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Quitlines and other evidence-based smoking cessation programs can effectively promote cessation across a wide variety of populations.
(see also Key Finding 21)



The Washington state quitline compared its effectiveness across race/ethnicity, education level, urbanicity, and sex, and found the quit rate did not vary significantly across these subgroups. Satisfaction levels were high across all subpopulations. 

Economically disadvantaged and ethnic minority smokers use and respond to quitline services at a level similar to the general population and benefit at least as much, if not more than smokers in the general population.

Between 2009 and 2012 the quitline in Thailand processed 116,862 callers, offering counseling without nicotine replacement therapy. Average cost per completed counselling was $31, the average cost per quitter was $253, and an estimated return on investment over 4 years ranged from $9.01 to $5.78. This low-cost quitline, without nicotine replacement therapy, offered good value for money.

Smoking cessation program in Denmark reported lower continuous abstinence among disadvantaged smokers (defined as patients with a lower level of education and those receiving unemployment benefits), but the absolute difference was small. One-on-one counseling increased the abstinence among the disadvantaged when compared to group counseling. 

There is some evidence that smoking cessation interventions specifically targeting Indigenous populations can produce smoking abstinence.



Maher JE, Rohde K, Dent CW, Stark MJ, Pizacani B, Boysun MJ, Dilley JA, Yepassis-Zembrou PL. Is a statewide tobacco quitline an appropriate service for specific populations? Tob Control. 2007; 16 (Suppl 1): i65-i70.

Lichtenstein E. Quitlines. Tob Control. 2007; 16(Suppl 1): i1-i2.

Miller CL, Sedivy V. Using a quitline plus low-cost nicotine replacement therapy to help disadvantaged smokers to quit. Tob Control. 2009; 18: 144-149.

McAfee T, Davis KC, Alexander RL Jr, Pechacek TF, Bunnell R. Effect of the first federally funded US antismoking national media campaign. Lancet. 2013; 382: 2003-2011.

Neumann T, Rasmussen M, Ghith N, Heitmann BL, Tønnesen H. The Gold Standard Programme: smoking cessation interventions for disadvantaged smokers are effective in a real-life setting. Tob Control. 2013; 22: e9.

Carson KV, Brinn MP, Peters M, Veale A, Esterman AJ, Smith BJ. Interventions for smoking cessation in Indigenous populations. Cochrane Database Syst Rev. 2012 Jan 18;1:CD009046.

Meeyai A, Yunibhand J, Punkrajang P, Pitayarangsarit S. An evaluation of usage patterns, effectiveness and cost of the national smoking cessation quitline in Thailand. Tob Control. 2015; 24: 481–488.

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