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Comparing socially disadvantaged smokers who agree and decline to participate in a randomised smoking cessation trial
  1. Billie Bonevski1,
  2. Laura Twyman1,
  3. Chris Paul2,
  4. Catherine D'Este3,
  5. Robert West4,
  6. Mohammad Siahpush5,
  7. Christopher Oldmeadow6,
  8. Kerrin Palazzi6,
  9. Jamie Bryant2,
  10. Ashleigh Guillaumier1
  1. 1Faculty of Health and Medicine, Centre for Translational Neuroscience and Mental Health, School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
  2. 2Priority Research Centre for Health Behaviour, University of Newcastle & Hunter Medical Research Institute, New Lambton, New South Wales, Australia
  3. 3National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia
  4. 4Department of Epidemiology and Public Health, Health Behaviour Research Centre, University College London, London, UK
  5. 5Department of Health Promotion, Social and Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USA
  6. 6Hunter Medical Research Institute, Newcastle, New South Wales, Australia
  1. Correspondence to Professor Billie Bonevski; billie.bonevski{at}newcastle.edu.au

Abstract

Objectives This study examined sociodemographic, smoking and psychosocial characteristics associated with consent to participate in a smoking cessation trial for socially disadvantaged smokers.

Design Baseline data were collected prior to seeking consent for the Call it Quits, a randomised controlled trial.

Setting An Australian social and community service organisation. Sociodemographic, smoking and psychosocial characteristics were compared between smokers who agreed or declined to participate.

Participants Of the 584 smokers invited to participate, 431 (74%) consented and 153 (26%) declined.

Results Logistic regression modelling indicates the ORs of participation were twice as high for those reporting ‘high’ motivation to quit compared to the ‘moderate’ motivation group, and five times higher than the ‘low’ motivation group (p=0.007). The ORs of consenting were higher for those with a preference for gradual reduction in cigarettes in quit attempts compared with ‘no preference’. The ORs were lower for those reporting ‘don't know’ regarding their enjoyment of smoking compared to ‘not at all’ enjoying smoking, and reporting that fewer of their family or friends smoked compared to ‘most or all’.

Conclusions This study is the first to examine the characteristics of socially disadvantaged smokers who consent or decline to participate in a smoking cessation trial. Low-income smokers who are motivated to quit, are not enjoying smoking, had family or friends who smoked, and who are interested in gradual cessation approaches may be more likely to participate in a smoking cessation trial.

Trial registration number ISRCTN85202510.

  • Vulnerable groups
  • Smoking cessation trial
  • Recruitment
  • Health disparity groups

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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