Increasing access to evidence-based smoking cessation treatment: effectiveness of a free nicotine patch program among Chinese immigrants |
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Authors: | Shelley Donna Nguyen Nam Peng Cha-Hui Chin Margaret Chang Ming-der Fahs Marianne |
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Institution: | 1. Department of Comprehensive Care, New York University College of Dentistry, 423 East 23rd St, New York, NY, 10010, USA 2. Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY, USA 3. New York University School of Medicine, New York, NY, USA 4. Asian Americans for Equality, New York, NY, USA 5. American Cancer Society, New York, NY, USA 6. Brookdale Center on Aging, Hunter College, City University of New York, New York, NY, USA
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Abstract: | Pharmacotherapy substantially increases smoking cessation rates. However, programs to reduce barriers to this evidence-based treatment may not improve access among high risk immigrant non English speaking populations. This study estimates the effectiveness of a tailored free nicotine patch (NRT) program among Chinese American smokers living in New York City (NYC). Between July 2004 and May 2005 NRT was distributed to 375 smokers through two community-based organizations that serve the Asian American population in NYC. Participants completed an in person baseline survey and a 4-month follow-up telephone survey. Using an intention to treat analysis the abstinence rate at 4 months was 26.7% (100/375). Predictors of cessation included higher levels of self efficacy at baseline, not smoking while using the patch and concern about personal health risks. Distribution through easy to access, culturally competent local community organizations increased the reach of a free nicotine patch program and assisted smokers in quitting. |
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