An adapted smoking-cessation intervention for Turkish-speaking migrants in Switzerland: Predictors of smoking outcomes at one-year follow-up
Migrant populations usually report higher smoking rates. Among those migrant populations, Turkish- and Kurdish-speaking migrants are often overrepresented. Providing equal access to health services is one of the major challenges of our time. The need for adapted smoking-cessation treatments for Turk...
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| creator | Paz Castro, Raquel Schaub, Michael P Salis Gross, Corina |
| description | Migrant populations usually report higher smoking rates. Among those migrant populations, Turkish- and Kurdish-speaking migrants are often overrepresented. Providing equal access to health services is one of the major challenges of our time. The need for adapted smoking-cessation treatments for Turkish-speaking populations to achieve equity in health led, in 2006, to the development and implementation of the Tiryaki-Kukla smoking-cessation program. The aims of the current study were to evaluate one-year quit rates for smoking-cessation courses held from 2006-2018 and investigate whether certain characteristics predict long-term smoking cessation or reduction.
Program evaluation included a pre/post questionnaire (session 1/ 3 months after the quit day) and a follow-up telephone call twelve months after the quit day. To elucidate factors associated with long-term smoking cessation and reduction, Cox regression analysis and Weighted Generalized Equation Models were used.
Of the 478 who participated in smoking-cessation courses, 45.4% declared themselves non-smokers at one-year follow-up. This quit rate is higher than that achieved during the preliminary evaluation of the program involving 61 participants (37.7%). Predictors of long-term smoking cessation were course length (eight vs. six sessions) (95% CI = 1.04-1.36, p = .01), adherence to the course (95% CI = 0.98-0.99, p |
| doi_str_mv | 10.1371/journal.pone.0247157 |
| format | Article |
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Program evaluation included a pre/post questionnaire (session 1/ 3 months after the quit day) and a follow-up telephone call twelve months after the quit day. To elucidate factors associated with long-term smoking cessation and reduction, Cox regression analysis and Weighted Generalized Equation Models were used.
Of the 478 who participated in smoking-cessation courses, 45.4% declared themselves non-smokers at one-year follow-up. This quit rate is higher than that achieved during the preliminary evaluation of the program involving 61 participants (37.7%). Predictors of long-term smoking cessation were course length (eight vs. six sessions) (95% CI = 1.04-1.36, p = .01), adherence to the course (95% CI = 0.98-0.99, p<0.01), use of pharmacotherapy or nicotine replacement therapy products (95% CI = 0.74-0.98, p = .02), and time passed in the morning until the first cigarette is smoked (95% CI5min = 1.17-1.77, p<0.001; 95% CI30min = 1.09-1.65, p<0.01). Predictors of change in cigarettes smoked per day among smokers were-the time passed until the first cigarette in the morning (5min p < .001; 30min p < .001; 60min p < .01)-, gender (p < .001), and level of motivation to quit at baseline (p = .04).
Our findings are consistent with existing evidence supporting adapted smoking cessation interventions to reduce health inequity in migrant populations. However, achieving harm reduction in smokers with higher dependence scores remains challenging.]]></description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0247157</identifier><identifier>PMID: 33735227</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Addictions ; Addictive behaviors ; Behavior modification ; Biology and Life Sciences ; Cancer therapies ; Cigarette smoking ; Counseling ; Demographic aspects ; Drug addiction ; Editing ; Health aspects ; Health education ; Health literacy ; Immigrants ; Language ; Medicine and Health Sciences ; People and Places ; Physical Sciences ; Public health ; Research and Analysis Methods ; Smoking ; Smoking cessation ; Smoking cessation programs ; Social Sciences ; Tobacco ; Women</subject><ispartof>PloS one, 2021-03, Vol.16 (3), p.e0247157-e0247157</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Paz Castro et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Paz Castro et al 2021 Paz Castro et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-32b0404dc36fad52962c831b49d3941a08e7ef98cac1a4c562a5a5cee8d550ed3</citedby><cites>FETCH-LOGICAL-c692t-32b0404dc36fad52962c831b49d3941a08e7ef98cac1a4c562a5a5cee8d550ed3</cites><orcidid>0000-0002-3222-2869 ; 0000-0003-4451-900X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7971503/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7971503/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27903,27904,53770,53772,79347,79348</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33735227$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Sanchez, Zila M.</contributor><creatorcontrib>Paz Castro, Raquel</creatorcontrib><creatorcontrib>Schaub, Michael P</creatorcontrib><creatorcontrib>Salis Gross, Corina</creatorcontrib><title>An adapted smoking-cessation intervention for Turkish-speaking migrants in Switzerland: Predictors of smoking outcomes at one-year follow-up</title><title>PloS one</title><addtitle>PLoS One</addtitle><description><![CDATA[Migrant populations usually report higher smoking rates. Among those migrant populations, Turkish- and Kurdish-speaking migrants are often overrepresented. Providing equal access to health services is one of the major challenges of our time. The need for adapted smoking-cessation treatments for Turkish-speaking populations to achieve equity in health led, in 2006, to the development and implementation of the Tiryaki-Kukla smoking-cessation program. The aims of the current study were to evaluate one-year quit rates for smoking-cessation courses held from 2006-2018 and investigate whether certain characteristics predict long-term smoking cessation or reduction.
Program evaluation included a pre/post questionnaire (session 1/ 3 months after the quit day) and a follow-up telephone call twelve months after the quit day. To elucidate factors associated with long-term smoking cessation and reduction, Cox regression analysis and Weighted Generalized Equation Models were used.
Of the 478 who participated in smoking-cessation courses, 45.4% declared themselves non-smokers at one-year follow-up. This quit rate is higher than that achieved during the preliminary evaluation of the program involving 61 participants (37.7%). Predictors of long-term smoking cessation were course length (eight vs. six sessions) (95% CI = 1.04-1.36, p = .01), adherence to the course (95% CI = 0.98-0.99, p<0.01), use of pharmacotherapy or nicotine replacement therapy products (95% CI = 0.74-0.98, p = .02), and time passed in the morning until the first cigarette is smoked (95% CI5min = 1.17-1.77, p<0.001; 95% CI30min = 1.09-1.65, p<0.01). Predictors of change in cigarettes smoked per day among smokers were-the time passed until the first cigarette in the morning (5min p < .001; 30min p < .001; 60min p < .01)-, gender (p < .001), and level of motivation to quit at baseline (p = .04).
Our findings are consistent with existing evidence supporting adapted smoking cessation interventions to reduce health inequity in migrant populations. However, achieving harm reduction in smokers with higher dependence scores remains challenging.]]></description><subject>Addictions</subject><subject>Addictive behaviors</subject><subject>Behavior modification</subject><subject>Biology and Life Sciences</subject><subject>Cancer therapies</subject><subject>Cigarette smoking</subject><subject>Counseling</subject><subject>Demographic aspects</subject><subject>Drug addiction</subject><subject>Editing</subject><subject>Health aspects</subject><subject>Health education</subject><subject>Health literacy</subject><subject>Immigrants</subject><subject>Language</subject><subject>Medicine and Health Sciences</subject><subject>People and Places</subject><subject>Physical Sciences</subject><subject>Public health</subject><subject>Research and Analysis Methods</subject><subject>Smoking</subject><subject>Smoking cessation</subject><subject>Smoking cessation programs</subject><subject>Social 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adapted smoking-cessation intervention for Turkish-speaking migrants in Switzerland: Predictors of smoking outcomes at one-year follow-up</title><author>Paz Castro, Raquel ; Schaub, Michael P ; Salis Gross, Corina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-32b0404dc36fad52962c831b49d3941a08e7ef98cac1a4c562a5a5cee8d550ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Addictions</topic><topic>Addictive behaviors</topic><topic>Behavior modification</topic><topic>Biology and Life Sciences</topic><topic>Cancer therapies</topic><topic>Cigarette smoking</topic><topic>Counseling</topic><topic>Demographic aspects</topic><topic>Drug addiction</topic><topic>Editing</topic><topic>Health aspects</topic><topic>Health education</topic><topic>Health literacy</topic><topic>Immigrants</topic><topic>Language</topic><topic>Medicine and Health Sciences</topic><topic>People and 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one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paz Castro, Raquel</au><au>Schaub, Michael P</au><au>Salis Gross, Corina</au><au>Sanchez, Zila M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An adapted smoking-cessation intervention for Turkish-speaking migrants in Switzerland: Predictors of smoking outcomes at one-year follow-up</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-03-18</date><risdate>2021</risdate><volume>16</volume><issue>3</issue><spage>e0247157</spage><epage>e0247157</epage><pages>e0247157-e0247157</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract><![CDATA[Migrant populations usually report higher smoking rates. Among those migrant populations, Turkish- and Kurdish-speaking migrants are often overrepresented. Providing equal access to health services is one of the major challenges of our time. The need for adapted smoking-cessation treatments for Turkish-speaking populations to achieve equity in health led, in 2006, to the development and implementation of the Tiryaki-Kukla smoking-cessation program. The aims of the current study were to evaluate one-year quit rates for smoking-cessation courses held from 2006-2018 and investigate whether certain characteristics predict long-term smoking cessation or reduction.
Program evaluation included a pre/post questionnaire (session 1/ 3 months after the quit day) and a follow-up telephone call twelve months after the quit day. To elucidate factors associated with long-term smoking cessation and reduction, Cox regression analysis and Weighted Generalized Equation Models were used.
Of the 478 who participated in smoking-cessation courses, 45.4% declared themselves non-smokers at one-year follow-up. This quit rate is higher than that achieved during the preliminary evaluation of the program involving 61 participants (37.7%). Predictors of long-term smoking cessation were course length (eight vs. six sessions) (95% CI = 1.04-1.36, p = .01), adherence to the course (95% CI = 0.98-0.99, p<0.01), use of pharmacotherapy or nicotine replacement therapy products (95% CI = 0.74-0.98, p = .02), and time passed in the morning until the first cigarette is smoked (95% CI5min = 1.17-1.77, p<0.001; 95% CI30min = 1.09-1.65, p<0.01). Predictors of change in cigarettes smoked per day among smokers were-the time passed until the first cigarette in the morning (5min p < .001; 30min p < .001; 60min p < .01)-, gender (p < .001), and level of motivation to quit at baseline (p = .04).
Our findings are consistent with existing evidence supporting adapted smoking cessation interventions to reduce health inequity in migrant populations. However, achieving harm reduction in smokers with higher dependence scores remains challenging.]]></abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33735227</pmid><doi>10.1371/journal.pone.0247157</doi><tpages>e0247157</tpages><orcidid>https://orcid.org/0000-0002-3222-2869</orcidid><orcidid>https://orcid.org/0000-0003-4451-900X</orcidid><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Addictions Addictive behaviors Behavior modification Biology and Life Sciences Cancer therapies Cigarette smoking Counseling Demographic aspects Drug addiction Editing Health aspects Health education Health literacy Immigrants Language Medicine and Health Sciences People and Places Physical Sciences Public health Research and Analysis Methods Smoking Smoking cessation Smoking cessation programs Social Sciences Tobacco Women |
| title | An adapted smoking-cessation intervention for Turkish-speaking migrants in Switzerland: Predictors of smoking outcomes at one-year follow-up |
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