A Proactive Smoking Cessation Intervention for Socioeconomically Disadvantaged Smokers: The Role of Smoking-Related Stigma

Hammett, Patrick J.; Fu, Steven S.; Nelson, David B.; Clothier, Barbara; Saul, Jessie E.; Widome, Rachel; Danan, Elisheva; Burgess, Diana J.

doi:10.1093/ntr/ntx085

Cited by 27 publications

(23 citation statements)

References 34 publications

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“…In a recent intervention trial, low income smokers who reported higher levels of baseline stigma were less likely to engage in a smoking cessation intervention. 31 Stigma has been associated with misreporting of smoking status to health care providers, particularly in hospitalized smokers and those with chronic medical conditions. 30,32 These findings highlight the importance of gaining a greater understanding of the role of stigma as a barrier for smoking cessation including a focus on tailoring cessation interventions to optimize engagement and cessation outcomes.…”

Section: An Intrapersonal (Individual) Perspective To Addressing Lungmentioning

confidence: 99%

Multilevel Opportunities to Address Lung Cancer Stigma across the Cancer Control Continuum

Hamann

Hoeve

Carter‐Harris

et al. 2018

Journal of Thoracic Oncology

121

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The public health imperative to reduce the burden of lung cancer has seen unprecedented progress in recent years. Fully realizing the advances in lung cancer treatment and control requires attention to potential barriers in their momentum and implementation. In this analysis, we present and evaluate the argument that stigma is a highly significant barrier to fulfilling the clinical promise of advanced care and reduced lung cancer burden. This evaluation of the stigma of lung cancer is based on a multilevel perspective that incorporates the individual, persons in the individual's immediate environment, the health care system, and the larger societal structure that shapes perceptions and decisions. We also consider current interventions and interventional needs within and across aspects of the lung cancer continuum, including prevention, screening, diagnosis, treatment, and survivorship. Current evidence suggests that stigma detrimentally affects psychosocial, communication, and behavioral outcomes over the entire lung cancer control continuum and across multiple levels. Interventional efforts to alleviate stigma in the context of lung cancer show promise, yet more work is needed to evaluate their impact. Understanding and addressing the multilevel role of stigma is a crucial area for future study to realize the full benefits offered by lung cancer prevention, control, and treatment. Coordinated, interdisciplinary, and well-conceptualized efforts have the potential to reduce the barrier of stigma in the context of lung cancer and facilitate demonstrable improvements in clinical care and quality of life.

show abstract

Section: An Intrapersonal (Individual) Perspective To Addressing Lungmentioning

confidence: 99%

Multilevel Opportunities to Address Lung Cancer Stigma across the Cancer Control Continuum

Hamann

Hoeve

Carter‐Harris

et al. 2018

Journal of Thoracic Oncology

121

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show abstract

“…43 On the other hand, higher-SES individuals who continue to smoke despite lower levels of nicotine dependence, high social and environmental pressures to quit, and many available quit resources may be resistant to additional outreach. Additionally, recent work by Hammett and colleagues 59 confirmed that low-SES smokers often experience lower levels of perceived smoking-related stigma, or the social unacceptability of smoking. Low-SES smokers with a lower level of perceived smoking-related stigma at baseline reported higher abstinence rates at 1-year in response to a proactive outreach intervention than those with higher baseline levels of smoking-related stigma.…”

Section: Discussionmentioning

confidence: 95%

“…Future trials of outreach to smokers, which are increasingly relying on mobile health technology, 61,62 interactive voice response, 57 and text messaging, 61,63À65 should evaluate how those technologies address the needs of smokers at all SES levels. 59…”

Section: Discussionmentioning

confidence: 99%

The Equity Impact of Proactive Outreach to Smokers: Analysis of a Randomized Trial

Danan

Clothier

et al. 2018

American Journal of Preventive Medicine

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“…In relation to social norms, research in the general population has shown that social stigma, or the perception of being discriminated against, influences smoking and quitting behavior (Hammett et al, 2017;O'Connor, Rees, Rivard, Hatsukami, & Cummings, 2017;Stuber, Galea, & Link, 2008). Among smokers with mental illness, greater levels of self-stigma regarding smoking were associated with greater readiness to quit (Brown-Johnson et al, 2015), but we are not aware of research that has evaluated perceptions of smoking-related stigma among young adult smokers with SMI.…”

mentioning

confidence: 91%

Attitudes about smoking cessation treatment, intention to quit, and cessation treatment utilization among young adult smokers with severe mental illnesses

Brunette

Ferron

Aschbrenner

et al. 2019

Addictive Behaviors

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Significance: Young adults with schizophrenia, bipolar disorder and other severe mental illnesses (SMI) have high rates of smoking, but little research has evaluated predictors of cessation activity and treatment utilization in this group. Methods: We assessed attitudes, beliefs, social norms, perceived behavioral control, intention, quit attempts, treatment utilization, and cessation among 58 smokers with SMI, age 18-30, enrolled in a randomized pilot study comparing a brief interactive/motivational vs. a static/ educational computerized intervention. Subjects were assessed at baseline, post intervention, and 3-month follow-up. Results: Over follow-up, one-third of participants self-reported quit attempts. Baseline measures indicating lower breath CO, greater intention to quit, higher perceptions of stigma, psychological benefits of smoking, and symptom distress were associated with quit attempts, whereas gender, diagnosis, social support, attitudes about smoking, and use of cessation treatment were not. In the multivariate analysis, lower breath CO, higher intention to quit and symptom distress were significantly related to quit attempts. Only 5% of participants utilized verified cessation treatment during followup. Consistent with the Theory of Planned Behavior, attitudes, social norms and perceived behavioral control regarding cessation treatments correlated significantly with intention to use treatment. Norms and beliefs about treatment were somewhat positive and some improved after intervention, with a pattern

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A Proactive Smoking Cessation Intervention for Socioeconomically Disadvantaged Smokers: The Role of Smoking-Related Stigma

Cited by 27 publications

References 34 publications

Multilevel Opportunities to Address Lung Cancer Stigma across the Cancer Control Continuum

Multilevel Opportunities to Address Lung Cancer Stigma across the Cancer Control Continuum

The Equity Impact of Proactive Outreach to Smokers: Analysis of a Randomized Trial

Attitudes about smoking cessation treatment, intention to quit, and cessation treatment utilization among young adult smokers with severe mental illnesses

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