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Tobacco Cessation in Economically Disadvantaged Dominican Republic Communities: Who are the Ex-Users?

Published online by Cambridge University Press:  20 February 2015

Deborah J. Ossip ,
Zahíra Quiñones ,
Sergio Diaz ,
Kelly Thevenet-Morrison ,
Susan Fisher ,
Heather Holderness ,
Xeuya Cai ,
Scott McIntosh ,
Ann Dozier  and
Nancy Chin
...Show all authors
Deborah J. Ossip*
Affiliation:
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
Zahíra Quiñones
Affiliation:
Pontificia Universidad Católica Madre y Maestra, Santiago, Dominican Republic
Sergio Diaz
Affiliation:
Pontificia Universidad Católica Madre y Maestra, Santiago, Dominican Republic Hospital Regional Universitario José Maria Cabral y Baez, Santiago, Dominican Republic
Kelly Thevenet-Morrison
Affiliation:
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
Susan Fisher
Affiliation:
Department of Clinical Sciences, Temple University School of Medicine, Philadelphia, Pennsylvania
Heather Holderness
Affiliation:
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
Xeuya Cai
Affiliation:
Department of Biostatistics, University of Rochester Medical Center, Rochester, New York
Scott McIntosh
Affiliation:
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
Ann Dozier
Affiliation:
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
Nancy Chin
Affiliation:
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
Emily Weber
Affiliation:
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
Jose Javier Sanchez
Affiliation:
Pontificia Universidad Católica Madre y Maestra, Santiago, Dominican Republic
Arisleyda Bautista
Affiliation:
Centro de Atención Primaria Juan XXIII, Santiago, Dominican Republic
Héctor Almonte
Affiliation:
Private Practice, Santiago, Dominican Republic
*
Address for correspondence: Deborah J. Ossip, Ph.D., Department of Public Health Sciences, University of Rochester Medical Center, 265 Crittenden Blvd., CU420644, Rochester, NY 14642. Email: deborah_ossip@urmc.rochester.edu
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Abstract

Introduction: Tobacco use and its harm continue to increase in low and middle income countries (LMICs) globally. Smoking cessation is the most effective means of reducing morbidity and mortality from tobacco use. Increasing the prevalence of ex-users is an indicator of population cessation.

Aims: This study provides the first examination of factors associated with ex-tobacco use status in the Dominican Republic (DR), a LMIC in the Latin America and Caribbean region.

Methods: Baseline surveillance was conducted for 1,177 randomly selected households in seven economically disadvantaged DR communities (total N = 2,680 adult household members).

Results: Ex-user prevalence was 10.6% (1.0%–18.5% across communities), 14.8% were current users (9.1–20.4), and quit ratios were 41.7% (9.7%–52.7%). Among ever users, females (OR 2.02, 95% CI 1.41, 2.90), older adults (45–64: OR 1.75, 95% CI 1.12, 2.74; 65+: OR 2.09, 95% CI 1.29, 3.39), and those who could read/write (OR 1.64, 95% CI 1.08, 2.50), had health conditions (OR 1.63, 95% CI 1.11, 2.41), and lived with ex-users (OR 1.70, 95% CI 1.12, 2.58) were over 60% to two times as likely to be ex-users. Those from remote communities (OR 0.52, 95% CI 0.36, 0.74), using chewed tobacco (OR 0.14, 95% CI 0.04, 0.48) and living with tobacco users (OR 0.55, 95% CI 0.37, 0.81) were less likely to be ex-users.

Conclusions: Ex-user prevalence and quit ratios were lower than for high income countries. Implementing broad tobacco control measures, combined with clinically targeting vulnerable groups, may increase tobacco cessation to most effectively reduce this public health crisis.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 11 , Issue 4 , December 2016 , pp. 239 - 249
Copyright
Copyright © The Author(s) 2015 

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