245093 Smoking cessation intervention with young adults in bars and clubs

Tuesday, November 1, 2011

Rachel A. Grana, PhD, MPH , Center for Tobacco Control Research & Education, University of California, San Francisco, San Francisco, CA
Jeff Jordan, MA , Rescue Social Change Group, San Diego, CA
Pamela Ling, MD, MPH , Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA
Introduction: Quitting smoking before age 30 reduces risk from smoking-related morbidity and mortality by 90%. Young adults attending bars have high smoking rates; this pilot study explored the feasibility of smoking cessation groups in bars. Methods: Participants were young adult smokers interested in quitting and identified as social leaders by key informants in the local bar scene in San Diego. Participants attended weekly social support based meetings for 10-12 weeks (two groups, total N=27). Meetings occurred in a local bar and included a smoking cessation counselor to provide evidence-based advice/information and monetary incentives. Each meeting, participants reported smoking status, which was validated with expired carbon monoxide (CO) readings. Results: At baseline, participants smoked an average of 11.2 cigarettes per day, and 17 participants had made about 2.5 prior quit attempts. Fifty-five percent of participants had perfect attendance and 17% missed ≤2 sessions. At the end of the intervention, participants had reduced their average number of cigarettes per day, from 11.2 to 6.8, and 74% of participants reported having tried to quit during the intervention. In addition, 37% (n=10) of the sample had quit (reported currently attempting to quit, time since last cigarette ≥ 1 day, and CO levels of ≤6ppm). CO monitoring, cash incentives, cessation counselor, and social support were rated as the most helpful aspects of the intervention. Discussion: Conducting a smoking cessation intervention for young adults in the bar setting is feasible, well-received by the participants and has positive effects on smoking cessation, reduction and quit attempts.

Learning Areas:
Clinical medicine applied in public health
Implementation of health education strategies, interventions and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
1) Describe the components of the cessation intervention conducted in the bars and clubs. 2) Explain the results of the intervention in terms of participantsí changes in smoking behavior after participating in the intervention. 3) List the aspects of the intervention participants rated as most helpful for motivating their participation.

Keywords: Smoking Cessation, Intervention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be a presenter of this research because I am a behavioral scientist and postdoctoral scholar conducting research on smoking cessation treatment among youth adn young adults.
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.