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Presentation Objectives. Describe an organizational collaboration to produce a joint research report. Characterize the desire to quit smoking among: adult Minnesotans. members of two publicly subsidized insurance programs. high school students. Identify unique barriers for low-income groups.

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Presentation objectives
Presentation Objectives

  • Describe an organizational collaboration to produce a joint research report.

  • Characterize the desire to quit smoking among:

    • adult Minnesotans.

    • members of two publicly subsidized insurance programs.

    • high school students.

  • Identify unique barriers for low-income groups.

  • Suggest use of results to advocate for offering cessation resources.


Collaborators
Collaborators

  • Minnesota Partnership for Action Against Tobacco (MPAAT)

    • Barbara Schillo, Ph.D.

  • Minnesota Dept. of Health: Center for Health Statistics

    • Brian Zupan, Ph.D.

    • Pete Rode, Ph.D.

    • Ann Kinney, Ph.D.

  • Blue Cross Blue Shield of Minnesota

    • Steven Foldes, Ph.D.

    • Nina L. Alesci, M.P.H.


Who was surveyed
Who Was Surveyed?

  • Minnesota Adults (MPAAT)

    • 6,000 adult state residents

  • Blue Cross Blue Shield of Minnesota publicly subsidized adult members

    • Minnesota Care: 1,000 adult members

    • Prepaid Medical Assistance Program: 1,000 adult members (under age 65)

  • Minnesota Youth: Minnesota Dept. of Health Youth Tobacco Survey

    • 12,000 6th-12th grade students


Adult survey methods
Adult Survey Methods

  • One survey instrument developed by team

    • Blue Cross Blue Shield of Minnesota

    • Minnesota Partnership for Action Against Tobacco

    • MN Dept. of Health & Dept. of Human Services

    • U of Minnesota: Medicine and Epidemiology

  • Randomly selected adult sample (age 18 +)

    • Minnesotans: Random Digit Dial method

    • Blue Cross: List sample of members

    • Not representative of minority populations

  • Telephone interviews conducted in 1999


What s the story
What’s the Story?

  • Smoking Causes Death and Disease

  • Many Adult Minnesotans Smoke

  • Many Adult Smokers Try to Quit

  • Quitting is Difficult Because Smoking is Addictive

  • Many Smokers Quit Successfully, for Many Reasons

  • There are Many Barriers to Quitting Smoking

  • People Trying to Quit Smoking are Increasingly Seeking Assistance

  • (Teen Story: 5 points)

  • Quitting Assistance Now Widely Available to Minnesotans


Many adult minnesotans smoke statewide adult smoking rates
Many Adult Minnesotans SmokeStatewide adult smoking rates


Many adult minnesotans smoke blue plus minnesotacare adult smoking rates
Many Adult Minnesotans SmokeBlue Plus MinnesotaCare adult smoking rates


Many adult minnesotans smoke blue plus pmap adult smoking rates
Many Adult Minnesotans SmokeBlue Plus PMAP adult smoking rates


Many adult smokers try to quit reduced smoking and quit attempts among current adult smokers
Many Adult Smokers Try to QuitReduced smoking and quit attempts among current adult smokers


Quitting is difficult because smoking is addictive
Quitting is DifficultBecause Smoking is Addictive

  • Of current smokers who tried to quit in the 12 months before the survey:

    • 76% made multiple quit attempts

    • 25% tried to quit six or more times

    • All these attempts failed

  • How addicted are these smokers?

    • 46% smoke their first cigarette within 30 minutes of waking

    • 17% within 5 minutes

    • Mean cigarettes per day = 15


Presentation objectives 1341222

Quitting is DifficultBecause Smoking is AddictiveThe more adults smoke, the less confidence they have in their ability to quit permanently.


There are many barriers to quitting current adult smokers identify many barriers to quitting
There are Many Barriers to QuittingCurrent adult smokers identify many barriers to quitting.

Percent reporting “yes”


There are many barriers to quitting smoking
There are Many Barriers to Quitting Smoking

  • Variations in Barriers:

    • Risk of gaining weight

      Women = 48% Men = 17%

    • Loss of way to handle stress

      Women = 65% Men = 46%

    • Costof medicines/products to help quit

      State = 30%, MNCare = 50%, PMAP = 51%

  • Social Environment:

    • Spouse or close friend is a current smoker

      Never smoker = 30% Current smoker = 60%


Presentation objectives 1341222
People Trying to Quit are Increasingly Seeking AssistanceFormer adult smokers’ use of quit aids by time since quit.

Length of time since quit

Former smokers who used a quit aid


People trying to quit are increasingly seeking assistance
People Trying to Quit are Increasingly Seeking Assistance

  • 36% of current smokers with at least one quit attempt in the prior 12 months used assistance in their most recent attempt.

  • Interest inusing assistance in future attempts “if cost were not an issue”:

    • 60% of all Minnesota smokers

    • 72% of Blue Plus MinnesotaCare smokers

    • 71% of Blue Plus PMAP smokers


Types of aid preferred by current adult smokers who would use assistance if cost were not an issue
Types of aid preferred by current adult smokers’ who would use assistance “if cost were not an issue.”

Type of aid

Percent reporting “yes”


Presentation objectives 1341222

Many Teens in Minnesota Smoke use assistance “if cost were not an issue.”

  • Minnesota Youth Tobacco Survey 2002

  • High school students (9th to 12th grades) only, n=7,625

  • About 1/3rd current smokers, i.e. smoked cigarettes on 1 or more of past 30 days

    • 17% frequent smokers

    • 15% moderate smokers


Presentation objectives 1341222

Most Teen Smokers Want to use assistance “if cost were not an issue.”

and Have Tried to Quit

  • Over 60% have tried unsuccessfully to quit at least once in the past year

  • Of those who have tried to quit, almost 3/4ths attempted twice or more

  • Likely underexposed to quit support. Only 10% report participating in quit program.


Presentation objectives 1341222

Frequent smoker use assistance “if cost were not an issue.”

Moderate smoker

Quitting is Especially Difficult for Teen who are Frequent Smokers Frequent high school smokers encounter greater difficulty than moderate smokers when trying to quit.


Presentation objectives 1341222

Family and Friends who Smoke Make it Harder for Teens to Quit

  • Family:

    • 61% of frequent teen smokers report living with another smoker compared to 27% of teens who have never smoked.

  • Friends:

    • 90% of frequent teen smokers have 2 or more close friends who smoke, compared to 13% of “never-smokers.”


Presentation objectives 1341222

Teens with Failed Quit Attempts are Least Confident QuitFrequent high school smokers, especially those with prior quit attempts, less often expressed confidence than moderate smokers in their ability to quit smoking.

Percent confident in ability

to quit in future

Frequent smoker

Moderate smoker


Recommendations
Recommendations Quit

  • What we already know:

    • Provide effective medications and counseling.

    • Develop more resources for teens.

  • To build support:

    • Develop clear, simple, data-driven statements and graphics.

    • Disseminate information widely.

    • Collaborate to provide a unified message.