{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:42:46Z","timestamp":1777898566014,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100010590","name":"Bureau of Tobacco and Chronic Disease","doi-asserted-by":"publisher","award":["ADHS11-007339, ADHS16-106672,"],"award-info":[{"award-number":["ADHS11-007339, ADHS16-106672,"]}],"id":[{"id":"10.13039\/100010590","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Smokers with comorbid health conditions have a disproportionate burden of tobacco-related death and disease. A better understanding of differences in quit rates among smokers with comorbid health conditions can guide tailoring of quitline services for subgroups. The objective of this study was to examine self-reported tobacco cessation rates among Arizona Smokers\u2019 Helpline callers with chronic health conditions (CHCs) and\/or a mental health condition (MHC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We analyzed data from quitline telephone callers (n = 39\u2009779) who enrolled in and completed at least 1 behavioral counseling session (ie, coaching call). We categorized callers as CHC only (cardiovascular disease\/respiratory-related\/cancer; 32%), MHC only (eg, mood\/anxiety\/substance dependence; 13%), CHC + MHC (25%), or no comorbid condition (30%). We assessed 30-day abstinence at 7-month follow-up for 16\u2009683 clients (41.9%). We used logistic regression analysis to test associations between comorbidity and quit outcomes after controlling for relevant variables (eg, nicotine dependence).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Overall quit rates were 45.4% for those with no comorbid condition, 43.3% for those with a CHC only, 37.0% for those with an MHC only, and 33.3% for those with CHC + MHC. Compared with other groups, the CHC + MHC group had the lowest odds of quitting (adjusted odds ratio = 0.60; 95% confidence interval, 0.52-0.69).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Having a comorbid condition was associated with lower quit rates, and smokers with co-occurring CHCs and MHCs had the lowest quit rates. Quitlines should evaluate more intensive, evidence-driven, tailored services for smoking cessation among callers with comorbid conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0033354918764903","type":"journal-article","created":{"date-parts":[[2018,3,23]],"date-time":"2018-03-23T16:16:07Z","timestamp":1521821767000},"page":"200-206","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Associations Between Comorbid Health Conditions and Quit Outcomes Among Smokers Enrolled in a State Quitline, Arizona, 2011-2016"],"prefix":"10.1177","volume":"133","author":[{"given":"Uma S.","family":"Nair","sequence":"first","affiliation":[{"name":"Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA"},{"name":"University of Arizona Cancer Center, University of Arizona, Tucson, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie L.","family":"Bell","sequence":"additional","affiliation":[{"name":"University of Arizona Cancer Center, University of Arizona, Tucson, AZ, USA"},{"name":"Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole P.","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA"},{"name":"University of Arizona Cancer Center, University of Arizona, Tucson, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Betsy C.","family":"Wertheim","sequence":"additional","affiliation":[{"name":"Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA"},{"name":"University of Arizona Cancer Center, University of Arizona, Tucson, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia A.","family":"Thomson","sequence":"additional","affiliation":[{"name":"Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA"},{"name":"University of Arizona Cancer Center, University of Arizona, Tucson, AZ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,23]]},"reference":[{"key":"bibr1-0033354918764903","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6552a1"},{"key":"bibr2-0033354918764903","volume-title":"Treating Tobacco Use and Dependence: 2008 Update","author":"Fiore MC","year":"2008"},{"key":"bibr3-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011045"},{"key":"bibr4-0033354918764903","volume-title":"The Health Consequences of Smoking\u201450 Years of Progress: A Report of the Surgeon General","author":"Office of the Surgeon General","year":"2014"},{"key":"bibr5-0033354918764903","doi-asserted-by":"publisher","DOI":"10.3109\/15412555.2014.949001"},{"key":"bibr6-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2013-051466"},{"key":"bibr7-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.012809.103701"},{"key":"bibr8-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284985"},{"key":"bibr9-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000311"},{"key":"bibr10-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2008.04.009"},{"issue":"1","key":"bibr11-0033354918764903","first-page":"CD002850","author":"Stead LF","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr12-0033354918764903","doi-asserted-by":"publisher","DOI":"10.5888\/pcd9.120105"},{"key":"bibr13-0033354918764903","first-page":"2015","volume":"817298","author":"Vickerman KA","year":"2015","journal-title":"Biomed Res Int"},{"key":"bibr14-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.55.11.1250"},{"key":"bibr15-0033354918764903","unstructured":"North American Quitline Consortium. Calculating quit rates, 2015 update. http:\/\/c.ymcdn.com\/sites\/www.naquitline.org\/resource\/resmgr\/Issue_Papers\/WhitePaper2015QRUpdate.pdf. Published 2015. Accessed December 21, 2017."},{"key":"bibr16-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1991.tb01879.x"},{"key":"bibr17-0033354918764903","volume-title":"Quitline Services: Current Practice and Evidence Base","author":"Anderson CM","year":"2016"},{"key":"bibr18-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.329"},{"key":"bibr19-0033354918764903","volume-title":"SAS Version 9.4","author":"SAS Institute","year":"2013"},{"key":"bibr20-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntu252"},{"key":"bibr21-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1177\/0017896911398813"},{"key":"bibr22-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntu239"},{"issue":"2","key":"bibr23-0033354918764903","first-page":"A42","volume":"3","author":"Colton CW","year":"2006","journal-title":"Prev Chronic Dis"},{"key":"bibr24-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2011.08.001"},{"key":"bibr25-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2015.05.002"},{"key":"bibr26-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000020"},{"key":"bibr27-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.2007.164.5.827b"},{"key":"bibr28-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1151"},{"key":"bibr29-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1105248"},{"key":"bibr30-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1177\/1078390308330050"},{"issue":"5","key":"bibr31-0033354918764903","first-page":"81","volume":"62","author":"Gfroerer J","year":"2013","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr32-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.13043"},{"key":"bibr33-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1111\/add.12998"},{"key":"bibr34-0033354918764903","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0159127"},{"key":"bibr35-0033354918764903","volume-title":"Calculating Quit Rates, 2015 Update","author":"Fiore MC","year":"2015"}],"container-title":["Public Health Reports\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0033354918764903","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0033354918764903","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0033354918764903","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:34:30Z","timestamp":1777628070000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0033354918764903"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3]]},"references-count":35,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1177\/0033354918764903"],"URL":"https:\/\/doi.org\/10.1177\/0033354918764903","relation":{},"ISSN":["0033-3549","1468-2877"],"issn-type":[{"value":"0033-3549","type":"print"},{"value":"1468-2877","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3]]}}}