Financial strain and cognitive-based smoking processes: The explanatory role of depressive symptoms among adult daily smokers

Robles, Zuzuky; Anjum, Sahar; Garey, Lorra; Kauffman, Brooke Y.; Rodríguez‐Cano, Rubén; Langdon, Kirsten J.; Neighbors, Clayton; Reitzel, Lorraine R.; Zvolensky, Michael J.

doi:10.1016/j.addbeh.2017.01.034

Cited by 9 publications

(5 citation statements)

References 34 publications

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“…10 Additionally, psychosocial and behavioral financial hardship have been shown to be associated with barriers to quitting not measured in this study, including depression. 20,21 It is possible that people with high levels of psychosocial, material or behavioral hardship in this study were experiencing barriers to quitting that overwhelmed any finance-related motivations to quit or they were using of cigarettes to cope with psychosocial stressors. This may explain both the lack of relationships between most of the study’s financial hardship measures and motivation to quit, as well as explain participants’ plans to spend their tobacco money on mood-enhancing items or activities after quitting in order to replace tobacco as a stress reducer.…”

Section: Discussionmentioning

confidence: 99%

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Financial Hardship, Motivation to Quit and Post-Quit Spending Plans among Low-Income Smokers Enrolled in a Smoking Cessation Trial

et al. 2019

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Background: Tobacco spending may exacerbate financial hardship in low-income populations by using funds that could go toward essentials. This study examined post-quit spending plans among low-income smokers and whether financial hardship was positively associated with motivation to quit in the sample. Methods: We analyzed data from the baseline survey of a randomized controlled trial testing novel a smoking cessation intervention for low-income smokers in New York City ( N = 410). Linear regression was used to examine the relationship between financial distress, food insecurity, smoking-induced deprivation (SID) and motivation to quit (measured on a 0-10 scale). We performed summative content analyses of open-ended survey questions to identify the most common plans among participants with and without SID for how to use their tobacco money after quitting. Results: Participants had an average level of motivation to quit of 7.7 ( SD = 2.5). Motivation to quit was not significantly related to having high financial distress or food insecurity ( P > .05), but participants reporting SID had significantly lower levels of motivation to quit than those without SID ( M = 7.4 versus 7.9, P = .04). Overall, participants expressed an interest in three main types of spending for after they quit: Purchases, Activities, and Savings/Investing, which could be further conceptualized as spending on Oneself or Family, and on Needs or Rewards. The top three spending plans among participants with and without SID were travel, clothing and savings. There were three needs-based spending plans unique to a small number of participants with SID: housing, health care and education. Conclusions: Financial distress and food insecurity did not enhance overall motivation to quit, while smokers with SID were less motivated to quit. Most low-income smokers, including those with SID, did not plan to use their tobacco money on household essentials after quitting.

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Section: Discussionmentioning

confidence: 99%

“…This may explain both the lack of relationships between most of the study's financial hardship measures and motivation to quit, as well as explain participants' plans to spend their tobacco money on mood-enhancing items or activities after quitting in order to replace tobacco as a stress reducer. 21…”

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confidence: 99%

Financial Hardship, Motivation to Quit and Post-Quit Spending Plans among Low-Income Smokers Enrolled in a Smoking Cessation Trial

et al. 2019

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“…Studies have previously shown stress is correlated with higher tobacco consumption (De Vogli & Santinello, 2005; Islam & Walton, 2019). Consistent with it, many men in the chars report using smoking as a mechanism to cope with the daily stress and anxiety (Fidler & West, 2009; Robles et al., 2017). Stress and uncertainty are recurring themes for many char ‐dwellers.…”

Section: Context: Study Sitementioning

confidence: 93%

Healthy, nudged, and wise: Experimental evidence on the role of information salience in reducing tobacco intake

Fakir

Bharati

2022

Health Economics

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“…Financial strain—defined as a perceived inability to meet financial needs and obligations—is one distinct subjective measure of SES that is proposed to potentially overlap with objective SES indicators (Szanton et al, 2008) and that has been found to be a strong and consistent predictor of tobacco use, dependence, and smoking cessation, particularly among those who are significantly socioeconomically disadvantaged. Increased financial strain is associated with current smoking status, greater cigarette consumption on a daily basis, and maladaptive smoking-specific cognitive beliefs (Kendzor et al, 2010; Reitzel et al, 2015; Robles et al, 2017; Siahpush & Carlin, 2006). Notably, relations between financial strain and smoking may be cyclical in nature, such that smoking may temporarily alleviate stress associated with financial strain, while simultaneously increasing financial burden in the long term, as funds are diverted toward the high cost of tobacco products (Kalkhoran et al, 2018; Kendzor et al, 2018; Waters et al, 2019).…”

mentioning

confidence: 99%

“…Prior work investigating reasons for why smokers with greater financial strain are less successful at quitting smoking suggest that smokers with high financial strain may have reduced access to high-quality health care and medical treatments (Kendzor et al, 2012), smoking cessation resources (Honjo et al, 2006), and social support (Kendzor et al, 2010; Garey et al, 2017), or experience greater economic stress due to residing in a household with other smokers (Siahpush et al, 2003). Additionally, studies focusing on associations of financial strain with individual-level psychological factors have shown that smokers with high financial strain may experience greater anger, sleep disturbance, and depressive mood states in response to financial stress (Hobfoll et al, 2003; Robles et al, 2017). Another potential reason for poorer cessation success that has been scarcely explored in previous work may center on the experience of tobacco withdrawal and perceived interference and tolerability of withdrawal symptoms.…”

mentioning

confidence: 99%

Interactive effects of financial strain and distress tolerance on prequit tobacco withdrawal symptoms in smokers preparing to initiate a quit attempt.

Bello¹,

Pang²,

Colby³

et al. 2023

Experimental and Clinical Psychopharmacology

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Smokers experiencing greater financial strain are less likely to successfully quit smoking, possibly due to greater severity of tobacco withdrawal. However, limited research has explored whether individual-level psychological factors (i.e., distress tolerance) may buffer the deleterious effects of financial strain on withdrawal. This study examined the main and interactive effects of financial strain and distress tolerance on tobacco withdrawal experienced prior to quitting smoking among smokers preparing to initiate a quit attempt. Fifty-nine adult smokers completed a baseline session including a financial strain measure and subjective and behavioral assessments of distress tolerance. Participants were then instructed to initiate a quit attempt, without any behavioral or pharmacological assistance, 14 days following baseline. Prequit tobacco withdrawal symptoms were assessed once per day for 3 days prior to quit date. Linear regression models tested main and interactive effects between financial strain and distress tolerance on experiences and perceptions of prequit withdrawal. Findings demonstrated significant interactions between financial strain, distress tolerance, and perceptions of tolerating withdrawal. Negative associations found between higher distress tolerance and lower perceptions of tobacco withdrawal and negative mood as being "intolerable" prior to quitting were stronger for those experiencing greater levels of financial strain. Financial strain may negatively impact one's perceived ability to tolerate mood-and tobacco-related withdrawal prior to quitting. Yet, higher distress tolerance may buffer the effects of financial strain on smoking cessation processes. Psychosocial interventions designed to promote tolerance of distress from both internal and external stressors may benefit cessation efforts among smokers experiencing high financial strain. Public Health SignificanceThis study investigated intersections of financial strain, distress tolerance, and tobacco withdrawal experienced prior to quitting in smokers preparing to initiate a quit attempt without any assistance. Findings demonstrated that associations of higher distress tolerance with lower perceptions of prequit tobacco withdrawal as being "intolerable" were stronger for those experiencing higher financial strain. Behavioral interventions bolstering tolerance of distress among smokers with high financial strain may foster successful smoking cessation.

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Financial strain and cognitive-based smoking processes: The explanatory role of depressive symptoms among adult daily smokers

Cited by 9 publications

References 34 publications

Financial Hardship, Motivation to Quit and Post-Quit Spending Plans among Low-Income Smokers Enrolled in a Smoking Cessation Trial

Financial Hardship, Motivation to Quit and Post-Quit Spending Plans among Low-Income Smokers Enrolled in a Smoking Cessation Trial

Healthy, nudged, and wise: Experimental evidence on the role of information salience in reducing tobacco intake

Interactive effects of financial strain and distress tolerance on prequit tobacco withdrawal symptoms in smokers preparing to initiate a quit attempt.

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