Skip to main content

Advertisement

Log in

Isolated and Skeptical: Social Engagement and Trust in Information Sources Among Smokers

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

Our study compared indicators of social engagement and trust among current, former, and never smokers. Multinomial regression analyses of data from the 2005 U.S. Health Information National Trends Survey (n = 5586) were conducted to identify independent associations between social engagement, trust in health information sources, and smoking status. Never smokers (odds ratio (OR) = 2.08) and former smokers (OR = 2.48) were significantly more likely to belong to community organizations than current smokers. Never (OR = 4.59) and former smokers (OR = 1.96) were more likely than current smokers to attend religious services. Never smokers (OR = 1.38) were significantly more likely than current smokers to use the Internet. Former smokers (OR = 1.41) were more likely than current smokers to be married. Compared to current smokers, never smokers were significantly more likely to trust health care professionals (OR = 1.52) and less likely to trust the Internet (OR=0.59) for health information. Current smokers are less socially engaged and less trusting of information resources than non-smokers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. CDC (Centers for Disease Control and Prevention) 2008 Targeting tobacco use: the nation’s leading cause of preventable death at a glance 2008. http://www.cdc.gov/chronicdisease/resources/publications/AAG/osh.htm. Accessed 1 July 2010

  2. CDC (Centers for Disease Control and Prevention) (2007) Best practices for comprehensive tobacco control programs—2007. Atlanta, GA, Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2007. http://www.cdc.gov/tobacco/stateandcommunity/best_practices/. Accessed 1 July 2010

  3. Fiore MC, Bailey WC, Cohen SJ, et al. (2008) Treating tobacco use and dependence: 2008 update. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. http://www.ahrq.gov/path/tobacco.htm. Accessed 1 July 2010

  4. Berkman LF, Syme SL (1979) Social networks, host resistance and mortality: a nine-year follow-up study of Alameda County residents. Am J Epidemiol 109:186–204, http://aje.oxfordjournals.org/

    PubMed  CAS  Google Scholar 

  5. House JS, Landis KR, Umberson D (1988) Social relationships and health. Science 214:540–545, http://www.jstor.org/stable/1701736

    Article  Google Scholar 

  6. Kawachi I, Colditz GA, Ascherio A et al (1996) A prospective study of social networks in relation to total motality and cardiovascular disease in men in the US. J Epidemiol Community Health 50:245–251. doi:10.1136/jech.50.3.245

    Article  PubMed  CAS  Google Scholar 

  7. Durkheim E (1897, 1997). Suicide: a study in sociology. (trans: Spaulding, JA and Simpson G (1951). Free Press, New York

  8. Berkman LF, Glass T (2000) Social integration, social networks, social support, and health. In: Berkman LF, Kawachi I (eds) Social epidemiology. Oxford University Press, New York

    Google Scholar 

  9. Viswanath K, Randolph Steele W, Finnegan JR (2006) Social capital and health: civic engagement, community size, and recall of health messages. Am J Public Health 96(8):1456–1460. doi:10.2105/AJPH.2003.029793

    Article  PubMed  Google Scholar 

  10. Christakis NA, Fowler JH (2007) The spread of obesity in a large social network over 32 years. N Engl J Med 357(4):370–379, http://content.nejm.org/

    Article  PubMed  CAS  Google Scholar 

  11. Christakis NA, Fowler JH (2008) The collective dynamics of smoking in a large social network. N Engl J Med 358(21):2249–2258, http://content.nejm.org/

    Article  PubMed  CAS  Google Scholar 

  12. Cattell V (2001) Poor people, poor places, and poor health: the mediating role of social networks and social capital. Soc Sci Med 52:1501–1516, http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description

    Article  PubMed  CAS  Google Scholar 

  13. Steptoe A, Feldman PJ (2001) Neighborhood problems as sources of chronic stress: development of a measure of neighborhood problems, and associations with socioeconomic status and health. Ann Behav Med 23(3):177–185, http://www.springer.com/medicine/journal/12160

    Article  PubMed  CAS  Google Scholar 

  14. Kawachi I, Kennedy BP, Lochner K, Prothrow-Stith D (1999) Social capital and self-rated health: a contextual analysis. Am J Public Health 89:1187–1193, http://ajph.aphapublications.org/

    Article  PubMed  CAS  Google Scholar 

  15. Subramanian SV, Kim DJ, Kawachi I (2002) Social trust and self-rated health in US communities: a multilevel analysis. Journal of Urban Health 79(suppl 1):S21–34, www.springer.com/public+health/journal/11524

    PubMed  CAS  Google Scholar 

  16. Weitzman ER, Kawachi I (2000) Giving means receiving: the protective effect of social capital on binge drinking on college campuses. Am J Public Health 90:1936–1939, http://ajph.aphapublications.org/

    Article  PubMed  CAS  Google Scholar 

  17. Lindström M (2003) Social capital and the miniaturization of community among daily and intermittent smokers: a population-based study. Prev Med 36(2):177–184. doi:10.1016/S0091-7435(02)00049-X

    Article  PubMed  Google Scholar 

  18. Office of Management and Budget (1997) Revisions to the standards for the classification of federal data on race and ethnicity. Federal Register 62:58781–58790, http://www.whitehouse.gov/omb/rewrite/fedreg/ombdir15.html

    Google Scholar 

  19. Ackerson LK, Viswanath K (2009) The social context of interpersonal communication and health. J Health Commun 14(suppl 1):5–17. doi:10.1080/10810730902806836

    Article  PubMed  Google Scholar 

  20. Finney Rutten LJ, Augustson EM, Moser RP, Beckjord EB, Hesse BW (2008) Smoking knowledge and behavior in the United States: sociodemographic, smoking status, and geographic patterns. Nicotine Tob Res 10(10):1559–1570. doi:10.1080/14622200802325873

    Article  PubMed  Google Scholar 

  21. Steptoe A, Dockray S, Wardle J (2009) Positive affect and psychobiological processes relevant to health. J Pers 77(6):1747–1776. doi:10.1111/j.1467-6494.2009.00599.x

    Article  PubMed  Google Scholar 

  22. Weaver AJ, Flannelly KJ, Strock AL (2005) A review of research on the effects of religion on adolescent tobacco use published between 1990 and 2003. Adolescence 40(160):761–766, http://findarticles.com/

    PubMed  Google Scholar 

  23. Finney Rutten LJ, Wanke K, Augustson E (2005) Systems and individual factors associated with smoking status: evidence from HINTS. American Journal of Health Behavior 29(4):302–310, http://www.ajhb.org/

    PubMed  Google Scholar 

  24. Augustson EM, Marcus S (2004) Use of the current population survey to characterize sub-populations of continued smokers: a national perspective on the “hardcore” smoker phenomenon. Nicotine Tob Res 6:621–629. doi:10.1080/14622200410001727876

    Article  PubMed  Google Scholar 

  25. Bock BC, Graham AL, Whiteley JA, Stoddard JL (2008) A review of web-assisted tobacco interventions (WATIs). J Med Internet Res 10(5):e39. doi:10.2196/jmir.989

    Article  PubMed  Google Scholar 

  26. Stoddard JL, Augustson EM, Moser RP (2008) Effect of adding a virtual community (bulletin board) to smokefree.gov: randomized control trial. J Med Internet Res 10(5):e53

    Article  PubMed  Google Scholar 

  27. Strecher VJ, McClure J, Alexander G, Chakraborty B, Nair V, Konkel J, Greene S, Couper M, Carlier C, Wiese C, Little R, Pomerleau C, Pomerleau O (2008) The role of engagement in a tailored web-based smoking cessation program: randomized controlled trial. J Med Internet Res 10(5):e36

    Article  PubMed  Google Scholar 

  28. Strecher VJ, McClure JB, Alexander GL, Chakraborty B, Nair VN, Konkel JM, Greene SM, Collins LM, Carlier CC, Wiese CJ, Little RJ, Pomerleau CS, Pomerleau OF (2008) Web-based smoking cessation programs: results of a randomized trial. Am J Prev Med 34(5):373–381

    Article  PubMed  Google Scholar 

  29. Nelson DE, Powell-Griner E, Town M, Kovar MG (2003) A comparison of national estimates from the National Health Interview Survey and the Behavioral Risk Factor Surveillance System. Am J Public Health 93:1335–1341, http://ajph.aphapublications.org/

    Article  PubMed  Google Scholar 

  30. Groves R (1989) Survey errors and survey costs. Wiley Series, New York

    Book  Google Scholar 

  31. Biener L, Garrett CA, Gilpin EA, Roman AM, Currivan DB (2004) Consequences of declining survey response rates for smoking prevalence estimates. Am J Prev Med 27:254–257. doi:10.1016/j.amepre.2004.05.006

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This project has been funded in part with federal funds from the National Cancer Institute, National Institutes of Health under contract no. HHSN261200800001E. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.

Declaration of Interests

The authors do not have any conflicts of interest to disclose.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lila J. Finney Rutten.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rutten, L.J.F., Blake, K., Hesse, B.W. et al. Isolated and Skeptical: Social Engagement and Trust in Information Sources Among Smokers. J Canc Educ 26, 465–473 (2011). https://doi.org/10.1007/s13187-011-0201-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-011-0201-7

Keywords

Navigation