Document Type
Article
Publication Date
11-6-2024
Abstract
Background: Smoking prevalence among U.S. adults experiencing homelessness is ≥70 %. Interventions are needed to address persisting tobacco disparities.
Methods: Adults who smoked combustible cigarettes (CC) daily (N=60) were recruited from an urban day shelter and randomly assigned to an e-cigarette switching intervention with or without financial incentives for carbon monoxide (CO)-verified CC abstinence (EC vs. EC+FI). All participants received an e-cigarette device and nicotine pods during the first 4 weeks post-switch; and those in the EC+FI group also received escalating weekly incentives for CC abstinence during the same period. Key follow-ups were conducted at 4- and 8-weeks post-switch.
Results: Participants were predominantly male (75 %), 50 % were racially/ethnically minoritized, with an average age of 48.8 years. Descriptive analyses indicated that CC smoking abstinence rates among EC and EC+FI were 3.3 % vs. 13.3 % at 4 weeks (8.3 % overall) and 10.0 % vs. 13.3 % at 8 weeks (11.7 % overall) in the intent-to-treat analyses (missing considered smoking). Among those who completed follow-ups (51.7 % and 45.0 % at 4- and 8-weeks), CC abstinence rates in EC and EC+FI were 6.3 % vs. 26.7 % at 4 weeks (16.1 % overall) and 21.4 % vs. 30.8 % at 8 weeks (25.9 % overall). EC+FI participants reported fewer days of smoking, more days of e-cigarette use, and greater reductions in CO at 4-week follow-up. Most participants reported a high likelihood of switching to e-cigarettes (67.7 %).
Conclusion: E-cigarette switching with financial incentives for CC cessation is a promising approach to tobacco harm reduction among adults accessing shelter services. Refinements are needed to improve engagement.
Recommended Citation
Sifat, Munjireen; Alexander, Adam C.; Businelle, Michael S.; Frank-Pearce, Summer G.; Boozary, Laili Kharazi; Wagener, Theodore L.; Ahluwalia, Jasjit S.; and Kendzor, Darla E., "E-Cigarette Switching and Financial Incentives to Promote Combustible Cigarette Cessation Among Adults Accessing Shelter Services: A Pilot Study" (2024). Department of Medical Oncology Faculty Papers. Paper 305.
https://jdc.jefferson.edu/medoncfp/305
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
PubMed ID
39764385
Language
English
Comments
This article is the author's final published version in Drug and Alcohol Dependence Reports, Volume 13, Issue 13, December 2024, Article number 100295.
The published version is available at https://doi.org/10.1016/j.dadr.2024.100295. Copyright © 2024 The Authors.