To understand patterns of use and interest in quitting different types of tobacco products among youth experiencing homelessness, a RAND team surveyed these youth in Los Angeles County to inform efforts to reduce their use of tobacco products.
This is the first study to evaluate the feasibility of using a text messaging-based intervention (TMI) for behavior change with 18–25 year olds experiencing homelessness, and the first to test a TMI to provide ongoing support for smoking cessation.
Findings suggest efforts to reduce the use of tobacco products among youth experiencing homelessness should focus on the combined use of these products and screen for substance use disorder and housing stability to include those that need help the most.
Adolescents who view advertising for tobacco products on the tobacco “power wall” in convenience stores report being more willing to try vaping products in the future compared to peers who visited a store where the tobacco power wall was hidden.
The time devoted to counseling patients about smoking should include assistance to quit, such as recommending a product, prescription or program, and incorporate techniques to elicit patients' expectations of smoking.
Evidence doesn't support using electronic cigarettes to quit smoking. In fact, doing so could even lead to reduced chances of quitting. Evidence does show that other options work, such as nicotine replacement patches or gum combined with counseling strategies.
Women of reproductive age were more likely to use electronic cigarettes than smoking cessation aids to quit smoking, suggesting an urgent need to understand the potential risks and benefits of e-cigarette use in this population.
Surgeons successfully delivered a brief smoking cessation intervention to patients preparing for peripheral artery disease surgery; initial results suggest the pre-surgery period may be a “teachable moment” for encouraging patients to quit smoking.
Smoking prevention programs may benefit from incorporating a social network-based approach to help youth foster relationships with lower-risk peers; programs should also address other forms of substance use.