Tobacco use among low-income housing residents: does hardship motivate quit attempts?

Tucker-Seeley, Reginald; Selk, Sabrina; Adams, Inez; Allen, Jennifer D.; Sorensen, Glorian

doi:10.1007/s10552-015-0662-9

Cited by 5 publications

(4 citation statements)

References 29 publications

(30 reference statements)

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“…Among a sample of urban transit workers, most current smokers (55%) made one or more quit attempts in the past year. This percentage is similar to those reported in studies of blue-collar workers (Barbeau et al, 2005;Okechukwu, Krieger, Sorensen, Li, & Barbeau, 2009), low-income housing residents (Tucker-Seeley, Selk, Adams, Allen, & Sorensen, 2015), nondaily smokers who participated in the 2009-2010 National Adult Tobacco Survey (Schauer, Malarcher, & Berg, 2014), and employed US adults (Yong, Luckhaupt, Li, & Calvert, 2014). While about 20% reported using NRT, few workers used other cessation pharmacotherapy (e.g., varenicline).…”

Section: Discussionsupporting

confidence: 81%

Factors Associated with Cessation Activities amongst a Multiethnic Sample of Transit Workers

2016

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Introduction: Transit workers are a blue-collar occupational group with elevated rates of smoking despite access to free or low-cost cessation services available through their health insurance as a union-negotiated employee benefit. Little is known about the influences on cessation participation in this workforce.Aims: The purpose of this study is to analyse the factors associated with past-year cessation activities amongst a multiethnic sample of transit workers.Methods: Cross-sectional tobacco surveys were completed by 935 workers at an Oakland, California, USA-based public transit agency. Data from 190 current smokers (68% African American; 46% female) were analysed. Adjusted odds ratios were calculated to identify factors associated with past-year cessation activity.Results: Approximately 55% of smokers stopped smoking for one day or longer during the past year in order to quit. Nearly half reported that the most common barrier to quitting was, ‘Not mentally ready to quit because I like smoking’. Workers in the contemplation/precontemplation stage for intention to quit were less likely to have engaged in cessation activities than those in the action/preparation stage (AOR = 0.34). Frequency of coworker encouragement for quitting was positively associated with past-year cessation activities (AOR = 3.25). Frequency of insomnia symptoms was negatively associated with cessation activity participation (AOR = 0.34).Conclusions: Most transit workers who smoke made a past-year quit attempt. Gaining insight into factors associated with participation in cessation activities can aid worksite efforts to promote cessation and reduce tobacco-related disparities.

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Section: Discussionsupporting

confidence: 81%

Factors Associated with Cessation Activities amongst a Multiethnic Sample of Transit Workers

2016

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“…To the best of our knowledge, this is the first study to identify the association between tobacco- use and financial hardship among older individuals. One longitudinal study among older adults found that those with financial hardship had greater odds of subsequent smoking,(Shaw et al, 2011) presumably due to stress (Tucker-Seeley et al, 2015; Siahpush et al, 2009; Caleyachetty et al, 2012; Kendzor et al, 2010; Siahpush and Carlin, 2006; Costa and McCrae, 1981). While financial hardship may lead to smoking-related coping behaviors, it is also plausible that smokers who are unable to quit face greater financial hardships.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in the association between modifiable risk factors and financial hardship among middle-aged and older adults

Marshall

Bryson

Ronstant

et al. 2019

Preventive Medicine Reports

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Objective To identify associations between modifiable risk factors (cigarette smoking, alcohol consumption, and obesity) and financial hardship (difficulty paying bills, food insecurity and medication need) among middle-aged and older Americans in a nationally representative sample. Methods This was a cross-sectional study of 8212 persons age 50 years and older who completed the core 2010 Health and Retirement Study survey and the psychosocial questionnaire. We ran separate multinomial logistic regressions to assess the association of three modifiable risk factors and three different financial hardship indicators. Results Adjusting for all covariates, compared to men of normal weight, men who were obese had a 1.4 greater odds of difficulty paying their bills (95% CI: 1.08–1.76); former smokers had a 1.8 greater odds of being food insecure (95% CI: 1.05–2.95); current smokers were twice as likely to be food insecure (95% CI: 1.21–3.73); Compared to women who never smoked, current smokers had a 1.5 greater odds of having difficulty paying their bills (95% CI: 1.11–2.02); current smokers had a 1.8 greater odds of being food insecure (95% CI: 1.13–2.91); and women who were obese had a 1.5 greater odds of reducing medication due to cost (95% CI: 1.11, 2.02). Conclusion Our findings contribute to the literature on health behaviors and financial hardship by highlighting the cyclical nature between different indicators of socioeconomic status, modifiable risk factors, and poor health outcomes among middle-aged and older adults. Furthermore, findings highlight how modifiable risk factors may culminate in financial hardship in later life.

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“…These results are consistent with prior studies finding no significant relationships between financial stress and motivations to quit in low-income populations. 4,5 The only measure that was significantly associated with motivation to quit was the tobacco-related behavioral financial hardship measure (SID). However, unexpectedly, smokers with recent SID had lower motivation to quit than those without recent SID.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have seen no significant associations between financial distress and motivation to quit or other indicators of motivation such as quit attempts. 4,5 On the other hand, some research has reported higher motivation in people with higher financial distress through both direct measures of motivation and indirect measures such as use of quitlines and quit attempts. [6][7][8][9] For example, Wilson et al found that in New Zealand, national quitline usage was higher among people with financial stress.…”

Section: Introductionmentioning

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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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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Tobacco use among low-income housing residents: does hardship motivate quit attempts?

Cited by 5 publications

References 29 publications

Factors Associated with Cessation Activities amongst a Multiethnic Sample of Transit Workers

Factors Associated with Cessation Activities amongst a Multiethnic Sample of Transit Workers

Gender differences in the association between modifiable risk factors and financial hardship among middle-aged and older adults

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

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