174650 Predicting Use of a Health Professional for Cessation Among US Youth and Young Smokers

Tuesday, October 28, 2008

Shane Davis, PhD , Office on Smoking and Health, Centers for Disease Control, Atlanta, GA
Ann Malarcher, PhD, MSPH , Office of Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA
Dianne C. Barker, MHS , Public Health Institute, Oakland, Calabasas, CA
Julia Gable, MS , RTI International, Atlanta, GA
Paul Mowery , Office of Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA
Gary Giovino, PhD , Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY
Approximately 9 million youth in the US smoke daily and annually over 50% of high school smokers try to quit. To examine use of a health professional in a quit attempt among young smokers, we used data from the 2003 National Youth Smoking Cessation Survey, a nationally representative, prospective telephone survey of current smokers aged 16-24 years. Logistic regression was used to identify predictors of use of a health professional (HP) for cessation at 12 month follow-up. Interactions were assessed with sex, age, and race. Among 1,063 young smokers, 60% felt highly confident in quitting (CQ), 61% had a family member's health impacted by smoking, and 15% used a HP for cessation between baseline and follow-up. Persons with a family illness due to smoking were more likely to use a HP than those without a family illness (OR=1.72, 95% CI=1.05, 2.77). Significant interactions were found between age and CQ, race and CQ, and age and addiction level. For example, among all racial/ethnic groups, those with high levels of CQ were less likely to use a HP than persons with low CQ. Non-Hispanic blacks with moderate CQ were more likely to use a HP than those with lower CQ; this relationship was not seen among other racial/ethnic groups. The use of a HP by young smokers in the US is low. Programs are needed to encourage young smokers to talk with a healthcare provider about cessation incorporating messages that address family history of a smoking-related illness, quit confidence, and addiction.

Learning Objectives:
1. Describe adolescent and young adult quitting behavior 2. Identify a number of predictor variables of utilizing health care providers to assist in cessation 3. Discuss the need for intervention programs to encourage youth and young adult smokers to talk with health care providers and utlizing other quit assisted methods.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am PhD trained and I am presently an employee at CDC in the Office on Smoking and Health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.