Abstract
IntroductionThe implementation of a home smoking ban (HSB) is associated with tobacco use cessation. We identified which quitline callers were most likely to report 30-day cessation among those who implemented complete HSBs after enrollment.MethodsOur sample consisted of callers to the Arizona Smokers’ Helpline who enrolled from January 1, 2011, through July 26, 2015, and who reported no HSB at enrollment and a complete HSB by 7-month follow-up. We used logistic regression to estimate associations between no use of tobacco in the previous 30 days (30-day quit) at 7-month follow-up and demographic characteristics, health conditions, tobacco use, and cessation strategies.ResultsAt 7-month follow-up, 65.4% of 399 callers who implemented a complete HSB reported 30-day quit. Lower odds of tobacco use cessation were associated with having a chronic health condition (odds ratio [OR], 0.31; 95% confidence interval [CI], 0.18–0.56) and living with other smokers (OR, 0.46; 95% CI, 0.29–0.73). Higher odds of tobacco cessation were associated with completing 5 or more telephone coaching sessions (OR, 2.48; 95% CI, 1.54–3.98) and having confidence to quit (OR, 2.05; 95% CI, 1.05–3.99). However, confidence to quit was not significant in the sensitivity analysis.ConclusionImplementing an HSB after enrolling in quitline services increases the likelihood of cessation among some tobacco users. Individuals with complete HSBs were more likely to quit if they did not have a chronic health condition, did not live with another smoker, and were actively engaged in coaching services. These findings may be used by quitlines to develop HSB intervention protocols primarily targeting tobacco users most likely to benefit from them.
Highlights
The implementation of a home smoking ban (HSB) is associated with tobacco use cessation
Lower odds of tobacco use cessation were associated with having a chronic health condition and living with other smokers (OR, 0.46; 95% confidence intervals (CIs), 0.29–0.73)
Implementing an HSB after enrolling in quitline services increases the likelihood of cessation among some tobacco users
Summary
The implementation of a home smoking ban (HSB) is associated with tobacco use cessation. We identified which quitline callers were most likely to report 30-day cessation among those who implemented complete HSBs after enrollment. Home smoking bans (HSBs) are household rules that restrict smoking from certain areas (partial HSB) or all areas (complete HSB) [1]. Complete HSBs are a more effective cessation strategy than partial HSBs [5], which present challenges in enforcing smoking restrictions [6]. Identifying callers who are most likely to benefit from HSB interventions and quit tobacco use may inform the development of quitline protocols for HSB interventions for specific groups of tobacco users.
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