{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T12:08:30Z","timestamp":1780488510402,"version":"3.54.1"},"reference-count":47,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2011,4,4]],"date-time":"2011-04-04T00:00:00Z","timestamp":1301875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:p>We sought to gain an empirical and practical understanding of the barriers experienced by residents of the Mississippi River Delta in Arkansas to using the free, proactive telephone counseling (quitline) for tobacco dependence. Barriers included a lack of appropriate telephone service, lack of knowledge about the quitline, and lack of trust in the providers, as well as multiple root causes to seeking and achieving abstinence from tobacco, including stress related to the poor socioeconomic context and concerns about negative health effects of quitting. A strong belief in the role of faith was expressed. Participants suggested strategies for increasing knowledge and trust levels, but were not hopeful about addressing root causes. Given the considerable resources being allocated to quitlines and the burden of tobacco use and disease in lower socioeconomic and minority groups, understanding utilization of quitlines by these groups has implications for policy development, the promotion of quitlines, and the provision of alternate tobacco treatment services.<\/jats:p>","DOI":"10.1177\/1049732311404248","type":"journal-article","created":{"date-parts":[[2011,4,5]],"date-time":"2011-04-05T00:06:35Z","timestamp":1301961995000},"page":"1075-1085","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Understanding the Barriers to Use of Free, Proactive Telephone Counseling for Tobacco Dependence"],"prefix":"10.1177","volume":"21","author":[{"given":"Christine E.","family":"Sheffer","sequence":"first","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon L.","family":"Brackman","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Cottoms","sequence":"additional","affiliation":[{"name":"Walnut Street Works, Inc., Helena-West Helena, Arkansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Olsen","sequence":"additional","affiliation":[{"name":"Walnut Street Works, Inc., Helena-West Helena, Arkansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,4,4]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(00)00386-5"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(02)00343-X"},{"key":"atypb3","volume-title":"Cancer facts and figures 2009","author":"American Cancer Society.","year":"2009"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1080\/14622200412331320707"},{"key":"atypb5","volume-title":"Men and heart disease: An atlas of racial and ethnic disparities in mortality","author":"Barnett, E.","year":"2001","edition":"1"},{"key":"atypb6","volume-title":"Evaluation of poverty estimates: A comparison of American community survey and the current population survey","author":"Bishaw, A.","year":"2006"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1177\/1049732303262602"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.2.135"},{"key":"atypb9","volume-title":"Women and heart disease: An atlas of racial and ethnic disparities in mortality second edition","author":"Casper, M.","year":"2000"},{"key":"atypb10","first-page":"625","volume":"54","author":"Centers for Disease Control and Prevention.","year":"2005","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"atypb11","volume-title":"Best practices for comprehensive tobacco control programs-2007","author":"Centers for Disease Control and Prevention.","year":"2007"},{"key":"atypb12","volume-title":"Behavioral risk factor surveillance system survey data","author":"Centers for Disease Control and Prevention.","year":"2008"},{"issue":"1","key":"atypb13","first-page":"3","volume":"51","author":"Chambless, D.","year":"1998","journal-title":"Clinical Psychologist"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.66.1.89"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1136\/tc.2007.020370"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1177\/1049732310374043"},{"key":"atypb17","volume-title":"The health consequences of smoking: A report of the Surgeon General","author":"Department of Health and Human Services.","year":"2004"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1097\/01.SMJ.0000145304.68009.02"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2005.01028.x"},{"key":"atypb20","author":"Fiore, M.","year":"2008","journal-title":"Clinical practice guideline"},{"issue":"14","key":"atypb21","volume":"57","author":"Heron, M.","year":"2009","journal-title":"National vital statistics reports"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2004.039909"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.1136\/tc.2009.033944"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.7675"},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.81.11.1483"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.11.1965"},{"key":"atypb27","doi-asserted-by":"publisher","DOI":"10.1007\/BF02892295"},{"key":"atypb28","doi-asserted-by":"publisher","DOI":"10.1037\/a0018598"},{"key":"atypb29","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.071035"},{"key":"atypb30","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2006.07.015"},{"key":"atypb31","doi-asserted-by":"publisher","DOI":"10.2174\/138920009789895534"},{"key":"atypb32","doi-asserted-by":"publisher","DOI":"10.1097\/00124784-200507000-00013"},{"key":"atypb33","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.117499"},{"key":"atypb34","volume-title":"Quitline operations: A practical guide to promising approaches","author":"North American Quitline Consortium.","year":"2005"},{"key":"atypb35","doi-asserted-by":"publisher","DOI":"10.1080\/14622200020032097"},{"key":"atypb36","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.79.2.176"},{"key":"atypb37","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2000.0669"},{"key":"atypb38","doi-asserted-by":"publisher","DOI":"10.1001\/jama.280.2.152"},{"issue":"2","key":"atypb39","doi-asserted-by":"crossref","first-page":"ii74","DOI":"10.1136\/tc.11.suppl_2.ii74","volume":"11","author":"Prout, M.","year":"2002","journal-title":"Tobacco Control"},{"key":"atypb40","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.83.2.220"},{"key":"atypb41","volume-title":"Arkansas statewide tobacco programs and services annual report 2005-2006","author":"Sheffer, C.","year":"2006"},{"key":"atypb42","doi-asserted-by":"publisher","DOI":"10.4278\/ajhp.06031933"},{"key":"atypb43","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2005.043380"},{"key":"atypb44","doi-asserted-by":"publisher","DOI":"10.4278\/ajhp.22.3.176"},{"key":"atypb45","doi-asserted-by":"publisher","DOI":"10.1136\/tc.2006.019737"},{"key":"atypb46","volume-title":"State and county quickfacts: Arkansas","author":"United States Census Bureau.","year":"2010"},{"key":"atypb47","first-page":"301","volume":"8","author":"Wagenknecht, L.","year":"1998","journal-title":"Coronary Artery Risk Development in Young Adults. Annals of Epidemiology"}],"container-title":["Qualitative Health Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732311404248","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732311404248","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:28:21Z","timestamp":1777685301000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1049732311404248"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4,4]]},"references-count":47,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2011,8]]}},"alternative-id":["10.1177\/1049732311404248"],"URL":"https:\/\/doi.org\/10.1177\/1049732311404248","relation":{},"ISSN":["1049-7323","1552-7557"],"issn-type":[{"value":"1049-7323","type":"print"},{"value":"1552-7557","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4,4]]}}}