文章基本信息

标题：Comparing two approaches to remote biochemical verification of self-reported cessation in very low-income smokers
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作者：Rachel Garg ; Amy McQueen ; Jennifer Wolff 等
期刊名称：Addictive Behaviors Reports
印刷版ISSN：2352-8532
出版年度：2021
卷号：13
页码：100343-100347
DOI：10.1016/j.abrep.2021.100343
出版社：Elsevier B.V.
摘要：Little is known about the acceptability and use of remote biochemical verification of self-reported cessation among low-income and racially diverse smokers. We compared responses to an in-person carbon monoxide breath test and in-home urine cotinine test among 270 adults who reported 7-day continuous abstinence at 6-month follow-up in a community-based randomized cessation trial. Half of participants (50%) reported annual household income below $10,000, one in four (28%) had not completed high school, and 69% were Black or African American. Regardless of whether the two tests were offered separately, sequentially, or as a head-to-head choice, participants were more likely to accept an offer to take the urine test than the breath test (89% vs. 32%), and complete it (46% vs. 13%). The proportion of participants completing the urine test and returning a digital photo of the test result is comparable to several studies completed with less disadvantaged samples. Self-report was confirmed by urine test for 74% of participants with a conclusive test result, although a high percentage (39%) of test results were inconclusive. In-home urine testing appears both acceptable and feasible for many low-income smokers, but challenges with testing technology and response rates currently limit its value to increase confidence in self-reports.
关键词：Smoking cessation ; Biochemical verification ; Cotinine ; Low-income ; Minority health