The relationship of smoking cessation to sociodemographic characteristics, smoking intensity, and tobacco control policies

Levy, David T.; Romano, Eduardo; Mumford, Elizabeth A.

doi:10.1080/14622200500125443

Cited by 109 publications

(79 citation statements)

References 24 publications

(29 reference statements)

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“…The finding that smoking a higher number of cigarettes per day is associated with increased cessation success corroborates findings in the USA. 15 However, the latter findings differ from other reports which suggest that lighter smokers have higher cessation success compared with heavier smokers. Nevertheless, it is conceivable that heavier smokers may be more motivated to quit, as they are more likely to have experienced smoking-related adverse health conditions, whereas light smokers might feel less motivation to quit because of a perceived lower personal risk.…”

contrasting

confidence: 63%

Factors associated with smoking cessation in South Africa

Ayo‐Yusuf

Szymanski

2010

S Afr Med J

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contrasting

confidence: 63%

Factors associated with smoking cessation in South Africa

Ayo‐Yusuf

Szymanski

2010

S Afr Med J

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“…58 Such resources could include tobacco-dependence treatments for pregnant women including behavioral counseling and pharmaceutical interventions. Finally, other structural factors associated with segregation may play a role in health behaviors including the implementation of tobacco control regulations, [64][65][66][67][68] targeted marketing of tobacco products, 29,51,[69][70][71] the presence of urban environmental stressors, 72,73 and community cohesion. 66,73,74 An important result in this study is our finding that the association between segregation and smoking was not linear as others have assumed.…”

Section: Discussionmentioning

confidence: 99%

Associations Between Residential Segregation and Smoking During Pregnancy Among Urban African-American Women

et al. 2007

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Approximately 10% of African-American women smoke during pregnancy compared to 16% of White women. While relatively low, the prevalence of smoking during pregnancy among African-American women exceeds the Healthy People 2010 goal of 1%. In the current study, we address gaps in extant research by focusing on associations between racial/ethnic residential segregation and smoking during pregnancy among urban African-American women. We linked measures of segregation to birth certificates and data from the 2000 census in a sample of US-born AfricanAmerican women (n=403,842) living in 216 large US Metropolitan Statistical Areas (MSAs). Logistic regression models with standard errors adjusted for multiple individual observations within MSAs were used to examine associations between segregation and smoking during pregnancy and to control for important sociodemographic confounders. In all models, a u-shaped relationship was observed. Both low segregation and high segregation were associated with higher odds of smoking during pregnancy when compared to moderate segregation. We speculate that low segregation reflects a contagion process, whereby salutary minority group norms are weakened by exposure to the more harmful behavioral norms of the majority population. High segregation may reflect structural attributes associated with smoking such as less stringent tobacco control policies, exposure to urban stressors, targeted marketing of tobacco products, or limited access to treatment for tobacco dependence. A better understanding of both deleterious and protective contextual influences on smoking during pregnancy could help to inform interventions designed to meet Healthy People 2010 target goals.

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“…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.…”

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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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The relationship of smoking cessation to sociodemographic characteristics, smoking intensity, and tobacco control policies

Cited by 109 publications

References 24 publications

Factors associated with smoking cessation in South Africa

Factors associated with smoking cessation in South Africa

Associations Between Residential Segregation and Smoking During Pregnancy Among Urban African-American Women

Barriers to Effective Tobacco-Dependence Treatment for the Very Poor

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