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Randomized Controlled Trial
. 2020 Dec:141:106259.
doi: 10.1016/j.ypmed.2020.106259. Epub 2020 Oct 3.

Treating tobacco dependence to aid re-employment among job-seekers: A randomized controlled trial

Judith J Prochaska  1 , Cati Brown-Johnson  2 , Michael Baiocchi  3 , Adrienne S Lazaro  4 , Amy Chieng  4 , Sarah Stinson  4 , Nicole Anzai  4
Affiliations
Randomized Controlled Trial

Treating tobacco dependence to aid re-employment among job-seekers: A randomized controlled trial

Judith J Prochaska et al. Prev Med. 2020 Dec.

Abstract

Introduction: U.S. reductions in smoking have not been experienced equally. Smoking prevalence is greater among persons of lower education, lower income, and unemployed. We evaluated whether a cessation intervention for job-seekers would result in significantly fewer cigarettes smoked per day and a greater likelihood of tobacco abstinence and re-employment, compared to the control condition at 6-months follow-up.

Methods: Unemployed, job-seekers who smoked daily were recruited from five employment development departments in the San Francisco Bay Area, October 2015 to February 2018. Intention to quit smoking was not required. Participants were randomized to a brief motivationally-tailored, computer-assisted counseling intervention or referred to a toll-free quitline. Midstudy, 8-weeks of combination nicotine replacement was added to the intervention. Expired carbon monoxide and cotinine testing verified abstinence. Data were analyzed fall 2019.

Results: Participants (N = 360; 70% men; 43% African American, 27% non-Hispanic Caucasian; 19% unhoused) averaged 12 cigarettes/day (SD = 6), 67% smoked within 30 min of wakening; 27% were in preparation stage to quit. During the 6-month study period, intervention participants were more likely to make a quit attempt (71% vs. 58%, p = .021) and reported significantly greater reduction in cigarettes/day than control participants (median reduction: 6.9 vs. 5.0, p = .038); however, bioconfirmed abstinence (3%) and re-employment (36%) did not differ by treatment group.

Conclusions: In a diverse sample with economic hardships, quit attempts and smoking reduction were greater in the intervention group; however, few achieved abstinence, and neither abstinence nor re-employment differed by condition. A priority group, further research is needed on smoking and re-employment.

Keywords: Job-seeking; Randomized controlled trial; Smoking; Tobacco; Unemployment.

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Figures

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Figure 1:
Total IMPACT Study CONSORT flow diagram
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References

    1. U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress A Report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014.
    1. Leas EC, Schleicher NC, Prochaska JJ, Henriksen L . Place-Based Inequity in Smoking Prevalence in the Largest Cities in the United States . JAMA Internal Medicine. 2019;179(3):442–444. 10.1001/jamainternmed.2018.5990 - DOI - PMC - PubMed
    1. Mills SD, Golden SD, Queen TL, Kong AY, Ribisl KM . Are state-level income-based disparities in adult smoking declining? Preventive Medicine. 2020;133:106019 10.1016/j.ypmed.2020.106019 - DOI - PMC - PubMed
    1. Lasser K, Boyd J, Woolhandler S. Smoking and Mental Illness: A Population-based Prevalence Study Year Book of Psychiatry and Applied Mental Health. 2002;2002(1):179–180.
    1. Centers for Disease Control and Prevention. Vital signs: current cigarette smoking among adults aged≥ 18 years--United States, 2005–2010. MMWR Morbidity and mortality weekly report. 2011;60(35):1207. - PubMed

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