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Perceived Barriers to Adopting an Asian-Language Quitline Service: A Survey of State Funding Agencies

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Abstract

This study examined the perceived barriers to adopting an Asian-language quitline service among agencies that fund current state quitline services across the U.S. A self-administered survey on organizational readiness was sent to the funding agencies of 47 states plus Washington D.C. that currently fund state quitlines in English and Spanish, but not in Asian languages (response rate = 58%). The 2010 Census and the 2009 North American Quitline Consortium Survey were used to obtain the proportion of Asians among the state population and state quitline funding level, respectively. The most frequently cited reasons for not adopting an Asian quitline are: the Asian population in the state would be too small (71.4%), costs of service would be too high (57.1%), and the belief that using third-party translation for counseling is sufficient (39.3%). However, neither the actual proportion of Asians among the state population (range = 0.7% to 7.3%), nor the quitline funding level (range = $0.17 to $20.8 per capita) predicts the reported reasons. The results indicate that quitline funding agencies need more education on the necessity and the feasibility of an Asian-language quitline. Three states are currently participating in a multi-state Asian-language quitline in which each state promotes the service to its residents and one state (CA) provides the services for all the states. This centralized multi-state Asian-language quitline operation, which helps reduce practical barriers in adoption and disparity in access to service, could be extended.

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Acknowledgments

This work is supported by a grant from the Centers for Disease Control and Prevention (CDC). Grant #: R18DP002106. We would also like to thank Linda Bailey and Jessie Saul for facilitating the survey.

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Authors and Affiliations

  1. Moores Cancer Center, University of California, San Diego, La Jolla, CA, USA

    Yue-Lin Zhuang, Sharon E. Cummins, Carrie Kirby & Shu-Hong Zhu

  2. Department of Communicology, University of Hawaii at Manoa, Honululu, HI, USA

    Hye-ryeon Lee

  3. Kaiser Permanente Institute for Health Research, Denver, CO, USA

    James Dearing

  4. Cancer Center 0905, University of California, San Diego, La Jolla, CA, 92093-0905, USA

    Shu-Hong Zhu

Authors
  1. Yue-Lin Zhuang
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  2. Sharon E. Cummins
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  3. Hye-ryeon Lee
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  4. James Dearing
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  5. Carrie Kirby
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  6. Shu-Hong Zhu
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Correspondence to Shu-Hong Zhu.

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Zhuang, YL., Cummins, S.E., Lee, Hr. et al. Perceived Barriers to Adopting an Asian-Language Quitline Service: A Survey of State Funding Agencies. J Community Health 37, 1058–1065 (2012). https://doi.org/10.1007/s10900-011-9533-9

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  • DOI: https://doi.org/10.1007/s10900-011-9533-9

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