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.
References
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
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
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
Ferguson SG, Shiffman S (2009) The relevance and treatment of cue-induced cravings in tobacco dependence. J Subst Abuse Treat 36(3):235–243
Caggiula AR, Donny EC, White AR et al (2001) Cue dependency of nicotine self-administration and smoking. Pharmacol Biochem Behav 70(4):515–530
Conklin CA (2006) Environments as cues to smoke: implications for human extinction-based research and treatment. Exp Clin Psychopharmacol 14(1):12–19
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
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
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
Hiscock R, Bauld L, Amos A, Fidler JA, Munafo M (2012) Socioeconomic status and smoking: a review. Ann NY Acad Sci 1248:107–123
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
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
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
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
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
Etter JF (2012) Financial incentives for smoking cessation in low-income smokers: study protocol for a randomized controlled trial. Trials 13:88
Sigmon SC, Patrick ME (2012) The use of financial incentives in promoting smoking cessation. Prev Med 55(Suppl):S24–S32
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
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
Siahpush M, Spittal M, Singh GK (2007) Smoking cessation and financial stress. J Public Health (Oxf) 29(4):338–342
Sweet M (2002) High smoking rates among Aboriginal community cause financial hardship. BMJ 324(7349):1296
Wardle J, Steptoe A (2003) Socioeconomic differences in attitudes and beliefs about healthy lifestyles. J Epidemiol Commun Health 57(6):440–443
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
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
Cantor D, Covell J, Davis T, Park L, Rizzo L (2008) Health information national trends survey, 2005 final report
Pearlin LI, Lieberman MA, Menaghan EG, Mullan JT (1981) The stress process. J Health Soc Behav 22(4):337–356
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
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
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
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
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
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
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
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).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10552-015-0662-9