Abstract
This study assessed low socioeconomic adults' perceptions of lung cancer and smoking utilizing the Health Belief Model. A random sample of 500 Ohio residents, with an annual household income of less than $18,000, responded to a 45-item telephone survey. Thirty-six percent of respondents were aware of the prevalence of lung cancer. The majority were aware that sidestream smoke and air pollution are lung cancer risk factors (72% and 79% respectively). Forty-one percent believed there was nothing people could do to decrease their risk of developing lung cancer. Thirteen percent perceived themselves as more susceptible to lung cancer than others of their same age and sex though one in five believed that low SES people were more likely to develop lung cancer than higher SES people. Twenty-five percent believed that almost everyone who develops lung cancer dies of it within five years of diagnosis. Benefits of quitting were identified as saving money (95%), feeling healthier (90%), living longer (80%), and eliminating hassles with smoking in pullic (79%). The most common barriers of quitting smoking were addiction (86%), habit (82%), and having friends who smoke (66%).
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Botvin. G., Goldberg, C., Botvin, E., & Dusenbury, L. Smoking behavior of adolescents exposed to cigarette advertising.Public Health Rep 108:217–224, 1993.
McLarty, J. Smoking, statistics, and epidemiology.Semin Respir Med 10:333–343, 1989.
Rogers, R., & Powell-Griner, E. Life expectancies of cigarette smokers and nonsmokers in the United States.Soc Sci Med 32:1151–1159, 1991.
CDC. Ciagarette smoking-attributable mortality and years of potential life lost–United States, 1990.MMWR 42:645–649, 1993.
Hauswald, M. (1989). The cost of smoking: An emergency department analysis.Am J Emerg Med 7:187–190, 1989.
Rice, D., Hodgson, T., Sinsheimer, P., Browner, W., & Kopstein, A. The economic costs of the health effects of smoking, 1984.Milbank Q 64:489–547, 1989.
CDC. Cigarette smoking among adults—United States, 1991.MMWR 42:230–233, 1993.
Marcus, A., Shopland, D., Crane, L., & Lynn, W. Prevalence of cigarette smoking in the United States: Estimates from the 1985 current population survey.JNCI 81:409–414, 1989.
Novotny, T., Warner, K., Kendrick, J., & Remington, P. Smoking by blacks and whites: Socioeconomic and demographic differences.Am J Pub Health 78:1187–1189, 1988.
Pierce, J., Fiore, M., Novotny, T., Hatziandreu, E., & Davis, R. Trends in cigarette smoking in the United States: Projections to the year 2000.JAMA 261:61–65, 1989.
U.S. Department of Health and Human Services. Reducing the health consequences of smoking: 25 years of progress. A report of the Surgeon General. Rockville, Maryland: U.S. Department of Health and Human Services. 1989; DHHS Publication No. (CDC)89–8411.
Pierce, J., Fiore, M., Novotny, T., Hatziandreu, E., & Davis, R. Trends in cigarette smoking in the United States: Educational differences are increasing.JAMA 261:56–60, 1989.
Pamies, R., & Woodard, L. Cancer in socioeconomically disadvantaged populations.Prim Care 19:443–450, 1992.
Ernster, V. Trends in smoking, cancer risk, and cigarette promotion: Current priorities for reducing tobacco exposure.Cancer 62:1702–1712, 1988.
Mikhail, B. The Health Belief Model: A review and critical evaluation of the model, research, and practice.Adv Nurs Sci 4:65–81, 1981.
SPPSx User's Guide (3rd ed.). Chicago, IL: SPSS, 1988.
Brownson, R., Jackson-Thompson, J., Wilkerson, J., Owens, N., & Fisher, E. Demographic and socioeconomic differences inbeliefs about the health effects of smoking.Am J Pub Health 82:99–103, 1992.
Loehrer, P., Greger, H., Weinberger, M., Musick, B., Miller, M., Nichols, C., Bryan, J., Higgs, D., & Brock, D. Knowledge and beliefs about cancer in a socioeconomically disadvantaged population.Cancer 68:1665–1671, 1991.
Hatziandreu, E., Pierce, J., Lefkopoulou, M., Mills, S., Novotny, T., Giovino, G., & Davis, R. Quitting smoking in the United States in 1986.JNCI 82:1402–1406, 1990.
Lacey, L., Manfredi, C., Balch, G., Warnecke, R., Allen, K., & Edwards, C. Social support in smoking cessation among black women in Chicago public housing.Public Health Rep 108: 387–394, 1993.
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Funded by grants from the Ohio Division, Inc. of the American Cancer Society and the Division of Chronic Diseases, Ohio Department of Health.
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Price, J.H., Everett, S.A. Perceptions of lung cancer and smoking in an ecomomically disadvantaged population. J Community Health 19, 361–375 (1994). https://doi.org/10.1007/BF02260405
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DOI: https://doi.org/10.1007/BF02260405