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

Abstract

Purpose

The purpose of this study was to examine material hardship among smokers to determine whether such hardship was positively associated with current attempts to quit tobacco use.

Methods

We analyzed cross-sectional data from the Health in Common (HIC) study, an observational study to investigate social and physical determinants of cancer risk-related behaviors among residents of low-income housing in three cities in the Boston metropolitan area. In this study, three indicators of hardship were used: food hardship, financial hardship, and material hardship (food and financial hardship combined). Logistic regression models were used to obtain the odds of currently trying to quit among current smokers in the HIC (n = 170) across hardship types experienced, adjusting for sociodemographic and psychosocial factors.

Results

Fully adjusted models revealed no statistically significant association between trying to quit tobacco use and indicators of material hardship: food hardship and financial hardship present (OR 1.33 (0.42–4.2); food hardship and no financial hardship OR 3.83 (0.97–15.13); and financial hardship but no food hardship OR 0.5 (0.1–2.39).

Conclusions

These findings suggest that even in the presence of material hardship, low-income housing resident tobacco users are not more likely to quit tobacco use; therefore, cessation efforts focused on the financial benefits of quitting may be insufficient to motivate quit attempts among low-income smokers.

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References

  1. Wilson LM, Avila TE, Chander G et al (2012) Impact of tobacco control interventions on smoking initiation, cessation, and prevalence: a systematic review. J Environ Public Health 2012:961724

    PubMed Central  Article  PubMed  Google Scholar 

  2. Kushnir V, Selby P, Cunningham JA (2013) Association between tobacco industry denormalization beliefs, tobacco control community discontent and smokers’ level of nicotine dependence. Addict Behav 38(7):2273–2278

    Article  PubMed  Google Scholar 

  3. Centers for Disease Control and Prevention (2014) Current cigarette smoking among adults—United States, 2005–2013. MMWR 63(47):1108–1112. http://www.cdc.gov/mmwr/pdf/wk/mm6347.pdf

  4. Ferguson SG, Shiffman S (2009) The relevance and treatment of cue-induced cravings in tobacco dependence. J Subst Abuse Treat 36(3):235–243

    Article  PubMed  Google Scholar 

  5. Caggiula AR, Donny EC, White AR et al (2001) Cue dependency of nicotine self-administration and smoking. Pharmacol Biochem Behav 70(4):515–530

    CAS  Article  PubMed  Google Scholar 

  6. Conklin CA (2006) Environments as cues to smoke: implications for human extinction-based research and treatment. Exp Clin Psychopharmacol 14(1):12–19

    Article  PubMed  Google Scholar 

  7. Siqueira LM, Rolnitzky LM, Rickert VI (2001) Smoking cessation in adolescents: the role of nicotine dependence, stress, and coping methods. Arch Pediatr Adolesc Med 155(4):489–495

    CAS  Article  PubMed  Google Scholar 

  8. Slopen N, Kontos EZ, Ryff CD, Ayanian JZ, Albert MA, Williams DR (2013) Psychosocial stress and cigarette smoking persistence, cessation, and relapse over 9–10 years: a prospective study of middle-aged adults in the United States. Cancer Causes Control 24(10):1849–1863

    PubMed Central  Article  PubMed  Google Scholar 

  9. Reid JL, Hammond D, Boudreau C, Fong GT, Siahpush M (2010) Socioeconomic disparities in quit intentions, quit attempts, and smoking abstinence among smokers in four western countries: findings from the International Tobacco Control Four Country Survey. Nicotine Tob Res 12(Suppl):S20–S33

    PubMed Central  Article  PubMed  Google Scholar 

  10. Hiscock R, Bauld L, Amos A, Fidler JA, Munafo M (2012) Socioeconomic status and smoking: a review. Ann NY Acad Sci 1248:107–123

    Article  PubMed  Google Scholar 

  11. Costa PT, McCrae RR (1981) Stress, smoking motives, and psychological well-being: the illusory benefits of smoking. Adv Behav Res Ther 3(4):125–150

    Article  Google Scholar 

  12. Siahpush M, Yong HH, Borland R, Reid JL, Hammond D (2009) Smokers with financial stress are more likely to want to quit but less likely to try or succeed: findings from the International Tobacco Control (ITC) Four Country Survey. Addiction 104(8):1382–1390

    PubMed Central  Article  PubMed  Google Scholar 

  13. Siahpush M, Spittal M, Singh GK (2007) Association of smoking cessation with financial stress and material well-being: results from a prospective study of a population-based national survey. Am J Public Health 97(12):2281–2287

    PubMed Central  Article  PubMed  Google Scholar 

  14. Bonevski B, Bryant J, Lynagh M, Paul C (2012) Money as motivation to quit: a survey of a non-random Australian sample of socially disadvantaged smokers’ views of the acceptability of cash incentives. Prev Med 55(2):122–126

    CAS  Article  PubMed  Google Scholar 

  15. Donatelle R, Hudson D, Dobie S, Goodall A, Hunsberger M, Oswald K (2004) Incentives in smoking cessation: status of the field and implications for research and practice with pregnant smokers. Nicotine Tob Res 6(Suppl 2):S163–S179

    Article  PubMed  Google Scholar 

  16. Etter JF (2012) Financial incentives for smoking cessation in low-income smokers: study protocol for a randomized controlled trial. Trials 13:88

    PubMed Central  Article  PubMed  Google Scholar 

  17. Sigmon SC, Patrick ME (2012) The use of financial incentives in promoting smoking cessation. Prev Med 55(Suppl):S24–S32

    PubMed Central  Article  PubMed  Google Scholar 

  18. Caleyachetty A, Lewis S, McNeill A, Leonardi-Bee J (2012) Struggling to make ends meet: exploring pathways to understand why smokers in financial difficulties are less likely to quit successfully. Eur J Public Health 22(Suppl 1):41–48

    PubMed Central  Article  PubMed  Google Scholar 

  19. Kendzor DE, Businelle MS, Costello TJ et al (2010) Financial strain and smoking cessation among racially/ethnically diverse smokers. Am J Public Health 100(4):702–706

    PubMed Central  Article  PubMed  Google Scholar 

  20. Siahpush M, Spittal M, Singh GK (2007) Smoking cessation and financial stress. J Public Health (Oxf) 29(4):338–342

    Article  Google Scholar 

  21. Sweet M (2002) High smoking rates among Aboriginal community cause financial hardship. BMJ 324(7349):1296

    PubMed Central  Article  PubMed  Google Scholar 

  22. Wardle J, Steptoe A (2003) Socioeconomic differences in attitudes and beliefs about healthy lifestyles. J Epidemiol Commun Health 57(6):440–443

    CAS  Article  Google Scholar 

  23. Harley AE, Yang M, Stoddard AM et al (2014) Patterns and predictors of health behaviors among racially/ethnically diverse residents of low-income housing developments. Am J Health Promot 29(1):59–67

    PubMed Central  Article  PubMed  Google Scholar 

  24. Sorensen G, Allen JD, Adamkiewicz G, Yang M, Tamers SL, Stoddard AM (2013) Intention to quit smoking and concerns about household environmental risks: findings from the Health in Common Study in low-income housing. Cancer Causes Control 24(4):805–811

    PubMed Central  Article  PubMed  Google Scholar 

  25. Cantor D, Covell J, Davis T, Park L, Rizzo L (2008) Health information national trends survey, 2005 final report

  26. Pearlin LI, Lieberman MA, Menaghan EG, Mullan JT (1981) The stress process. J Health Soc Behav 22(4):337–356

    CAS  Article  PubMed  Google Scholar 

  27. Nord M, Andrews M, Carlson S (2009) Household food security in the United States, 2008.Washington, DC: US Department of Agriculture, Food and Consumer Service, Office of Analysis and Evaluation. http://www.ers.usda.gov/publications/err-economic-research-report/err83.aspx

  28. Webb HM, Baker EA, McNutt MD (2013) Associations between coping, affect, and social support among low-income African American smokers. Addict Behav 38(11):2736–2740

    Article  Google Scholar 

  29. Siahpush M, Carlin JB (2006) Financial stress, smoking cessation and relapse: results from a prospective study of an Australian national sample. Addiction 101(1):121–127

    Article  PubMed  Google Scholar 

  30. Bauman K (1998) Direct measures of poverty as indicators of economic need: Evidence from The Survey of Income and Program Participation. Population Division, U.S. Bureau of the Census, Technical Working Paper No. 30 ed

  31. McNeill LH, Coeling M, Puleo E, Suarez EG, Bennett GG, Emmons KM (2009) Colorectal cancer prevention for low-income, sociodemographically-diverse adults in public housing: baseline findings of a randomized controlled trial. BMC Public Health 9:353

    PubMed Central  Article  PubMed  Google Scholar 

  32. Busch SH, Jofre-Bonet M, Falba TA, Sindelar JL (2004) Burning a hole in the budget: tobacco spending and its crowd-out of other goods. Appl Health Econ Health Policy 3(4):263–272

    Article  PubMed  Google Scholar 

  33. Franks P, Jerant AF, Leigh JP et al (2007) Cigarette prices, smoking, and the poor: implications of recent trends. Am J Public Health 97(10):1873–1877

    PubMed Central  Article  PubMed  Google Scholar 

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Acknowledgments

The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project was supported by funding from National Cancer Institute Grants 5RO1CA111310-04 and 5K05CA108663-05. (Principal Investigator: G. Sorensen). Dr. Tucker-Seeley is supported by K01 career development award (Grant# CA169041-01).

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Correspondence to R. D. Tucker-Seeley.

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Tucker-Seeley, R.D., Selk, S., Adams, I. et al. Tobacco use among low-income housing residents: does hardship motivate quit attempts?. Cancer Causes Control 26, 1699–1707 (2015). https://doi.org/10.1007/s10552-015-0662-9

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  • DOI: https://doi.org/10.1007/s10552-015-0662-9

Keywords

  • Hardship
  • Tobacco use
  • Low income
  • Public housing