Quitline Use and Outcomes among Callers with and without Mental Health Conditions: A 7-Month Follow-Up Evaluation in Three States
Table 4
Multivariable models of the relationship of 30-Day tobacco abstinence and MHC status, by any conditions versus none (Model ) and by condition group versus none (Model ) in three states.
Model
Model
Quit 30+ daysa ( = 2,870)
Quit 30+ daysa ( = 2,870)
AOR (95% CI)
value
AOR (95% CI)
value
Age
0.99 (0.99–1.00)
0.17
0.99 (0.98–1.00)
0.11
Gender
Male
ref
0.12
ref
0.08
Female
0.85 (0.69–1.04)
0.83 (0.67–1.02)
Education
Less than high school
ref
ref
GED
0.79 (0.48–1.29)
0.78 (0.48–1.27)
High school degree
1.08 (0.81–1.42)
0.15
1.08 (0.81–1.43)
0.14
Some college/trade school
0.78 (0.58–1.04)
0.78 (0.58–1.04)
College/trade school degree
0.91 (0.66–1.26)
0.91 (0.65–1.26)
Race/ethnicity
White, non-Hispanic
ref
0.69
ref
0.69
Black, non-Hispanic
0.88 (0.70–1.09)
0.88 (0.70–1.09)
Hispanic
0.93 (0.45–1.95)
0.91 (0.44–1.91)
All other races, non-Hispanic
0.90 (0.55–1.48)
0.91 (0.55–1.49)
Insurance status
Private insurance
ref
0.03
ref
0.048
Medicare-insured
0.74 (0.54–1.00)
0.75 (0.55–1.02)
Medicaid-insured
0.68 (0.52–0.89)
0.69 (0.53–0.90)
Uninsured
0.83 (0.64–1.08)
0.84 (0.64–1.09)
Dependence indexb
0.78 (0.69–0.89)
<0.001
0.78 (0.69–0.89)
<0.001
Chronic health condition
None
ref
0.14
ref
0.12
Any of 4
1.18 (0.95–1.46)
1.19 (0.96–1.48)
Calls completed
1.31 (1.20–1.42)
<0.001
1.31 (1.21–1.43)
<0.001
Use of cessation medications
Reported no use
ref
0.53
ref
0.54
Used medications
0.93 (0.73–1.17)
0.93 (0.73–1.18)
Mental health condition status (0 versus 1+)
None reported
ref
<0.001
n/a
One or more
0.63 (0.51–0.77)
Mental health condition group
None reported
ref
Group 1: Schizophrenia/Bipolar Disorder
0.53 (0.39–0.73)
Group 2: Depression/Anxiety/PTSD (no Group 1)
n/a
0.70 (0.55–0.90)
<0.001c
Group 3: ADHD or SUD (no Group 1 or 2)
0.44 (0.22–0.87)
Note: = total sample size; AOR = Adjusted Odds Ratio; CI = Confidence Interval; ref = reference group. a30-day point prevalence abstinence at 7-month survey. bFour-point scale index to represent tobacco dependence level based on cigarettes per day and time to first tobacco use after waking. Higher scores on the index represent a higher level of tobacco dependence. cThe three MHC groups did not significantly differ in likelihood of being quit (Group 1 versus 2: adjusted OR = 0.76 (95% CI = 0.54–1.06), ; Group 1 versus 3: adjusted OR = 1.21 (95% CI = 0.58–2.51), ; Group 2 versus 3: adjusted OR = 1.60 (95% CI = 0.79–3.22), ). Notes: models also included state as a fixed effect. Callers with missing data on one or more model variables were excluded from the model. values indicate whether variables were a significant predictor of quit status in the multivariable models; a cutoff of was used for statistical significance.
