title: Increasing access to evidence-based smoking cessation treatment: effectiveness of a free nicotine patch program among Chinese immigrants.
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.
authors.affiliation: Department of Comprehensive Care, New York University College of Dentistry, New York, NY 10010, USA. ds186@nyu.edu
authors.forename: Donna
authors.initials: D
authors.lastname: Shelley
authors.forename: Nam
authors.initials: N
authors.lastname: Nguyen
authors.forename: Cha-Hui
authors.initials: CH
authors.lastname: Peng
authors.forename: Margaret
authors.initials: M
authors.lastname: Chin
authors.forename: Ming-der
authors.initials: MD
authors.lastname: Chang
authors.forename: Marianne
authors.initials: M
authors.lastname: Fahs
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China / Q000208:ethnology; D003153:Community Health Services; D054521:Cultural Competency; D019317:Evidence-Based Medicine; D005260:Female; D006297:Health Services Accessibility; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009538:Nicotine / Q000627:therapeutic use*; D018722:Nicotinic Agonists / Q000627:therapeutic use*; D016730:Program Development; D015397:Program Evaluation; D011446:Prospective Studies; D012044:Regression Analysis; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation; D000074606:Smoking Prevention; D014481:United States / Q000453:epidemiology; D055815:Young Adult
chemical_list: D018722:Nicotinic Agonists; D009538:Nicotine