Helping the Poor Quit Smoking: Specialized Quitlines and Meeting Basic Needs

帮助穷人戒烟：专门的戒烟热线和满足基本需求

• 批准号: 10189315
• 负责人: MATTHEW W. KREUTER
• 金额: $ 15.75万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-01 至 2022-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10189315
• 关键词: Address; Adherence; African American; Annual Reports; Asthma; Awareness; Behavior; COVID-19; Cessation of life; Chronic; Chronic Obstructive Airway Disease; Complex; Containment; Data; Data Collection; Employment; Enrollment; Equipment; Food; Health; Health behavior; Heart Diseases; Home environment; Household; Income; Intervention; Life; Low income; Measures; Minority; Missouri; Modeling; Non-Insulin-Dependent Diabetes Mellitus; Occupational Exposure; Paper; Parents; Participant; Population; Race; Recommendation; Reporting; Smoker; Smoking; Social Work; Subgroup; Surveys; Testing; Time Series Analysis; Tobacco; Transportation; Wages; Work; cancer health disparity; coronavirus disease; economic need; healthspan; high school; innovation; meetings; navigator intervention; novel strategies; pandemic disease; programs; protective behavior; quitline; randomized trial; smoking cessation; social

Project Summary/Abstract The impact of COVID-19 on low-income and minority populations has been profound, spanning health, employment, income, food, rent, transportation and daily needs like diapers and toilet paper. In Missouri, where the parent study and proposed supplement take place, disparities abound. African Americans make up <12% of the state population but over 40% of COVID-19 deaths – the second largest gap in the U.S. among states reporting race data. As of April 20, 2020, we have enrolled 1,743 low-income daily smokers in the parent study, a randomized trial testing two cessation interventions. Over half report annual household income <$10,000, most (59%) are African American, and many (30%) did not complete high school. They are also sick: 50% report at least one chronic condition (28% asthma, 20% COPD, 15% Type II diabetes, 10% heart disease), and 56% rate their health as “fair” (39%) or “poor” (17%). From March 9 to April 16, 2020, we administered COVID-19 survey items to 88 participants. Awareness of COVID-19 was high, but protective behaviors were inconsistent, and occupational exposures were high: of those who worked – 74% African Americans – only 19% had been off work and 6% worked from home during COVID. In short, low-wage minority smokers, often in fair or poor health, were working outside the home, having more contact with others, but with little protective equipment. We propose a highly innovative study in this sub-group using intensive longitudinal data collection and cutting-edge time series analyses to understand complex, dynamic relationships among four factors identified as priorities in the RFA: (1) employment disruptions; (2) social and economic needs; (3) adherence to COVID-19 containment and mitigation recommendations; and (4) health indicators and behaviors. The study will produce estimates that can be used to model adherence to protective measures and disruption to daily needs, personal health, and health behaviors such as smoking in low-wage minority workers during pandemics.

项目摘要/摘要 Covid-19对低收入和少数族裔人口的影响是深远的，跨越了健康， 就业，收入，食物，租金，运输以及尿布和厕纸等日常需求。在密苏里州， 在父母研究和拟议补充的情况下，差异比比皆是。非裔美国人弥补 <占州人口的12％，但超过40％的共同死亡人数，这是美国第二大差距 报告种族数据。截至2020年4月20日，我们已经在父母中注册了1,743名低收入每日吸烟者 研究，一项随机试验测试两种停止干预措施。超过一半报告年收入 <$ 10,000，大多数（59％）是非裔美国人，许多（30％）没有完成高中。他们也是 病人：50％报告至少一种慢性病（28％哮喘，20％COPD，15％II型糖尿病，10％心脏 疾病），56％的人将其健康评为“公平”（39％）或“贫困”（17％）。从2020年3月9日至4月16日，我们 向88名参与者进行了COVID-19调查项目。 COVID-19的意识很高，但受到保护 行为不一致，占据的暴露量很高：在工作的人中，非洲人有74％ 美国人 - 在库维德期间，只有19％的人下班了，有6％的人在家工作。简而言之，低薪 少数民族吸烟者，通常状况不佳或健康状况不佳，在家外工作，与他人有更多联系， 但是几乎没有防护设备。我们使用密集型提出了一项高度创新的研究 纵向数据收集和前沿时间序列分析，以了解复杂的动态 RFA中被确定为优先事项的四个因素之间的关系：（1）就业中断； （2）社交和 经济需求； （3）遵守COVID-199的遏制和缓解建议； （4）健康 指标和行为。该研究将产生可用于建模依从性以保护的估计值 对日常需求，个人健康和健康行为的措施和干扰，例如在低工资中吸烟 少数民族在大流行时期。