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North American Quitline Consortium

January 2015

For quick navigation, please click on the titles below of the topics featured in this month's issue of Connections
  Time-Sensitive News


JANUARY 21! Upcoming NAQC Webinar!
Wednesday, January 21, 2015
12:30 – 2:00 p.m. EST
Quitline Services for Pregnant and Postpartum Women: Learning from Current Literature and Practice!

During the webinar, we will present the new issue paper and focus on three main questions:

1.        What important findings can we learn from the research literature?

2.       What innovative practices are quitlines engaged in?

3.       What actions can quitlines, health professionals and researchers take to move us forward?

» register today!

Who Would YOU Like to See on the NAQC Board of Directors?
The Nomination Committee began its work to identify nominees for the NAQC Board of Directors’ election. Please give some thought to who you would like to see on the Board. We will distribute the formal call for nominees , including nominee qualifications and submission guidelines, as soon as it is available! The Board of Directors is elected by organizational members in June each year. Click here for more information on the Board and election process.

NAQC Staff Changes!
Earlier in the week we announced that Maria Rudie, MPH has joined NAQC as Research Manager. She will be an excellent addition to NAQC staff! As research manager, Maria will serve as the lead research and evaluation staff within NAQC. She will be responsible for overseeing NAQC’s research and evaluation portfolio (including the annual survey of quitlines, minimal data set, evaluation of our CDC cooperative agreement and literature reviews on best practices)and enhancing activities in this area. Please join us in welcoming Maria to NAQC (!

 Find more NAQC News in our Newsroom or go back to top.

Time-Sensitive News

SAVE THE DATE! Webinar - Prevalence and Policy: An Update on Electronic Cigarettes and Cancer Control on January 20! 
The National Cancer Institute’s Research to Reality Cyber-Seminar Series continues with a program titled “Prevalence and Policy: An Update on Electronic Cigarettes and Cancer Control”. The free program will occur Tuesday January 20 from 2-3pm Eastern time. To register, click HERE.  
» learn more

SAVE THE DATE: Arkansas Tobacco Quitline RFP Announcement - Due on January 23! 
The Arkansas Tobacco Quitline RFP has been posted on the  Grant/Bid Opportunities page of the Arkansas Department of Health website.
 Interested parties can obtain a copy of the RFP from that location.  See instructions below:

SAVE THE DATE: Quit Now Virginia Tobacco Cessation Quitline RFP Announcement - Due on February 12! 
The Quit Now Virginia RFP has been posted on the Virginia Business Opportunities (VBO) page of the eVA website.
Potential offerors can obtain a copy of the RFP from the VBO.  See instructions below:

  • Go to:
  •  Scroll down and click on block that says "Solicitations, Quick Quote & Awards
  • Type in Quit Now on the keyword search and that should take you right to it.  Click on details to download the RFP and save on your computer.
    » learn more
CDC Position Announcement: Director, Office on Smoking and Health - Applications are due on January 30!
The Centers for Disease Control and Prevention is seeking candidates for an open staff position: Director of the Office on Smoking and Health.  The application deadline is January 30.
» learn more

FDA eCigarette Workshop on March 9-10!
FDA is announcing the second in a series of three public workshops to obtain information on e-cigarettes and public health. The workshop will be held March 9-10, 2015, and will include presentations and panel discussions about the current state of the science. The focus of this workshop will be the impact of e-cigarettes on individual health, including user exposure, use behavior, abuse liability, dependence, and short and long-term health effects. FDA intends to follow this workshop with a third e-cigarette workshop on population health effects.
» learn more

Find more Time-Sensitive News in our Newsroom or go back to top.

Tobacco Control

Social Media Resources from CDC’s Office on Smoking and Health to Help Smokers Quit in 2015!
To help you promote cessation during January and beyond, CDC wants to share some of their new social media materials, including new options on Pinterest. You may also want to highlight some of the Tips campaign’s ad participants who have shared their quit stories.
  • Our Quitspiration Pinterest board is now live! Use these materials to help inspire you, your friends, family, and others to quit smoking and stay smokefree.
  • Here are sample posts for Facebook, Twitter, and Instagram.  The posts include images you can use to help increase engagement which you can find in this Facebook album accessible through the CDCTobaccoFree Facebook Page. 
» learn more

TSET Documentary -Oklahoma TSET: Keeping the Promise for Health - and Supplement in American Journal of Preventive Medicine!
Please take a moment to review the TSET documentary that aired on January 15th about the history and tobacco cessation efforts. 
YouTube link -
You can also view the supplement in AJPM , Best Practices, Research, and Relationships: Oklahoma’s Investment in Tobacco Control, here.
» learn more

Did We Finally Slay the Evil Dragon of Cigarette Smoking in the Late 20th Century?
Unfortunately, the Answer Is No—the Dragon Is Still Alive and Well in the 21st Century and Living in the Third World. Shame on Us! 
This is a great paper on the tobacco issues and how we got here:  Did We Finally Slay the Evil Dragon of Cigarette Smoking in the Late 20th Century?
» learn more

New Report about Tobacco Surcharges from The Commonwealth Fund!
The Commonwealth Fund has released a report called Implementing the Affordable Care Act: State Approaches to Premium Rate Reforms in the Individual Health Insurance Marketplace. Pages 3-6 have an interesting discussion on state activity around tobacco surcharges. 
» learn more

Find more Tobacco Control in our Newsroom or go back to top.

Lei Zhang; Katrina Vickerman; Ann Malarcher; Kelly Carpenter
Changes in Quitline Caller Characteristics During A National Tobacco Education Campaign.
Nicotine & Tobacco Research 2015;doi: 10.1093/ntr/ntu271

The Centers for Disease Control and Prevention launched the first federally-funded national tobacco education campaign, “Tips From Former Smokers” (Tips), in 2012. This study examined changes in quitline caller characteristics, including demographics and smoking-related behaviors before and during the Tips campaign.    

The Tips campaign increased the reach of quitline services to the general population of smokers, with increases across all demographic and tobacco use groups, but particularly among those who were uninsured. Such campaigns have the potential to increase access to cessation services for the uninsured.          
Jennifer S. Haas, MD, MSc1,2,3; Jeffrey A. Linder, MD, MPH1,3; Elyse R. Park, PhD, MPH3,4,5; Irina Gonzalez, MD, TTS1; Nancy A. Rigotti, MD3,4,5; Elissa V. Klinger, ScM1; Emily Z. Kontos, ScD2; Alan M. Zaslavsky, PhD3; Phyllis Brawarsky, MPH1; Lucas X. Marinacci, BA1; Stella St Hubert, AB1; Eric W. Fleegler, MD, MPH3,6; David R. Williams, PhD, MPH2
Proactive Tobacco Cessation Outreach to Smokers of Low Socioeconomic Status.
A Randomized Clinical Trial ONLINE FIRST
JAMA Intern Med. Published online December 15, 2014. doi:10.1001/jamainternmed.2014.6674

Proactive, IVR-facilitated outreach enables engagement with low-SES smokers. Providing counseling, NRT, and access to community-based resources to address sociocontextual mediators among smokers reached in this setting is effective.

Hayden McRobbie, Chris Bullen, Jamie Hartmann-Boyce, Peter Hajek
Electronic Cigarettes for Smoking Cessation and Reduction.
The Cochrane Library

Cochrane Database of Systematic Reviews 2014, Issue 12. Art. No.: CD010216. DOI: 10.1002/14651858.Published Online: 17 DEC 2014

"There is evidence from two trials that ECs [electronic cigarettes] help smokers to stop smoking long-term compared with placebo ECs. However, the small number of trials, low event rates and wide confidence intervals around the estimates mean that our confidence in the result is rated 'low' by GRADE standards. The lack of difference between the effect of ECs compared with nicotine patches found in one trial is uncertain for similar reasons. ECs appear to help smokers unable to stop smoking altogether to reduce their cigarette consumption when compared with placebo ECs and nicotine patches, but the above limitations also affect certainty in this finding. In addition, lack of biochemical assessment of the actual reduction in smoke intake further limits this evidence.”

Manigrasso M, Buonanno G, Fuoco FC, Stabile L, Avino P.
Aerosol Deposition Doses in the Human Respiratory Tree of Electronic Cigarette Smokers.
Environ Pollut. 2014 Oct 29;196C:257-267. doi: 10.1016/j.envpol.2014.10.013. [Epub ahead of print]

Our study shows that e-cigarette aerosol is source of high particle dose in respiratory system, from 23% to 35% of the daily dose of a no-smoking individual... This study reports for the first time size segregated dosimetry data per airway generation for e-cigarette-generated aerosols. E-cigarettes were recognized as a source of extremely high particle doses in the human respiratory system.”

Lauren K Lempert, Rachel Grana, Stanton A Glantz
The Importance of Product Definitions in US E-cigarette Laws and Regulations.
Tob Control doi:10.1136/tobaccocontrol-2014-051913
Published Online First 14 December 2014

Definitions separating e-cigarettes from other tobacco products are common. Similar to past ‘Trojan horse’ policies, e-cigarette policies that initially appear to restrict sales (eg, limit youth access) may actually undermine regulation if they establish local pre-emption or create definitions that divide e-cigarettes from other tobacco products. Comparable issues are raised by the European Union Tobacco Products Directive and e-cigarette regulations in other countries. Policymakers should carefully draft legislation with definitions of e-cigarettes that broadly define the products, do not require nicotine or tobacco, do not pre-empt stronger regulations and explicitly include e-cigarettes in smoke-free and taxation laws.

Thomas A. Wills, Rebecca Knight, Rebecca J. Williams, Ian Pagano, and James D. Sargent
Risk Factors for Exclusive E-Cigarette Use and Dual E-Cigarette Use and Tobacco Use in Adolescents Pediatrics.
Published online December 15, 2014

This study reports a US adolescent sample with one of the largest prevalence rates of e-cigarette only use in the existing literature. Dual use also had a substantial prevalence. The fact that e-cigarette only users were intermediate in risk status between nonusers and dual users raises the possibility that e-cigarettes are recruiting medium-risk adolescents, who otherwise would be less susceptible to tobacco product use.
Rahman M, Hann N, Wilson A, Worrall-Carter L
Electronic Cigarettes: Patterns of Use, Health Effects, Use in Smoking Cessation and Regulatory Issues.
Tobacco Induced Diseases 2014, 12 :21 (15 December 2014)
The cytotoxicity and long term health effects of e-cigarettes are unknown. Nevertheless the ecigarette market continues to expand, largely driven by middle-aged smokers who claim to be using e-cigarettes in an attempt to reduce or quit smoking. E-cigarettes may have some potential as smoking cessation aids and, in the researchers’ view, should therefore be subject to further research and regulation similar to other nicotine replacement therapies.
 Other Important Articles and Resources: 
Tobacco Use, Quitting Behavior, and Health Characteristics Among Current Electronic Cigarette Users in a National Tri-Ethnic Adult Stable Smoker Sample. Nicotine and Tobacco Research (E-pub Nov. 10, 2014). Current EC use was significantly associated with greater nicotine dependence, concurrent poly-tobacco use, more past-year quit attempts, past use of multiple cessation methods, and more depressive symptoms. 
E-Cigarette Use Among Smokers With Serious Mental Illness. Plos One (E-pub Nov. 24, 2014. Within a clinical trial with smokers with serious mental illness, EC use increased over time, particularly among younger adults and those intending to quit tobacco. EC use was unrelated to changes in smoking. 
The Unborn Smoker: Association Between Smoking During Pregnancy and Adverse Perinatal Outcomes. Journal of Perinatal Medicine (E-pub Nov. 11, 2014). Any amount of daily smoking appears to harm the fetus and newborn. As pregnancy may be a "window of opportunity" for behavioral changes, efforts to promote smoking cessation should be encouraged.
A Qualitative Analysis of Messages to Promote Smoking Cessation Among Pregnant Women. BMJ (Nov. 27, 2014). Cessation messages that evoke strong affective responses capitalize on the dissonance many women feel when smoking while pregnant and stimulate stronger consideration of quitting. Given the importance of promoting cessation among pregnant women, future campaigns could make greater use of emotional appeals and place less emphasis on informational approaches, which often prompt vigorous counter-arguments. 
Racial/Ethnic Differences in the Relationship Among Cigarette Use, Religiosity, and Social Norms for U.S. Adolescents Journal of Ethnicity in Substance Abuse (2014). Smoking prevention efforts and messaging campaigns that include partnerships with religious communities may require consideration of these racial/ethnic differences when planning prevention strategies. 
Find more Research in our Newsroom or go back to top.


February 12-14, 2015: Nicotine Dependence Treatment Continuing Education & Certification Programs!
The University of Arizona HealthCare Partnership invites you to a three-day Certification and Continuing Education Program to Treat Nicotine Dependence. Learn more and register today!
» learn more

February 25-28, 2015: SRNT Annual Meeting!
The Society for Research on Nicotine and Tobacco (SRNT) is the leading association focused on this special area of research. The next annual meeting is being held in Philadelphia on February 25-25.  Please find additional details below. NAQC staff will be attending the conference and we hope to connect with you there! 
» learn more

July 7-9, 2015: NACCHO Conference!
The National Association of County and City Health Officials (NACCHO) is hosting their Annual Conference on July 7-9, 2015 in Kansas City, MO. Learn more here

Find more Announcements in our Newsroom or go back to top.

Funding for Connections is provided solely through a cooperative agreement from the Centers for Disease Control and Prevention (1U58DP004967-01). We thank them for their support of this publication. Information and links are provided solely as a service to NAQC members and partners and do not constitute an endorsement of any organization by NAQC, nor should any be inferred.
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