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A community-based tobacco cessation program for individuals experiencing homelessness
Marlena Hartman-Filson1, Jennifer Chen2, Priscella Lee3
1Division of General Internal Medicine, University of California, San Francisco, CA, USA.
Addictive Behaviors
|February 20, 2022
Summary
A pharmacy-led smoking cessation program in homeless shelters significantly reduced tobacco use. Pharmacist counseling and nicotine replacement therapy (NRT) increased quit attempts and decreased cigarette consumption among participants.
Area of Science:
- Public Health
- Behavioral Science
- Pharmacology
Background:
- Tobacco use is prevalent among persons experiencing homelessness (PEH), necessitating targeted interventions.
- Homeless shelters present a unique setting for delivering smoking cessation support to this vulnerable population.
Purpose of the Study:
- To evaluate a community-based, pharmacy-linked smoking cessation intervention for persons experiencing homelessness (PEH).
- To examine factors associated with reduced cigarette consumption and increased quit attempts within this population.
Main Methods:
- A single-arm, uncontrolled trial was conducted in two San Francisco homeless shelters.
- Shelter staff received training on brief cessation counseling.
- Participants received pharmacist-delivered counseling and 3-month nicotine replacement therapy (NRT).
Main Results:
- Of 52 participants, 70% made a quit attempt and 84% used NRT.
- Weekly cigarette consumption decreased by 40% with staff interaction and 23% with medication use.
- Medication use significantly increased the odds of a quit attempt (AOR 2.89).
Conclusions:
- Community-based pharmacists can effectively deliver smoking cessation services within homeless shelters.
- This intervention model shows promise for reducing tobacco use among persons experiencing homelessness.
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