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Factors Associated with Recent Use of Nicotine Replacement Therapy Among Multiethnic Smokers Residing in Public Housing

Published online by Cambridge University Press:  10 November 2017

Alan C. Geller ,
Belinda Borrelli ,
Jessica A. Davine ,
Joanna Burtner ,
Timothy C. Heeren ,
Vaughan W. Rees ,
Abdulkabir Adegoke  and
Daniel R. Brooks
Alan C. Geller*
Affiliation:
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
Belinda Borrelli
Affiliation:
Boston University Graduate School of Dental Medicine, Boston, Massachusetts
Jessica A. Davine
Affiliation:
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
Joanna Burtner
Affiliation:
Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts
Timothy C. Heeren
Affiliation:
Departments of Biostatistics, Boston University School of Public Health, Boston, Massachusetts
Vaughan W. Rees
Affiliation:
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
Abdulkabir Adegoke
Affiliation:
Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts
Daniel R. Brooks
Affiliation:
Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts
*
Address for correspondence: Alan C. Geller, MPH, Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Kresge 718, Boston, MA 02115. Email: ageller@hsph.harvard.edu
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Abstract

Introduction: Understanding factors associated with increased use of nicotine replacement therapy (NRT) is critical to implementing cessation interventions for low-income individuals yet the factors associated with NRT use among low-income smokers are poorly understood.

Aims: Assess factors associated with NRT use among low-income public housing residents.

Methods: ‘Kick it for Good’ was a randomised smoking cessation intervention study conducted among residents of public housing sites in Boston, MA. Secondary, cross-sectional analyses were conducted on smokers from a community-based intervention cessation intervention who reported making a quit attempt and use of NRT in the past 12 months (n = 234).

Results: Among smokers who made a quit attempt in the past year, 29% reported using NRT. Black (prevalence ratio, PR = 0.52, 95% CI: 0.38–0.71) and Hispanic (PR = 0.52, 95% CI: 0.31–0.88) participants were less likely to report use of NRT compared with Whites. The prevalence of recent NRT use was greatest among those both asking for and receiving provider advice (PR = 1.90, 95% CI: 0.96–3.78).

Conclusions: Minority race and ethnicity and low provider engagement on NRT use were associated with lower NRT use. Providing barrier-free access to NRT and facilitating provider engagement with smokers regarding NRT use can increase NRT use among low-income populations.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 13 , Issue 3 , September 2018 , pp. 162 - 170
Copyright
Copyright © The Author(s) 2017 

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