Abstract

IntroductionTobacco quitlines are critical components of comprehensive tobacco control programs. However, use of the US National Tobacco Quitline (1-800-QUIT-NOW) is low. Promoting quitlines on cigarette warning labels may increase call volume and smoking cessation rates but only if smokers are aware of, and receptive to, quitline services.MethodsWe conducted qualitative interviews with a diverse subset (n = 159) of adolescent (14–17 y) and adult (≥18 y) participants of a larger quantitative survey about graphic cigarette warning labels (N = 1,590). A convenience sample was recruited from schools and community organizations in 6 states. Interviews lasted 30 to 45 minutes and included questions to assess basic knowledge and perceptions of the quitline number printed on the warning labels. Data were analyzed using content analysis.ResultsFour themes were identified: available services, caller characteristics, quitline service provider characteristics, and logistics. Participants were generally knowledgeable about quitline services, including the provision of telephone-based counseling. However, some adolescents believed that quitlines provide referrals to “rehab.” Quitline callers are perceived as highly motivated — even desperate — to quit. Few smokers were interested in calling the quitline, but some indicated that they might call if they were unable to quit independently. It was generally recognized that quitline services are or should be free, confidential, and operated by governmental or nonprofit agencies, possibly using tobacco settlement funds.ConclusionFuture marketing efforts should raise awareness of the nature and benefits of quitline services to increase use of these services and, consequently, reduce tobacco use, improve public health, and reduce tobacco-related health disparities.

Highlights

  • Tobacco quitlines are critical components of comprehensive tobacco control programs

  • In 2009–2010, only 54% of current smokers and 34% of former smokers in the United States reported being aware of telephonebased smoking cessation services [8]

  • The data reported here represent a subset of data collected for the purpose of understanding public reactions to 9 graphic cigarette warning labels proposed by the US Food and Drug Administration [18]

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Summary

Introduction

Tobacco quitlines are critical components of comprehensive tobacco control programs. use of the US National Tobacco Quitline (1-800-QUIT-) is low. Promoting quitlines on cigarette warning labels may increase call volume and smoking cessation rates but only if smokers are aware of, and receptive to, quitline services. Tobacco quitlines, which provide tobacco users free telephone counseling, nicotine replacement therapy (NRT), and other cessation services, are important components of comprehensive tobacco control programs [2] and can increase 6-month abstinence rates dramatically [3,4,5,6,7]. Mass media campaigns are effective in increasing call volumes and smoking cessation rates [9,10,11,12,13]. Such approaches are short-lived and do not reach all smokers [13,14,15].

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