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journal article Open Access Dec 17, 2023

Effectiveness of culturally tailoring smoking cessation interventions for reducing or quitting combustible tobacco: A systematic review and meta‐analyses

Andrea Leinberger‐Jabari ORCID Melanie M. Golob ORCID Nicola Lindson ORCID Jamie Hartmann‐Boyce ORCID
Addiction Vol. 119 No. 4 pp. 629-648 · Wiley
View at Publisher Save 10.1111/add.16400
Abstract
AbstractBackground and AimsStandard approaches to smoking cessation may not be as effective for certain populations, and tailoring on cultural factors could improve their effectiveness. This systematic review measured the effectiveness of culturally tailoring smoking cessation interventions on quitting or reducing smoking combustible tobacco.MethodWe searched MEDLINE, PsychInfo, Embase and Cochrane Central Register from inception to 21 June 2023 for randomized controlled trials (RCTs) of community‐based, primary care or web‐based interventions for smoking cessation in adults who smoked tobacco, with measurement of smoking abstinence or reduction at least 3 months following baseline. We examined comparisons between either an intensity‐matched culturally tailored intervention and a non‐tailored intervention or a standard non‐tailored intervention and the same intervention plus a culturally tailored adjunct. We sub‐grouped studies according to the level of tailoring and performed subgroup analyses where appropriate. We assessed risk of bias and certainty of evidence.ResultsWe identified 43 studies, 33 of which were meta‐analyzed (n = 12 346 participants). We found moderate certainty evidence, limited by heterogeneity, that intensity‐matched culturally tailored cessation interventions increased quit success when compared with non‐tailored interventions at 3‐month follow‐up or longer (n = 5602, risk ratio [RR] = 1.29 95% confidence interval [CI] 1.10, 1.51, I2 = 47%, 14 studies). We found a positive effect of adding a culturally tailored component to a standard intervention compared with the standard intervention alone (n = 6674, RR = 1.47, 95% CI 1.10, 1.95, I2 = 74%, 18 studies), but our certainty in this effect was low due to imprecision and substantial statistical heterogeneity.ConclusionCulturally tailored smoking cessation interventions may help more people to quit smoking than a non‐tailored intervention. Adapting or adding cultural components to smoking cessation interventions originally developed for majority populations could improve cessation rates in populations who do not fully identify with majority cultural norms.
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Showing 50 of 81 references

Metrics
28
Citations
81
References
Details
Published
Dec 17, 2023
Vol/Issue
119(4)
Pages
629-648
License
View
Authors
A
Andrea Leinberger‐Jabari

Public Health Research Center New York University Abu Dhabi Abu Dhabi United Arab Emirates; Department of Continuing Education University of Oxford Oxford United Kingdom

M
Melanie M. Golob

Department of Continuing Education University of Oxford Oxford United Kingdom

N
Nicola Lindson

Nuffield Department of Primary Health Care Sciences University of Oxford Oxford United Kingdom

J
Jamie Hartmann‐Boyce

Nuffield Department of Primary Health Care Sciences University of Oxford Oxford United Kingdom; Department of Health Policy and Promotion University of Massachusetts Amherst Amherst United States

Funding
Research Institute Centers, New York University Abu Dhabi Award: G1206
Cite This Article
Andrea Leinberger‐Jabari, Melanie M. Golob, Nicola Lindson, et al. (2023). Effectiveness of culturally tailoring smoking cessation interventions for reducing or quitting combustible tobacco: A systematic review and meta‐analyses. Addiction, 119(4), 629-648. https://doi.org/10.1111/add.16400
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