Abstract
Tobacco cessation telephone quitlines are an effective population-wide strategy for smoking cessation, but funding for this service varies widely. State-level factors may explain this difference. Data from the 2005 and 2006 North American Quitline Consortium surveys and from publicly available sources were analyzed to identify factors that predict higher levels of per capita quitline funding. The best-fitting multivariate model comprised higher per capita tobacco control funding (2005 p = 0.004, 2006 p=0.000), not securitizing Master Settlement Agreement payments (2005 p = 0.008, 2006 p=0.01), and liberal political ideology (2005 p = 0.002, 2006 p=0.002). Select state-level factors appear to have influenced per capita quitline services funding. These findings can help inform advocates and policymakers as they advocate for quitlines and tobacco control funding.
Highlights
Tobacco cessation quitlines have been shown to be an efficacious, effective and cost-effective population-wide strategy for smoking cessation [1,2,3,4,5]
Despite the evidence base supporting the effectiveness of quitlines, recommendations for inclusion of comprehensive quitline services as part of state tobacco control programs, and increased targeting of quitlines by state and national tobacco control efforts [8,9,10], the amount of funding available for quitline services varies widely
The following variables were included in the 2005 multivariate analysis: per capita tobacco control expenditures, master settlement agreement securitization, political ideology, tobacco production, governor’s political affiliation, and median age
Summary
Tobacco cessation quitlines have been shown to be an efficacious, effective and cost-effective population-wide strategy for smoking cessation [1,2,3,4,5]. Many other countries have quitlines in place, providing evidence-based counseling and in some instances, medications to callers [6, 7]. Despite the evidence base supporting the effectiveness of quitlines, recommendations for inclusion of comprehensive quitline services as part of state tobacco control programs, and increased targeting of quitlines by state and national tobacco control efforts [8,9,10], the amount of funding available for quitline services varies widely. Analyses of U.S. quitline services budgets in 2005 and 2006 found similar ranges of funding [6]. In 2007 the U.S Centers for Disease Control and Prevention recommended significant increases in state spending for tobacco control programs, with recommended funding levels for cessation services (including but not limited to quitlines) ranging from $1.9 million to $103.7 million [8]
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