Skip to main content

Advertisement

SpringerLink
Log in

Increasing Access to Evidence-Based Smoking Cessation Treatment: Effectiveness of a Free Nicotine Patch Program Among Chinese Immigrants

  • Original Research
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Fiore M, Bailey W, Cohen S, et al. Treating tobacco use and dependence: clinical practice guideline. Rockville, MD: U. S. Department of Health and Human Services, US Public Health Service; 2000.

    Google Scholar 

  2. Centers for Disease Control and Prevention. Use of FDA-approved pharmacologic treatments for tobacco dependence—United States, 1984–1998. MMWR Morb Mortal Wkly Rep. 2000;49:665–668.

    Google Scholar 

  3. Bansal M, Cummings KM, Hyland A, Giovino G. Stop smoking medications: who uses them? Who misuses them? Who is misinformed? Nicotine Tob Res. 2004;6(Suppl 3):S303–10.

    Article  PubMed  Google Scholar 

  4. Miller N, Frieden TR, Liu SY, Matte TD, Mostashari F, Deitcher DR, et al. Effectiveness of a large-scale distribution programme of free nicotine patches: a prospective evaluation. Lancet. 2005;365(9474):1849–54.

    Article  PubMed  Google Scholar 

  5. Cummings KM, Hyland A, Fix B, Bauer U, Celestino P, Carlin-Menter S, et al. Free nicotine patch giveaway program 12-month follow-up of participants. Am J Prev Med. 2006;31(2):181–4.

    Article  PubMed  Google Scholar 

  6. Jolicoeur DG, Ahluwalia JS, Richter KP, Mosier M, Harris KJ, Gibson C, et al. The use of nicotine patches with minimal intervention. Prev Med. 2000;30(6):504–12.

    Article  CAS  PubMed  Google Scholar 

  7. An LC, Schillo BA, Kavanaugh AM, Lachter RB, Luxenberg MG, Wendling AH, et al. Increased reach and effectiveness of a statewide tobacco quitline after the addition of access to free nicotine replacement therapy. Tob Control. 2006;15(4):286–93.

    Article  PubMed  Google Scholar 

  8. Shelley D, Fahs M, Scheinmann R, Swain S, Qu J, Burton D. Acculturation and tobacco use among Chinese Americans. Am J Public Health. 2004;94(2):300–7.

    Article  PubMed  Google Scholar 

  9. Yu ES, Chen EH, Kim KK, Abdulrahim S. Smoking among Chinese Americans: behavior, knowledge, and beliefs. Am J Public Health. 2002;92(6):1007–12.

    Article  PubMed  Google Scholar 

  10. New York City Department of Health. www.nyc.gov/html/dcp/pdf/census/nyc20002.pdf.

  11. Israel BA, Schulz AJ, Parker EA, Becker AB. Review of community-based research: assessing partnership approaches to improve public health. Annu Rev Public Health. 1998;19:173–202.

    Article  CAS  PubMed  Google Scholar 

  12. Schulz AJ, Parker EA, Israel BA, Becker AB, Maciak BJ, Hollis R. Conducting a participatory community-based survey for a community health intervention on Detroit’s east side. J Public Health Manag Pract. 1998;4(2):10–24.

    CAS  PubMed  Google Scholar 

  13. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:79–211.

    Article  Google Scholar 

  14. Hyland A, Borland R, Li Q, Yong H-H, McNeill A, Fong GT, et al. Individual level predictors of cessation behaviors among participants in the International Tobacco Control (ITC) Four Country Survey. Tob Control. 2006;15(Suppl III):iii83–iii94.

    Article  PubMed  Google Scholar 

  15. Shelley D, Nguyen N, Yerneni R, Fahs M. Tobacco use behaviors and household smoking bans among Chinese Americans. Am J Health Promot. 2008;22(3):168–75.

    Article  PubMed  Google Scholar 

  16. Farkas AJ, Pierce JP, Zhu SH, Rosbrook B, Gilpin EA, Berry C, et al. Addiction versus stages of change models in predicting smoking cessation. Addiction. 1996;91(9):1271–80.

    CAS  PubMed  Google Scholar 

  17. New York City Housing and Vacancy Survey (NYCHVS) 1999. Housing and Household Economic Statistics Division. U.S. Census Bureau. 2000. http://www.census.gov/hhes/www/housing/nychvs/1999/nychvs99.html. Accessed 8 Aug 2007.

  18. Jolicoeur DG, Richter KP, Ahluwalia JS, Mosier MC, Resnicow K. Smoking cessation, smoking reduction, and delayed quitting among smokers given nicotine patches and a self-help pamphlet. Subst Abus. 2003;24(2):101–106.

    PubMed  Google Scholar 

  19. Cummings KM, Hyland A. Impact of nicotine replacement therapy on smoking behavior. Annu Rev Public Health. 2005;26:583–99.

    Article  PubMed  Google Scholar 

  20. Lai DW, Chau SB. Predictors of health service barriers for older Chinese immigrants in Canada. Health Soc Work. 2007;32(1):57–65.

    PubMed  Google Scholar 

  21. Othieno J. Understanding how contextual realities affect African born immigrants and refugees living with HIV in accessing care in the Twin Cities. J Health Care Poor Underserved. 2007;18(3 Suppl):170–88.

    PubMed  Google Scholar 

  22. Merzel C, D’Afflitti J. Reconsidering community-based health promotion: promise, performance, and potential. Am J Public Health. 2003;93(4):557–74.

    Article  PubMed  Google Scholar 

  23. Fisher E. The results of the COMMIT trial. Am J Public Health. 1995;85:159–60.

    Article  PubMed  Google Scholar 

  24. O’Loughlin J, Renaud L, Richard L, Gomez LS, Paradis G. Correlates of the sustainability of community-based heart health promotion interventions. Prev Med. 1998;27(5 Pt 1):702–12.

    Article  PubMed  Google Scholar 

  25. Pluye P, Potvin L, Denis JL, Pelletier J. Program sustainability: focus on organizational routines. Health Promot Int. 2004;19(4):489–500.

    Article  CAS  PubMed  Google Scholar 

  26. Manfredi C, Crittenden K, Cho YI, Engler J, Warnecke R. Maintenance of a smoking cessation program in public health clinics beyond the experimental evaluation period. Public Health Rep. 2002;116(Suppl 1):120–35.

    Google Scholar 

  27. Kim SS, Ziedonis D, Chen KW. Tobacco use and dependence in Asian Americans: a review of the literature. Nicotine Tob Res. 2007;9(2):169–84.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

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.

Author information

Authors and Affiliations

  1. Department of Comprehensive Care, New York University College of Dentistry, 423 East 23rd St, New York, NY, 10010, USA

    Donna Shelley

  2. Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY, USA

    Nam Nguyen

  3. New York University School of Medicine, New York, NY, USA

    Cha-Hui Peng

  4. Asian Americans for Equality, New York, NY, USA

    Margaret Chin

  5. American Cancer Society, New York, NY, USA

    Ming-der Chang

  6. Brookdale Center on Aging, Hunter College, City University of New York, New York, NY, USA

    Marianne Fahs

Authors
  1. Donna Shelley
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nam Nguyen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Cha-Hui Peng
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Margaret Chin
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ming-der Chang
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Marianne Fahs
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Donna Shelley.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shelley, D., Nguyen, N., Peng, CH. et al. Increasing Access to Evidence-Based Smoking Cessation Treatment: Effectiveness of a Free Nicotine Patch Program Among Chinese Immigrants. J Immigrant Minority Health 12, 198–205 (2010). https://doi.org/10.1007/s10903-008-9194-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-008-9194-7

Keywords

Search

Navigation