title: Rates and reasons: disparities in low intentions to use a state smoking cessation quitline.
abstract: OBJECTIVE
  Little is known about population-level rates and reasons for low intentions to call the quitline, a widely available evidence-based smoking cessation treatment.
  
  
  METHODS
  This study is a secondary analysis of the 2008 Colorado Adult Tobacco Attitudes and Behavior Survey.
  
  
  METHODS
  This is a population-based telephone survey of adults in Colorado.
  
  
  METHODS
  Study respondents (N = 1662) included current adult smokers who had heard of the Colorado QuitLine (QL) and did not report that they never intend to quit.
  
  
  METHODS
  Outcome measures included intent to call the QL, self-reported reasons for not intending to call the QL, and knowledge of QL services.
  
  
  METHODS
  Descriptive and multivariate logistic regression analyses were used for each outcome variable. All analyses were weighted for complex survey design to represent the population of Colorado.
  
  
  RESULTS
  Overall 45.6% of smokers intend never to call the QL. In multivariate analysis, Latinos (odds ratio [OR] = 2.5; 95% confidence intervals [CI], 1.4, 4.7), gay/lesbian/bisexuals (OR = 5.2; 95% CI, 2.4, 11.4), and those with no insurance compared with Medicaid (OR = 3.8; 95% CI, 1.1, 13.0) were most likely to intend never to call the QL. Perceiving no need for assistance (34.8%) was the most common reason for not calling.
  
  
  CONCLUSIONS
  A majority of smokers have no or weak intentions of ever calling the QL, with variation by subgroup. Reasons for not intending to call can inform targeted media campaigns to increase QL reach.
authors.affiliation: Colorado School of Public Health, Aurora, Colorado, USA.
authors.forename: Emily K
authors.initials: EK
authors.lastname: Burns
authors.forename: Elizabeth Ann
authors.initials: EA
authors.lastname: Deaton
authors.forename: Arnold H
authors.initials: AH
authors.lastname: Levinson
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data*; D000368:Aged; D003120:Colorado; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D015277:Hotlines / Q000706:statistics & numerical data*; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D012907:Smoking / Q000523:psychology; D016540:Smoking Cessation / Q000208:ethnology / Q000706:statistics & numerical data*; D000074606:Smoking Prevention; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult