Ask-Advise-Connect: Differential Enrollment and Smoking Cessation Outcomes Between Primary Care Patients Who Received Quitline-Delivered Treatment in Spanish vs English

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Figure 1.
Flowchart of participants and smoking abstinence outcomes.
EHR = electronic health record.
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Figure 2.
Quitline treatment engagement by language preference.
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Figure 3.
Smoking abstinence rates at 6 months for Quitline treatment by language preference.
OR = odds ratio.
^a Abstincence percentage based on self-report of abstinence for the previous 7 days.

Table 1.

Enrollment, Receipt of Treatment, and 6-Month Abstinence Rates by Language Preference (N = 39,866)

Outcome	Spanish-Preferring (n = 8,602)		English-Preferring (n = 31,264)		OR (95% CI)
Outcome	No./Total	%	No./Total	%	OR (95% CI)
Enrolled in treatment	921/8,602	10.7	3,751/31,264	12.0	…
Counseling calls completed, No.
0	120/921	13.1	1,245/3,751	33.2	…
1	227/921	24.6	1,425/3,751	38.0	…
2	190/921	20.6	578/3,751	15.4	…
3-5	384/921	41.7	503/3,751	13.4	…
Received NRT	560/725	77.2	1,526/2,957	51.6	3.18 (2.64-3.84)
In treatment and agreed to 6-month follow-up	725/921	78.7	2,957/3,751	78.8	…
Self-reported abstinence rate at 6 months	182/725	25.1	429/2,957	14.5	1.98 (1.62-2.40)
Biochemically confirmed abstinence rate at 6 months	55/725	7.6	110/2,957	3.7	2.13 (1.52-2.97)

Table 2.

Smoking Abstinence Rates at 6 Months by Language Preference and Treatment Engagement (N = 4,672)

Treatment Engagement	Self-Reported Abstinence		Biochemically Confirmed Abstinence
	%	OR (95% CI)	%	OR (95% CI)
Spanish-preferring (n = 921)
Counseling calls completed, No.
0	15.79	Reference	3.16	Reference
1	16.76	1.07 (0.55-2.11)	4.47	1.43 (0.37-5.53)
2	18.79	1.23 (0.62-2.46)	6.04	1.97 (0.52-7.47)
3-5	36.09	3.01 (1.65-5.49)	11.59	4.02 (1.21-13.37)
English-preferring (n = 3,751)
Counseling calls completed, No.
0	11.11	Reference	2.34	Reference
1	10.32	0.92 (0.7-1.21)	2.94	1.26 (0.74-2.16)
2	19.12	1.89 (1.3-2.57)	4.84	2.12 (1.17-3.84)
3-5	29.47	3.34 (2.49-4.48)	8.06	3.65 (2.1-6.32)