ArticleTobacco prevention & cessation2025
Targeted distribution of nicotine patches by mail to rural regions of Canada: Predictors of patch use.
Article in Tobacco prevention & cessation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
introductionRural regions generally report higher smoking rates than urban centers, which increases the risk of tobacco related harms and consequences, and makes promoting smoking cessation in these areas a priority. Mass distribution of nicotine replacement therapy (NRT) by postal mail has been found to increase the odds of successful cessation attempts. Understanding factors that contribute to the use of NRT could help maximize this intervention's effectiveness.
methodsPeople who smoke cigarettes and live in rural areas of Canada were recruited from December 2020 to February 2022 using random digit telephone dialing. Participants were either randomized to be mailed a free, 5-week supply of NRT patches (experimental condition; n=252) or not (control condition; n=246). This secondary analysis used data from this randomized controlled trial to conduct an ordinal regression to determine if any variables measured at baseline predicted which participants in the experimental condition used none, some, or all of the NRT patches.
resultsGreater confidence in ability to quit (AOR=1.07; 95% CI: 1.00-1.15) independently predicted more patch use, while living in more remote places (AOR=0.25; 95% CI: 0.07-0.90) and past substance use (compared to having no history) (AOR=0.68; 95% CI: 0.45-1.04) independently predicted less use.
conclusionsUnderstanding what contributes to NRT use in rural mass distribution programs could help maximize the odds of successful cessation attempts, personalize treatment recommendations, and target limited rural resources. Future research focused on rural NRT use and smoking cessation is merited.
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