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NAQC Newsroom: Research

What Factors are Associated with Abstinence Amongst Socioeconomically Disadvantaged Smokers? A Cross

Thursday, July 13, 2017  
Posted by: Natalia Gromov
Twyman L, Bonevski B, Paul C, Bryant J, West R, Siahpush M, D'este C, Oldmeadow C, Palazzi K.
What Factors are Associated with Abstinence Amongst Socioeconomically Disadvantaged Smokers? A Cross-sectional Survey of Use of Cessation Aids and Quitting Approach.
Drug Alcohol Rev. 2017 Jun 14. doi: 10.1111/dar.12561. [Epub ahead of print]
 
This study aimed to compare current and ex-smokers' socio-demographic and psychosocial characteristics, use of cessation aids and abrupt versus gradual quitting approaches. A cross-sectional survey of financially disadvantaged adults attending a community service organization was conducted in New South Wales, Australia, between February 2012 and December 2013. Socio-demographic and psychosocial factors, use of cessation aids and gradual versus abrupt quit approach were assessed. χ2 tests and logistic regression compared characteristics of current and ex-smokers. Of 905 individuals who completed the survey, 639 (71%) were current smokers and 107 (12%) were ex-smokers. Ex-smokers were older [odds ratio (OR) = 1.03, 95% confidence interval (CI) = 1.01, 1.05], had higher odds of being female (OR = 1.67, 95% CI = 1.06, 2.65), lower odds of being financially stressed (OR = 0.87, 95% CI = 0.76, 0.99), lower odds of anxiety and depression symptoms (OR = 0.91, 95% CI = 0.84, 0.98) and lower odds of having friends and family who were smokers (ORs ranged from 0.30-0.43). Ex-smokers had lower odds of using cessation aids and higher odds of reporting abrupt quitting during their last quit attempt (OR = 4.48, 95% CI = 2.66, 7.54). Lower levels of disadvantage, less smoking in social networks, less use of cessation aids and abrupt (vs. gradual) quitting approaches were associated with being an ex-smoker. Lower use of evidence based methods to quit by disadvantaged ex-smokers requires further exploration.


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