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A Cross-sectional Examination of What Smokers Perceive to be Important and Their Willingness to Pay for Tobacco Cessation Medications

机译:对吸烟者认为重要的方面及其愿意支付戒烟药物的横断面检查

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Context: Tobacco smoking is the leading cause of preventable morbidity and mortality in the United States, and smoking cessation has multiple health benefits. Objective: The purpose of this study was to assess cigarette smokers' perceived importance toward characteristics of tobacco cessation medications using a willingness-to-pay approach. Design, Setting, and Participants: Cross-sectional analysis of data from the 2008 HealthStyles survey, a mail-based probability sample of 5399 adults aged 18 years and older. Point estimates and 95% confidence intervals were calculated overall and by sociodemographic and smoking behavior characteristics. Multivariate Probit regression analysis was used to evaluate smokers' willingness to pay in relation to perceived importance of 3 cessation medication characteristics: convenience of use, over-the-counter availability, and efficiency to help quit. All models controlled for sociodemographic characteristics, smoking behavior characteristics, and US regional fixed effects. A total of 914 current cigarette smokers. Main Outcome Measures: Interest in quitting, interest in using cessation medications, and willingness to pay for 6 types of cessation medications. Results: Approximately 68.4% of current cigarette smokers were interested in quitting. Among these individuals, 45.6% indicated that they were interested in using cessation medications, and of these, 47.3% indicated that they were willing to pay $ 150 or more out-of-pocket for these medications. Convenience of use and the effectiveness of these medications to help quit were positively associated with current smokers' willingness to pay for $ 300 or more (P < .05); however, no association was observed for over-the-counter availability. Self-reported exposure to telephone quitline advertisements was also positively associated with the willingness to pay. Conclusions: Approximately 68% of current smokers are interested in quitting, and about half of those smokers interested in quitting are also interested in using cessation medications. Convenience of use and the medication's effectiveness are important characteristics of cessation medication for smokers with quit intentions. Understanding preferences for these cessation medication characteristics may help inform smoking cessation efforts.
机译:背景:吸烟是美国可预防的发病率和死亡率的主要原因,戒烟对健康有多重好处。目的:本研究的目的是使用付费意愿方法评估吸烟者对戒烟药物特性的感知重要性。设计,设置和参与者:对2008年HealthStyles调查数据的横断面分析,这是基于邮件的5399名18岁以上成年人的概率抽样。通过社会人口统计学和吸烟行为特征总体计算了点估计值和95%置信区间。多元Probit回归分析用于评估吸烟者是否愿意支付与3种戒烟药物特征的重要性相关的意愿:使用便利性,非处方药可获得性和帮助戒烟的效率。所有模型均根据社会人口统计学特征,吸烟行为特征和美国区域固定效应进行控制。目前共有914名吸烟者。主要结果指标:对戒烟的兴趣,对使用戒烟药物的兴趣以及愿意为6种戒烟药物付款的意愿。结果:目前约有68.4%的吸烟者对戒烟感兴趣。在这些人中,有45.6%的人表示他们对使用戒烟药物感兴趣,其中有47.3%的人表示愿意为这些药物支付150美元或更多的自付费用。使用这些药物的便利性和帮助戒烟的有效性与当前吸烟者愿意支付300美元或更多的费用成正比(P <.05);但是,没有观察到非处方药的可用性。自我报告的电话戒烟热线广告曝光与付款意愿也呈正相关。结论:目前约有68%的吸烟者对戒烟感兴趣,而那些对戒烟感兴趣的吸烟者中约有一半对戒烟药物也很感兴趣。使用便利和药物的有效性是戒烟者戒烟药物的重要特征。了解对这些戒烟药物特征的偏好可能有助于告知戒烟工作。

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