Increasing Access to Evidence-Based Smoking Cessation Treatment: Effectiveness of a Free Nicotine Patch Program Among Chinese Immigrants
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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.
KeywordsChinese Americans Immigrant health Smoking cessation Nicotine Community-based intervention
This study was funded by the Centers for Disease Control and Prevention (K01 DP000087-03). We thank Hsiao Liu for assistance in study implementation. This study was approved by the Columbia University Institutional Review Board.
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