Document Detail

Barriers to effective tobacco-dependence treatment for the very poor.
MedLine Citation:
PMID:  23036204     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: People who live in poverty have a high prevalence of smoking, are less likely to engage in evidence-based treatment, and find 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 fifty-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%. Specific 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 specific 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 specific beliefs about smoking and quitting.
Bruce Christiansen; Kevin Reeder; Maureen Hill; Timothy B Baker; Michael C Fiore
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of studies on alcohol and drugs     Volume:  73     ISSN:  1938-4114     ISO Abbreviation:  J Stud Alcohol Drugs     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-05     Completed Date:  2013-01-11     Revised Date:  2013-11-05    
Medline Journal Info:
Nlm Unique ID:  101295847     Medline TA:  J Stud Alcohol Drugs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  874-84     Citation Subset:  IM    
Center for Tobacco Research and Intervention, University of Wisconsin, Madison, Wisconsin.
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MeSH Terms
Continental Population Groups / psychology,  statistics & numerical data
Health Knowledge, Attitudes, Practice*
Health Surveys / statistics & numerical data
Income / statistics & numerical data
Poverty / psychology*,  statistics & numerical data
Risk Factors
Smoking / epidemiology,  psychology
Smoking Cessation / psychology*,  statistics & numerical data
Tobacco Use Disorder / epidemiology,  psychology*,  therapy
Vulnerable Populations / psychology*,  statistics & numerical data
Wisconsin / epidemiology
Grant Support
9P50CA143188-11/CA/NCI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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