Motives to quit smoking and reasons to relapse differ by socioeconomic status

Pisinger, Charlotta; Aadahl, Mette; Toft, Ulla; Jørgensen, Torben

doi:10.1016/j.ypmed.2010.10.007

Cited by 71 publications

(68 citation statements)

References 21 publications

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“…African Americans, therefore, might benefi t especially from an intervention that stressed that evidencebased treatments such as counseling could actually increase "willpower" (or determination to succeed, self-effi cacy). Similarly, very poor smokers might respond to illustrations that make the economic costs of smoking more salient (Pisinger et al, 2011). In addition to the substantive signifi cance of the fi ndings, this research supported the survey strategy used to identify and assess very poor persons.…”

Section: Discussionsupporting

confidence: 58%

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: Discussionsupporting

confidence: 58%

Barriers to Effective Tobacco-Dependence Treatment for the Very Poor

Christiansen

Reeder²,

Hill

et al. 2012

J. Stud. Alcohol Drugs

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“…Smoking behavior differs substantially between lower and higher socioeconomic status (SES) groups, with smoking being more prevalent and persistent among lower-SES groups (e.g., F ernandez et al, 2006;Pisinger et al, 2011;Reid et al, 2010;Wetter et al, 2005). In the Netherlands in 2014, 29% of lower-educated people smoked, compared to 17% of those with higher-education (Statistics Netherlands, 2016a).…”

Section: Introductionmentioning

confidence: 99%

“…In the Netherlands in 2014, 29% of lower-educated people smoked, compared to 17% of those with higher-education (Statistics Netherlands, 2016a). Moreover, social support for quitting is less available to lower than higher-SES smokers (Pisinger et al, 2011;Sorensen et al, 2002). Meanwhile, receiving social support for quitting is associated with stronger quit-intentions and self-efficacy, adaptive coping and quit-success (e.g., Hooper et al, 2013;Rayens et al, 2011;Rice et al, 1996;Sorensen et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

Socio-economic status in relation to smoking: The role of (expected and desired) social support and quitter identity

Meijer

Gebhardt

Laar

et al. 2016

Social Science & Medicine

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“…[1][2][3] Quitting tobacco is a difficult task with multiple barriers, including weight gain, craving for smoking, loss of the pleasure associated with smoking, stress and depression after quitting, and temptations from being around smokers. 4,5 It is a process that usually is effective when interventions are tailored to individuals' specific stages and efforts are repeated for reinforcing treatment effects. Individuals in different stages might require different types of support and might return from advanced stages to earlier stages during the process.…”

mentioning

confidence: 99%

Quitting Patterns and Predictors of Success Among Participants in a Tobacco Cessation Program Provided by Pharmacists in New Mexico

Shen

Bachyrycz²,

Anderson³

et al. 2014

JMCP

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OBJECTIVES: To (a) obtain point prevalence quit rates at 1 month, 3 months, and 6 months follow-up for participants enrolled in the NMPCF program; (b) differentiate between the quitting patterns of enrolled participants; and (c) identify predictors associated with the quitting patterns.METHODS: Seven-year data were combined for the pattern analysis. Four quitting patterns were defined, including immediate quitters, delayed quitters, once quitters, and never quitters. Multinomial logistic regression was used to identify characteristics of participants with different quitting patterns.RESULTS: The analysis included 1,437 participants. The average point prevalence quit rate at 1 month, 3 months, and 6 months was 29.3%, 23.3%, and 18.0%, respectively. Based on our definition for quitting patterns, the study sample consisted of 145 (10.1%) immediate quitters, 113 (7.9%) delayed quitters, 298 (20.7%) once quitters, and 881 (61.3%) never quitters. Multinomial logistic regression identified associations between quitting patterns and demographics, tobacco use and restrictions, baseline confidence in successful quitting, and pharmacotherapy aids used to quit. Relationships varied between quitting patterns. CONCLUSIONS: The study findings showed that having community pharmacists provide smoking cessation interventions resulted in quitting success rates similar to other health care professionals, which ranged from 9.9% to 26.0%. Since pharmacists are a widely available resource for their patients, managed care organizations may be able to improve the health, and avoid subsequent tobacco-related adverse health outcomes, of their members by implementing a program similar to the NMPCF Tobacco Cessation Program.

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Motives to quit smoking and reasons to relapse differ by socioeconomic status

Cited by 71 publications

References 21 publications

Barriers to Effective Tobacco-Dependence Treatment for the Very Poor

Barriers to Effective Tobacco-Dependence Treatment for the Very Poor

Socio-economic status in relation to smoking: The role of (expected and desired) social support and quitter identity

Quitting Patterns and Predictors of Success Among Participants in a Tobacco Cessation Program Provided by Pharmacists in New Mexico

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