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Reaching and treating Spanish-speaking smokers through the National Cancer Institute's cancer information service†
A Randomized Controlled Trial
Article first published online: 5 DEC 2006
DOI: 10.1002/cncr.22360
Copyright © 2006 American Cancer Society
Issue
1097-0142/asset/cover.gif?v=1&s=a7299bc18f075294c232ade468773cd0672bd470 "Cancer")
Cancer
Supplement: Exploring Models to Eliminate Cancer Disparities Among African American and Latino Populations: Research and Community Solutions
Volume 109, Issue Supplement 2, pages 406–413, 15 January 2007
Additional Information
How to Cite
Wetter, D. W., Mazas, C., Daza, P., Nguyen, L., Fouladi, R. T., Li, Y. and Cofta-Woerpel, L. (2007), Reaching and treating Spanish-speaking smokers through the National Cancer Institute's cancer information service. Cancer, 109: 406–413. doi: 10.1002/cncr.22360
- †
Presented at Exploring Models to Eliminate Cancer Disparities Among African American and Latino Populations: Research and Community Solutions, Atlanta, GA, April 21–22, 2005.
Publication History
- Issue published online: 8 JAN 2007
- Article first published online: 5 DEC 2006
- Manuscript Accepted: 6 SEP 2006
- Manuscript Received: 30 JUN 2006
Funded by
- Minority Health Research and Education Program of the Texas Higher Education Coordinating Board. Grant Numbers: R01 CA94826, R01 CA89350, R25 CA57730
- National Cancer Institute
- Abstract
- Article
- References
- Cited By
Keywords:
- smoking cessation;
- cancer prevention;
- Hispanics;
- health promotion;
- tobacco control
Abstract
Although the prevalence of smoking is lower among Hispanics than among the general population, smoking still levies a heavy public health burden on this underserved group. The current study, Adiós al Fumar (Goodbye to Smoking), was designed to increase the reach of the Spanish-language smoking cessation counseling service provided by the National Cancer Institute's Cancer Information Service (CIS) and to evaluate the efficacy of a culturally sensitive, proactive, behavioral treatment program among Spanish-speaking smokers. Adiós was a 2-group randomized clinical trial evaluating a telephone-based smoking cessation intervention. Spanish-speaking smokers (N = 297) were randomized to receive either standard counseling or enhanced counseling (EC). Paid media was used to increase the reach of the Spanish-language smoking cessation services offered by the CIS. The Adiós sample was of very low socioeconomic status (SES), and more than 90% were immigrants. Calls to the CIS requesting smoking cessation help in Spanish increased from 0.39 calls to 17.8 calls per month. The unadjusted effect of EC only approached significance (OR = 2.4, P = .077), but became significant after controlling for demographic and tobacco-related variables (OR = 3.8, P = .048). Adiós al Fumar demonstrated that it is possible to reach, retain, and deliver an adequate dose of treatment to a very low SES population that has traditionally been viewed as difficult to reach and hard to follow. Moreover, the findings suggest that a proactive, telephone-counseling program, based on the Treating Tobacco Use and Dependence Clinical Practice Guideline and adapted to be culturally appropriate for Hispanics, is effective. Cancer 2007. © 2006 American Cancer Society.