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A Safety Net Tobacco Use Cessation Resource: Quitline Service Usage, 2019
Sonia M Tetlow1, Lei Zhang2, Mateusz Borowiecki3
1Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, MS S107-7, 4770 Buford Hwy, Atlanta, GA 30341 (xyc9@cdc.gov).
Quitlines provided essential tobacco cessation services to over 180,000 individuals in 2019, particularly benefiting those with lower socioeconomic status and limited insurance. Expanding these free, accessible services can improve public health outcomes.
Area of Science:
- Public Health
- Health Services Research
- Tobacco Control
Background:
- Quitlines offer free, evidence-based support for tobacco cessation.
- These services are crucial for individuals facing barriers to clinical treatment.
- Understanding quitline usage patterns is vital for optimizing public health interventions.
Purpose of the Study:
- To examine quitline service utilization across diverse sociodemographic characteristics in the US.
- To identify populations most frequently utilizing quitline services for tobacco cessation.
- To inform strategies for strengthening quitline accessibility and effectiveness.
Main Methods:
- Analysis of 2019 National Quitline Data Warehouse intake data from 40 US quitlines.
- Inclusion of callers (≥12 years) who reported current tobacco use and received services.
- Chi-square tests used to compare service receipt by participant characteristics.
Main Results:
- In 2019, 182,544 individuals received quitline services.
- A significant majority (80.4%) had less than a college degree; 70.4% were uninsured or on Medicaid/Medicare.
- Cessation medication receipt varied significantly by educational attainment and insurance status (P < .001).
Conclusions:
- Quitlines effectively served low-socioeconomic status populations in 2019.
- These services are a key resource for individuals with barriers to clinical cessation.
- Strengthening quitlines can enhance tobacco cessation rates and improve population health.
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