ASHLine Annual Report Appendix Fiscal Year 2013 (July 2012 through June 2013) Improving the health of Arizonans through technology based interventions. Arizona Smokers’ Helpline Phone: (800) 556-6222 info@ashline.org The Arizona Smokers’ Helpline July 25, 2013 Appendix: FY 2013 Statistics and Demographics Referrals to ASHLine Services Table 1. Number of Unique Referring Locations and Referring Agents Count Referring Locations 715 Referring Agents 1,269 Table 2. Number of Referrals by County County Referrals Apache 38 0.4% Cochise 208 2.0% Coconino 449 4.3% Gila 119 1.1% Graham 87 0.8% Greenlee 10 0.1% La Paz 60 0.6% Maricopa 4,696 44.6% Mohave 357 3.4% Navajo 82 0.8% Pima 3,582 34.1% Pinal 146 1.4% Santa Cruz 106 1.0% Yavapai 448 4.3% Yuma 127 1.2% 3 0.0% Out of State Total Page 1 of 31 10,518 Percent of Total 100.0% ASHLine Annual Report, FY 2013 ashline.org The Arizona Smokers’ Helpline July 25, 2013 Figure 1. Number of Referrals by County Referrals by County Maricopa 4,696 Pima 3,580 Coconino 449 Yavapai 448 Mohave 357 Cochise 208 Pinal 146 Yuma 127 Gila 119 Santa Cruz 106 Graham 87 Navajo 82 La Paz 60 Apache 38 Greenlee 10 Out of State 3 0 Page 2 of 31 500 1000 1500 2000 2500 3000 ASHLine Annual Report, FY 2013 3500 4000 4500 5000 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Table 3. Number of Referrals by Referring Location Type Location Type Referrals Percent of Total Behavioral Health 1820 17.3% Community Group 844 8.0% Community Health Center 1614 15.3% 3 0.0% County Health Department 600 5.7% Dental Practice 150 1.4% DOD/VA 48 0.5% Health Insurance Group 199 1.9% Hospital, Acute Care 2317 22.0% Hospital, Rehabilitation/Specialty 54 0.5% IHS/Tribal 638 101 1.0% Long-Term Care Facility 24 0.2% 1884 17.9% Pharmacy 43 0.4% Project Reach 1 0.0% School/University 54 0.5% Well-Woman Health Check 304 2.9% WIC 409 3.9% Worksite 49 0.5% Correction/Probation Medical Practice Total Page 3 of 31 10,518 100.0% ASHLine Annual Report, FY 2013 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Figure 2. Number of Referrals by Referring Location Type Referrals by Location Type 2317 Hospital, Acute Care Medical Practice Behavioral Health Community Health Center Community Group County Health Department WIC Well-Woman Health Check Health Insurance Group Dental Practice IHS/Tribal 638 School/University Hospital, Rehabilitation/Specialty Worksite DOD/VA Pharmacy Long-Term Care Facility Correction/Probation Project Reach 1884 1820 1614 844 600 409 304 199 150 101 54 54 49 48 43 24 3 1 0 500 1000 ASHLine Annual Report, FY 2013 1500 2000 2500 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Table 4. Referrals by County and Intake Type County Enrolled Information Only Total Apache 15 0 15 Cochise 53 12 65 Coconino 114 13 127 Gila 21 6 27 Graham 27 5 32 Greenlee 2 0 2 La Paz 17 3 20 Maricopa 1,248 155 Mohave 88 11 99 Navajo 28 4 32 Pima 1,070 142 Pinal 41 5 1,403 1,212 46 Santa Cruz 32 2 34 Yavapai 136 11 147 Yuma 43 6 49 Out of State 1 1 2 2,936 376 Total 3,312 ASHLine Annual Report, FY 2013 ashline.org The Arizona Smokers’ Helpline July 25, 2013 Table 5. Number of Referrals by County and Location Type County BH Comm Grp FQHC Apache 6 18 Cochise 3 29 Coconino 3 3 Dental DOD/V Hlth Ins Practice Grp A Tribal Medical Practice Pharmacy School/ University 3 1 15 103 7 Gila 44 2 WIC Project Correction/P County Hlth Hospital, Reach robation Acute Care Dept 13 Greenlee 1 1 1 9 Maricopa 1205 148 427 132 22 164 16 1040 Mohave 1 2 60 1 1 5 11 103 6 18 Pima 592 643 680 11 24 24 45 563 Pinal 6 76 4 Navajo 20 Santa Cruz 12 131 3 208 144 121 23 449 7 85 25 40 Yuma 4 12 109 36 37 300 43 1 37 11 6 41 Yavapai 41 35 2 1 3 1 6 12 14 55 1 Out of State 87 2 22 28 835 80 34 107 32 10 60 54 24 357 11 7 82 60 815 36 3582 1 45 146 11 46 106 85 124 30 448 11 8 127 3 1,820 Page 6 of 31 844 1,614 150 48 199 101 1,884 43 54 409 49 4696 19 7 30 119 160 8 1 Grand Total 12 1 5 Long-Term Care Facility 38 7 La Paz Hospital, Rehab/ Specialty 7 1 7 WWHC 4 27 Graham Grand Total Worksite 3 1 3 ASHLine Annual Report, FY 2013 600 2,317 304 54 24 10,518 ashline.org The Arizona Smokers’ Helpline July 25, 2013 Intake Table 6. Intake Figure 3. Intake Type Enrolled Information Only Total 14,217 3,157 17,374 Information Only 18% Intake Type Enrolled 82% Page 7 of 31 ASHLine Annual Report, FY 2013 ashline.org The Arizona Smokers’ Helpline July 25, 2013 Table 7. Intake by County County Information Only Enrolled Total % Total Apache 7 78 85 0.5% Cochise 43 306 349 2.0% Coconino 22 267 289 1.7% Gila 20 161 181 1.0% Graham 13 71 84 0.5% Greenlee 1 21 22 0.1% La Paz 7 65 72 0.4% Maricopa 646 8,257 8,903 51.2% Mohave 46 738 784 4.5% Navajo 21 182 203 1.2% Pima 440 2,206 2,646 15.2% Pinal 67 678 745 4.3% Santa Cruz 7 76 83 0.5% Yavapai 45 694 739 4.3% Yuma 26 360 386 2.2% Out of State 53 5 58 0.3% Refused 105 4 109 0.6% Unknown 1,588 48 1,636 9.4% Total 3,157 14,217 17,374 100.0% Page 8 of 31 ASHLine Annual Report, FY 2013 ashline.org The Arizona Smokers’ Helpline July 25, 2013 Figure 4. Intake by County, Information Only Information Only Maricopa 41% Graham 1% Mohave 3% Navajo 1% Gila 1% Coconino 1% Cochise 3% Refused 7% Out of State 3% Yuma 2% Yavapai 3% Pinal 4% Pima 28% Apache, Greenlee, La Paz, Santa Cruz = 0% Page 9 of 31 ASHLine Annual Report, FY 2013 ashline.org The Arizona Smokers’ Helpline July 25, 2013 Figure 5. Intake by County, Enrolled Enrolled Maricopa 58% Mohave 5% Navajo 1% Graham 1% Yuma 3% Gila 1% Coconino 2% Yavapai 5% Cochise 2% Pinal 5% Pima 16% Santa Cruz 1% Apache 1% La Paz, Greenlee, Out of State, Refused = 0% ASHLine Annual Report, FY 2013 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Demographics and Other Characteristics of ASHLine Clients Gender Table 8. Gender Gender Figure 6. Gender by Intake Enrolled Information Only Total Male 5,992 210 6,202 Female 8,058 338 8,396 Missing 167 2,609 2,776 14,217 3,157 17,374 Total Gender 9,000 8,396 8,058 8,000 7,000 6,000 6,202 5,992 5,000 4,000 3,000 2,000 1,000 210 338 0 Enrolled Information Only Male Page 11 of 31 ASHLine Annual Report, FY 2013 Total Female ashline.org July 25, 2013 The Arizona Smokers’ Helpline Race Table 9. Race Figure 7. Race by Intake Race Enrolled Information Only Total White 10,170 178 10,348 Black or African American 1,012 22 1,034 Asian 61 0 61 Hawaiian 9 2 11 American Indian 253 2 255 Multiracial 293 6 299 Other Race 376 17 393 Unknown 2,043 2,930 4,973 Total 14,217 3,157 17,374 Race 12,000 10,348 10,170 10,000 8,000 6,000 4,000 2,053 1,628 2,000 178 0 Enrolled Information Only White Page 12 of 31 ASHLine Annual Report, FY 2013 32 Total Non-White ashline.org July 25, 2013 The Arizona Smokers’ Helpline Ethnicity Table 10. Hispanic Ethnicity Hispanic Figure 8. Hispanic Ethnicity by Intake Enrolled Information Only Total Yes 2,552 47 2,599 No 9,656 172 9,828 Unknown 2,009 2,938 4,947 Total 14,217 3,157 17,374 Hispanic Ethinicity 12,000 9,828 9,656 10,000 8,000 6,000 4,000 2,599 2,552 2,000 47 0 Enrolled Information Only Yes Page 13 of 31 ASHLine Annual Report, FY 2013 172 Total No ashline.org The Arizona Smokers’ Helpline July 25, 2013 Age Table 11. Age Group Figure 9. Age Group by Intake Age Group Enrolled Information Only less than 18 21 8 29 18-24 775 56 831 25-34 1,855 123 1,978 35-44 2,451 108 2,559 45-54 3,972 157 4,129 55-64 3,317 131 3,448 65-79 1,649 83 1,732 80+ 110 9 119 Missing 67 2,482 2,549 14,217 3,157 17,374 Total Total Age Group 8,000 7,000 6,688 6,423 6,000 5,000 4,000 3,000 2,630 3,448 3,317 2,809 1,851 1,759 2,000 1,000 179 265 131 92 0 Enrolled 18-34 ASHLine Annual Report, FY 2013 Information Only 35-54 55-64 Total 65+ ashline.org July 25, 2013 The Arizona Smokers’ Helpline Education Table 12. Education Education Figure 10. Education by Intake Enrolled Information Only Total College Degree 2,482 32 2,514 Some College 4,025 36 4,061 633 7 640 3,590 48 3,638 815 12 827 1,794 28 1,822 Grade 8 or less 616 9 625 Missing 262 2,985 3,247 14,217 3,157 17,374 Technical or Trade School High School Diploma GED Grade 9-11 (no diploma) Total Education 8,000 7,215 7,140 7,000 6,000 5,000 4,465 4,405 4,000 3,000 2,447 2,410 2,000 1,000 75 0 Enrolled Post High School ASHLine Annual Report, FY 2013 60 37 Information Only High School/GED Total Less than High School ashline.org The Arizona Smokers’ Helpline July 25, 2013 Language Table 13. Home Language Figure 11. Home Language by Intake Home Language Enrolled Information Only Total Primarily English 12,477 154 12,631 Primarily Spanish 846 13 859 English and Spanish 513 6 519 Other 83 1 84 12,000 434 10,000 Refused 67 367 Missing 231 2,616 2,847 14,217 3,157 17,374 Total Home Language 14,000 12,631 12,477 8,000 6,000 4,000 2,000 846 513 154 0 Enrolled 859 13 6 Information Only Primarily English 519 Total Primarily Spanish English and Spanish Page 16 of 31 ASHLine Annual Report, FY 2013 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Mode of Entry Table 14. Mode of Entry to ASHLine Mode of Entry Figure 12. Mode of Entry to ASHLine Enrolled Information Only Total Call 11,088 2,747 13,835 Quit FAX 3,129 410 3,539 Total 14,217 3,157 17,374 Mode of Entry Quit FAX 20% Call 80% Page 17 of 31 ASHLine Annual Report, FY 2013 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Table 15. How Clients Heard about ASHLine How did you hear about ASHLine? Enrolled Information Only 448 10 458 Pharmacist 4 1 5 Work 71 12 83 Website 289 59 348 TV 6985 1779 8764 Regional Behavioral Health Authority 23 7 30 Radio 165 23 188 Newspaper 16 4 20 My School 8 1 9 County Health Department (Local Project) 99 8 107 Healthcare facility 905 117 1022 Health Insurance 136 30 166 Former Client 1072 65 1137 Brochures (Flyers) 70 11 81 Family or Friends 1335 203 1538 Doctor 2064 464 2528 Dentist 47 19 66 Community Organization 120 23 143 Callback Total Church 11 5 16 My Child's School 1 2 3 Unknown 109 138 247 Missing 239 176 415 14,217 3,157 Total Page 18 of 31 17,374 ASHLine Annual Report, FY 2013 ashline.org The Arizona Smokers’ Helpline July 25, 2013 Table 16. How Clients Heard about ASHLine, collapsed groups How did you hear about ASHLine? Enrolled Information Only 219 31 250 Family or Friends 1,335 203 1,538 Former Client 1,072 65 1,137 Healthcare Provider 3,179 638 3,817 Media 7,525 1,876 9,401 Other 887 344 1,231 Community Organizations Total Figure 13. How Clients Heard about ASHLine, collapsed groups 344 Other 887 1,876 Media 7,525 638 Healthcare Provider 65 Former Client 3,179 1,072 203 Family or Friends 31 Community Organizations 0 1,335 219 1,000 2,000 3,000 Information Only Page 19 of 31 4,000 5,000 6,000 7,000 8,000 Enrolled ASHLine Annual Report, FY 2013 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Cigarettes Smoked Daily Average Table 17. Average number cigarettes per day Month Figure 14. Average number of cigarettes per day for ASHLine Enrollees Avg Cigs/Day 1-Jul 18.3 2-Aug 18.6 3-Sep 17.9 4-Oct 17.4 5-Nov 17.4 6-Dec 16.3 7-Jan 17.0 8-Feb 17.4 9-Mar 17.0 10-Apr 17.6 11-May 17.6 12-Jun 17.5 Average Cigarettes per Day for ASHLine Enrollees 25.0 20.0 17.0 17.4 17.0 17.6 7-Feb 7-Mar 7-Apr 17.6 17.5 18.3 18.6 17.9 17.4 17.4 7-Oct 7-Nov 16.3 15.0 10.0 5.0 0.0 7-Jan 7-May 7-Jun 7-Jul 7-Aug 7-Sep Avg Cigs/Day ASHLine Annual Report, FY 2013 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Insurance Table 18. Insurance Status of ASHLine Enrollees Insurance Enrolled AHCCCS 2,043 None 5,093 Other 7,006 Total 14,142 Figure 15. Insurance Status of ASHLine Enrollees Insurance Status of ASHLine Enrollees Other 50% AHCCCS 14% None 36% Page 21 of 31 ASHLine Annual Report, FY 2013 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Table 19. AHCCCS Insurance Plans AHCCCS Insurance Enrolled Mercy Care Plan 618 Health Choice Arizona 343 Care1st Health Plan Arizona, Inc. Evercare Select Bridgeway - Acute & LTC Yavapai Co LTC University Family Care (UFC) 77 7 57 2 111 SCAN-LTC (Senior Care Action Network - Long Term Care) 9 Pinal/Gila 1 Pima Health System 3 Phoenix Health Plan-010299 (PHP) Maricopa Health Plan AZ Physicians-IPA (APIPA) No Answer Total Page 22 of 31 307 70 447 956 3,008 ASHLine Annual Report, FY 2013 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Figure 16. AHCCCS Insurance Plans Mercy Care Plan 30% Health Choice Arizona 17% AZ Physicians-IPA (APIPA) 22% Care1st Health Plan Arizona, Inc. 4% Maricopa Health Plan 3% Phoenix Health Plan-010299 (PHP) 15% SCAN-LTC (Senior Care Action Network - Long Term Care) 1% University Family Care (UFC) 5% Bridgeway Acute & LTC 3% Evercare Select, Pima/Gila, Pima Health System, Yavapai Co LTC = 0% Page 23 of 31 ASHLine Annual Report, FY 2013 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Coaching Table 20. Clients reached for coaching Count At Least 1 Coaching Call Unable to Reach Total 11,346 Figure 17. Clients reached for coaching Percent Reached for Coaching 82.3% 2,434 17.7% 13,780 100.0% Unable to Reach 18% At Least 1 Coaching Call 82% ASHLine Annual Report, FY 2013 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Medication Table 21. Clients who used medications during quit 3.9 Count Figure 18. Clients who used medication during quit Percent Used Medications 4,915 51.8% Did not use Medications 4,568 48.2% Total 9,483 100.0% Medication Use Did not use Medications 57% Used Medications 52% ASHLine Annual Report, FY 2013 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Figure 19. 7-Month Quit Rates for ASHLine Enrollees, Clients Enrolled in January 2012 7 Month Quit Rates for ASHLine Enrollees 40% 33% 30% % Quit 27% 30% 20% 10% 0% Abstinent Page 26 of 31 7 Day Point Prevalence ASHLine Annual Report, FY 2013 30 Day Point Prevalence ashline.org July 25, 2013 The Arizona Smokers’ Helpline Figure 20. Quit Rate Comparison between January 2013 and FY 2013 (intake dates) Quit Rate Comparison Between January 2013 and FY 2012 (7 and 13 Month) 40% 30% 27% 31% 33% 29% 34% 33% 30% 32% 32% 20% 10% 0% Abstinent 7 Day Point Prevalence Current Month Page 27 of 31 FY2012 7 Month 30 Day Point Prevalence FY2012 13 Month ASHLine Annual Report, FY 2013 ashline.org The Arizona Smokers’ Helpline July 25, 2013 Seven-Month Post-Enrollment Survey Table 22. Enrolled in free quit tobacco medication program Q10 No Count 664 Yes 2,988 Total 3,652 Figure 21. Enrolled in ASHLine quit tobaccoo medication program Enrolled in ASHLine Quit Tobacco Medication Program No 18% Yes 82% Page 28 of 31 ASHLine Annual Report, FY 2013 ashline.org The Arizona Smokers’ Helpline July 25, 2013 Table 23. Received quit tobacco medication Q13 No Figure 22. Received quit tobacco medication Count Recieved Quit Tobacco Medication 111 Yes 2,659 Total 2,770 Yes 96% No 4% Page 29 of 31 ASHLine Annual Report, FY 2013 ashline.org July 25, 2013 The Arizona Smokers’ Helpline Table 24. Offer of coaching important in decision to quit Q32 Very Important Count 408 Unimportant 122 Total How Important was the offer of coaching in your decision to quit? 1,476 Moderately Important Don't know Figure 23. Offer of coaching important in decision to quit 0 1,600 2,006 1,400 1,476 1,200 1,000 800 600 408 400 122 200 0 0 Very Important ASHLine Annual Report, FY 2013 Moderately Important Unimportant Don't know ashline.org July 25, 2013 The Arizona Smokers’ Helpline Table 25. Coaching was helpful in efforts to quit Q33 Count Very Helpful 2,412 Somewhat Helpful 1,176 Not Helpful 429 I didn't receive any coaching 474 I don't know Total Figure 24. Coaching was helpful in efforts to quit 66 4,557 How helpful was coaching in your efforts to quit? 3,000 2,500 2,412 2,000 1,500 1,176 1,000 429 500 474 66 0 Very Helpful Somewhat Not Helpful I didn't I don't know Helpful receive any coaching Page 31 of 31 ASHLine Annual Report, FY 2013 ashline.org