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• W4311764042 abstract "•Nicotine replacement medications and reward-based lottery approaches are preferred cessation methods.•Cessation barriers among rural smokers include coping with stress, scheduling counseling, and finding coaches.•Nicotine replacement medications and reward-based approaches can be used to enhance smoking cessation among rural smokers. IntroductionRural‒urban smoking disparities have widened in recent years because smoking prevalence reductions have been experienced disproportionately among urban adults. Tobacco cessation programs that work in urban settings may not be reaching rural smokers or may need tailoring to be effective. Identifying smoking cessation preferences and barriers among rural smokers can facilitate the implementation of acceptable programs to address rural smoking-related disparities. Thus, the aim of this study was to examine tobacco cessation motivations, preferences, and barriers among rural smokers and to assess smokers’ likelihood to use various types of tobacco cessation programs.MethodsUsing a cross-sectional study design, we distributed a self-administered survey to 100 smokers during regularly scheduled healthcare appointments at 3 rural Michigan practices from June to August 2019. We examined differences in participant characteristics by the readiness to quit using chi-square/Fisher's exact tests and described cessation motivations, preferences, and barriers to tobacco cessation among rural smokers.ResultsParticipants reporting readiness to quit were less likely to have smoking allowed in their home (31.7% vs. 75.0%; p=0.003) and had a higher prevalence of anxiety (62.1% vs. 6.3%; p=0.0001) and depression (49.2% vs. 18.8%; p=0.04) than those not ready to quit. Preferences were higher for nicotine replacement medications and reward-based approaches, with only 10% of participants being likely to use telephone-based quitlines.ConclusionsThese findings suggest that provider referrals to nicotine replacement medications and reward-based approaches can be used to enhance tobacco cessation among rural smokers." @default.
• W4311764042 created "2022-12-28" @default.
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• W4311764042 date "2023-03-01" @default.
• W4311764042 modified "2023-10-05" @default.
• W4311764042 title "Tobacco Cessation Motivations, Preferences, and Barriers Among Rural Smokers: Implications for Optimizing Referrals in Clinical Practice" @default.
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• W4311764042 doi "https://doi.org/10.1016/j.focus.2022.100057" @default.
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