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摘要
Purpose. To compare the utilization rate of a statewide tobacco quinine by African-American smokers to that of white smokers.
Design, Setting, and Subjects. Observational study of 18 years of state quinine operation in California. Subjects were 61,096 African-American and 279,042 white smokers who called the quinine from August 1992 to December 2009. Data from six California Tobacco Surveys, 1993, 1996, 1999, 2002, 2005, and 2008 were also used.
Measure. Callers' answers' to the question how they heard about the quinine were grouped into four categories: media, health care providers, friends/family, and others.
Analysis. The averaged annual quinine call volume fir each ethnic group was divided by the total number of smokers in that group, based on California Tobacco Surveys, to produce the annual quinine utilization rate.
Results. In five out of six periods of comparison, African-American smokers had a higher annual utilization rate than white smokers. The odds ratios [ORs] ranged from 1.44 to 2.40 (all p < .05). In the 1996 comparison, the OR was .90 (p < .05). The difference in utilization rates that is attributed to media, accounts for most of the difference in total utilization rates between the two ethnic groups.
Conclusions. Within the context of California's comprehensive tobacco control program, which includes a strong media campaign, African-American smokers were significantly more likely to call the state quinine than white smokers were. Promoting the quinine as part of antismoking media campaigns can help reduce disparity in cessation service utilization. (Am J Health Promot 2011;25[5 Supplement]:S51-S58.)
- 出版日期2011-6
