Are Changes in Financial Strain Associated With Changes in Alcohol Use and Smoking Among Older Adults?

Shaw, Benjamin A.; Agahi, Neda; Krause, Neal

doi:10.15288/jsad.2011.72.917

Cited by 90 publications

(81 citation statements)

References 33 publications

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“…Although this study highlights the correlations between poverty and beliefs about smoking and quitting, it does not shed light on whether poverty itself is a risk factor for particular tobacco beliefs or merely a marker for other risks. For example, poverty is a marker for fi nancial strain, and there is a direct association between changes in level of fi nancial strain and probability of smoking (Shaw et al, 2011). Further, within a predominantly lower socioeconomic sample of smokers, baseline fi nancial strain predicted lower rates of abstinence for participants in smoking-cessation treatment (Kendzor et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Barriers to Effective Tobacco-Dependence Treatment for the Very Poor

Christiansen

Reeder²,

Hill

et al. 2012

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: People who live in poverty have a high prevalence of smoking, are less likely to engage in evidence-based treatment, and fi nd it harder to quit. Their beliefs about smoking and quitting can serve as barriers to quitting. Little is known about the smoking and quitting beliefs of the very poor (about U.S. $15,000 or less annual family income) because they tend not to be included in research. This study sought to assess beliefs about smoking and quitting by the very poor in relation to past quitting behavior and intention to quit in the future. Method: A survey was administered in person to residents in randomly selected addresses in two very impoverished Milwaukee, WI, ZIP codes during the day to ensure the inclusion of the very poor. Results: Six hundred fi fty-four people completed the survey, a response rate of 78.3%. Sixty-eight percent reported annual household incomes of less than $15,000 compared with 30.8% in the community as a whole and 13.0% of households nationally. Self-reported smoking prevalence was 42.1%. Specifi c beliefs about smoking and quitting were related to past quit attempts and intentions to quit in the future. Both race and income predicted beliefs and quitting-related variables independently and jointly. Conclusions: Continued tobacco-control progress requires addressing specifi c populations with known high tobacco use. One of these populations is those with low income. Efforts to engage them in treatment will have to address specifi c beliefs about smoking and quitting. (J. Stud. Alcohol Drugs, 73, 874-884, 2012) , 1964). Since then, tobacco use has become a class phenomenon with people living in poverty far more likely to smoke than others (Datta et al., 2006). In 2010, only 18.3% of adults with annual incomes at or above the poverty level were current smokers compared with 28.9% of adults below the poverty level (Centers for Disease Control and Prevention, 2011). Not surprisingly, this tobacco-use disparity contributes to the well-documented health disparity gap between income groups via tobacco-related diseases (Fagan et al., 2007;Fiscella and Williams, 2004;Jha et al., 2006;Vidrine et al., 2009). These class-based smoking disparities and their health consequences highlight the importance of bringing evidence-based tobacco-cessation treatments to those living in poverty.Poverty is not only related to smoking prevalence and related health risks but also to a reduced likelihood of smoking cessation and receipt of cessation treatment (Browning et al., 2008;Chase et al., 2007). Smokers facing educational and economic challenges are less likely to try to quit than are other smokers and are less successful when they do try (Gilman et al., 2003(Gilman et al., , 2008Giskes et al, 2006;Hiscock et al., 2011Hiscock et al., , 2012Levy et al., 2005;Sheffer et al., 2012). A lack of cessation success might refl ect, in part, a failure to use evidence-based treatment during a quit attempt. Cummings and Hyland (2005) found that when smokers living in poverty tried to qui...

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Section: Discussionmentioning

confidence: 99%

Barriers to Effective Tobacco-Dependence Treatment for the Very Poor

Christiansen

Reeder²,

Hill

et al. 2012

J. Stud. Alcohol Drugs

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“…Stable employment has been linked with moving from smoking into non-smoking, although the same study found no association of changes in individual or household income with changes in smoking behaviour 17. Increasing exposure to financial strain (a similar measure to deprivation) has been demonstrated to be associated with a higher likelihood of smoking, particularly among the young–old generation (65–74 years old) 20. But overall evidence on the association between changes in employment status, income and deprivation on changes in smoking seems to be scarce.…”

Section: Introductionmentioning

confidence: 97%

Do changes in income, deprivation, labour force status and family status influence smoking behaviour over the short run? Panel study of 15 000 adults

et al. 2013

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Worsening social circumstances over the short run are generally associated with higher smoking risk. However, there were counter examples: for instance, decreasing personal income among young people was associated with decreased odds of smoking, a finding consistent with income elasticity of demand (the less one's income, the less one can consume). This paper suggests that improving social circumstances is not always pro-health over the short run; a more nuanced approach to the social determinants of health is required.

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“…Financial strain also places older adults, especially older women, at higher risk for heavy drinking. 16 What is different about alcohol use in older adults compared with younger adults? Agingrelated biological and physiologic changes affect alcohol absorption, metabolism, and elimination.…”

Section: Etiology and Risk Factorsmentioning

confidence: 99%

Geriatric Alcohol Use Disorder

Bommersbach

Lapid

Rummans

et al. 2015

Mayo Clinic Proceedings

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Alcohol use disorder in the geriatric population is a growing public health problem that is likely to continue to increase as the baby boomer generation ages. Primary care providers play a critical role in the recognition and management of these disorders. This concise review will focus on the prevalence, risk factors, screening, and clinical management of geriatric alcohol use disorder from a primary care perspective.

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Are Changes in Financial Strain Associated With Changes in Alcohol Use and Smoking Among Older Adults?

Cited by 90 publications

References 33 publications

Barriers to Effective Tobacco-Dependence Treatment for the Very Poor

Barriers to Effective Tobacco-Dependence Treatment for the Very Poor

Do changes in income, deprivation, labour force status and family status influence smoking behaviour over the short run? Panel study of 15 000 adults

Geriatric Alcohol Use Disorder

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