age group may assist in understanding how to decrease initiation of e-cigarettes in a population that may otherwise not use nicotine. The purpose of this survey was to determine current e-cigarette use and how e-cigarette use history relates to a college student's perceptions of health risks associated with e-cigarettes. A 33-item questionnaire was sent to students at a Midwestern university in Fall 2018. Overall, 3754 students completed the questionnaire. More than half of the respondents (55.2%) had used e-cigarettes and 23.2% identified as current users of e-cigarettes. Current e-cigarette users were more likely to agree that e-cigarettes are a safe and effective option to quit smoking, while never users were more likely to disagree (safe <i>P</i> < .001, effective <i>P</i> < .001). Current users were less likely to agree that e-cigarettes may harm a person's overall health than never users (<i>P</i> < .001). Young adults continue to be frequent users of e-cigarettes. There are significant differences in perceptions of e-cigarettes associated with use history. Additional research is needed to see how perceptions and use of e-cigarettes have changed considering lung injury reports and increased regulations in the U.S.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"16 ","pages":"1179173X231161313"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/34/ac/10.1177_1179173X231161313.PMC9996725.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9471617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional study of attitudes and behaviors of snuff use and cessation among people with and without HIV in South Africa.","authors":"Samantha M Loh,&nbsp;Tumelo Moloantoa,&nbsp;Nompumelelo Yende,&nbsp;Ebrahim Variava,&nbsp;Raymond Niaura,&nbsp;Jonathan E Golub,&nbsp;Neil Martinson,&nbsp;Jessica L Elf","doi":"10.1177/1179173X231193890","DOIUrl":"https://doi.org/10.1177/1179173X231193890","url":null,"abstract":"<p><strong>Background: </strong>Despite a high (48%) prevalence of snuff use among women with HIV in South Africa, little is known of the attitudes and behaviors of use, strategies for cessation, and potential health risks.</p><p><strong>Methods: </strong>In a cross-sectional study, a questionnaire was administered to adults (≥18 years) with (HIV+) and without HIV (HIV-) who self-reported current snuff use to collect information on demographics, snuff use and cessation attempts, preferred strategies for cessation, other substance use, history of respiratory illness, and mental health.</p><p><strong>Results: </strong>150 (74 HIV+, 76 HIV-) participants were enrolled; 115 (77%) were daily snuff users, 6 (4%) were current smokers, and 17 (11%) former smokers. Top reasons for current snuff use included improving health (n = 48, 32%), reducing stress (n = 26, 16%), and \"being a habit\" (n = 38, 25%). Participants believed snuff use to have mostly positive (n = 68, 46%) or no (n = 54, 36%) health impacts, and 57 (38%) participants believed snuff cures headaches. 103 (69%) participants reported a previous quit attempt, and 110 (73%) indicated high interest in quitting snuff. Although 105 (70%) participants indicated that advice from a healthcare provider would aid them in quitting snuff, only 30 (20%) reported ever receiving that advice. A majority of participants (n = 141, 94%) suffer from moderate to high levels of perceived stress, and overall few differences were seen by HIV status.</p><p><strong>Conclusions: </strong>Education on negative impacts of snuff, advice to quit from healthcare providers, and nicotine replacement therapy should be considered in the development of a snuff cessation program.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"16 ","pages":"1179173X231193890"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e9/b3/10.1177_1179173X231193890.PMC10422901.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10306356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impacts of Supervised Exercise Intervention on Tobacco Withdrawal Symptoms.","authors":"Nur-Hasanah Ruslan,&nbsp;Siti Munira Yasin,&nbsp;Nadzimah Mohd Nasir,&nbsp;Mohamad Rodi Isa","doi":"10.1177/1179173X231179811","DOIUrl":"https://doi.org/10.1177/1179173X231179811","url":null,"abstract":"<p><p>This study examined a supervised moderate-intensity aerobic exercise programme's effectiveness in regulating the Tobacco Withdrawal Symptoms (TWS) during temporary abstinence. This was a single group, pre and post-quasi intervention study. Thirty daily smokers participated in an 8-week supervised moderate-intensity aerobic exercise programme. We assessed the TWS, smoking urge, mood and stress-pleasure related hormonal variables after the aerobic exercise intervention. The measurements were conducted after overnight abstinence at baseline, post-intervention (at week-8) and post-detraining (at week-10). TWS components, smoking urge and mood were found to improve. For hormonal variables, cortisol and beta-endorphin except adrenaline showed insignificant changes at post-intervention and de-training. The findings suggest moderate-intensity exercise might help in reducing withdrawal symptoms and its adverse effects. Thus, exercise is an effective adjunct treatment in a smoking cessation programme.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"16 ","pages":"1179173X231179811"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/69/26/10.1177_1179173X231179811.PMC10226328.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10300153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Appagalo\" a Customized Mobile Health Intervention (mHealth) for Smoking Cessation in Women: A Randomized Controlled Trial.","authors":"Javiera Martinez-Gutierrez,&nbsp;Angélica Domínguez,&nbsp;Carolina López,&nbsp;Juan Alcántara,&nbsp;Carolina Althausen,&nbsp;Mildred Rojas,&nbsp;Leonardo Véjar,&nbsp;Claudia Bambs","doi":"10.1177/1179173X231152316","DOIUrl":"https://doi.org/10.1177/1179173X231152316","url":null,"abstract":"<p><strong>Background: </strong>Almost 30% of Chilean women report cigarette smoking with important repercussions on their health.</p><p><strong>Objective: </strong>Design and test a mobile phone intervention for smoking cessation in young women.</p><p><strong>Study design: </strong>A mobile application (app) was created using the best available evidence and consumer input. Its effectiveness was assessed through a randomized clinical trial.</p><p><strong>Study participants: </strong>Women 18 to 44 years old from middle-class neighborhoods in Santiago, Chile. Inclusion criteria were intention to quit cigarette smoking in the following month and having a smartphone cell phone. Women with positive screening for risky alcohol consumption were excluded.</p><p><strong>Intervention: </strong>App with content to support cigarette smoking cessation over 6 months. The control arm included an app that delivered general messages to promote permanence in the study. Telephone follow-up was performed at 6 weeks, and at 3 and 6 months after randomization.</p><p><strong>Main outcome measure: </strong>No smoking in the past 7 days at 6 weeks from enrolment. Intention-to-treat analysis was carried out using SPSS 17.0 with a significance level set at .05.</p><p><strong>Results: </strong>309 women entered the study. Mean number of cigarettes smoked in a day was 8.8. 58.6% of the participants (n = 181) completed the follow-up for the primary outcome. With intention-to-treat analysis, 9.7% of participants in the intervention group reported not having smoked any cigarettes in the last 7 days vs 3.2% in the control group (RR 2.98 CI 95% 1.11-8.0, <i>P</i> = .022). Additionally, 12.3% vs 1.9% of the participants in the intervention group and control group reported continuous abstinence at 6 weeks, respectively (RR 6.29 95% CI 1.9-20.8, <i>P</i> < .001). Continuous abstinence was also significant at 6 months (<i>P</i>-value of .036).</p><p><strong>Conclusions: </strong>The \"Appagalo\" app is an effective tool to support smoking cessation in young women. It is a simple mHealth alternative for smoking cessation that can contribute to improving women's health in the Americas and worldwide.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"16 ","pages":"1179173X231152316"},"PeriodicalIF":2.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/68/10.1177_1179173X231152316.PMC9944159.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10849794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}