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首页> 外文期刊>International Journal of Environmental Research and Public Health >When Free Is Not for Me: Confronting the Barriers to Use of Free Quitline Telephone Counseling for Tobacco Dependence
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When Free Is Not for Me: Confronting the Barriers to Use of Free Quitline Telephone Counseling for Tobacco Dependence

机译：当免费不适合我时：面对使用免费戒烟热线电话咨询烟草依赖的障碍

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Remarkable disparities in smoking rates in the United States contribute significantly to socioeconomic and minority health disparities. Access to treatment for tobacco use can help address these disparities, but quitlines, our most ubiquitous treatment resource, reach just 1%–2% of smokers. We used community-based participatory methods to develop a survey instrument to assess barriers to use of the quitline in the Arkansas Mississippi delta. Barriers were quitline specific and barriers to cessation more broadly. Over one-third (34.9%) of respondents (n = 799) did not have access to a telephone that they could use for the quitline. Respondents reported low levels of knowledge about the quitline, quitting, and trust in tobacco treatment programs as well as considerable ambivalence about quitting including significant concerns about getting sick if they quit and strong faith-based beliefs about quitting. These findings suggest quitlines are not accessible to all lower socioeconomic groups and that significant barriers to use include barriers to cessation. These findings suggest targets for providing accessible tobacco use treatment services and addressing concerns about cessation among lower income, ethnic minority, and rural groups.
机译：在美国，吸烟率的显着差异是造成社会经济和少数民族健康差异的重要原因。获得烟草治疗的方法可以帮助解决这些差异，但是戒烟热线是我们最普遍使用的治疗资源，仅覆盖吸烟者的1％–2％。我们使用基于社区的参与性方法来开发一种调查工具，以评估阿肯色州密西西比三角洲使用戒烟热线的障碍。障碍是特定于戒烟热线的，而戒烟的障碍则更为广泛。超过三分之一（34.9％）的受访者（n = 799）无法使用可用于戒烟热线的电话。受访者对戒烟热线，戒烟和对烟草治疗计划的了解程度较低，并且对戒烟的模棱两可的态度包括对戒烟生病的​​严重担忧以及对戒烟的基于信仰的强烈信念。这些发现表明，并非所有社会经济地位较低的群体都可以使用戒烟热线，并且使用的主要障碍包括戒烟的障碍。这些发现提出了提供无障碍烟草使用治疗服务以及解决低收入，少数民族和农村群体对戒烟的担忧的目标。

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