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Financial strain and smoking cessation among racially/ethnically diverse smokers

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  • Kendzor, D.E.
  • Businelle, M.S.
  • Costello, T.J.
  • Castro, Y.
  • Reitzel, L.R.
  • Cofta-Woerpel, L.M.
  • Li, Y.
  • Mazas, C.A.
  • Vidrine, J.I.
  • Cinciripini, P.M.
  • Greisinger, A.J.
  • Wetter, D.W.

Abstract

Objectives. We evaluated the influence of financial strain on smoking cessation among Latino, African American, and Caucasian smokers of predominantly low socioeconomic status. Methods. Smokers enrolled in a smoking cessation study (N=424) were followed from 1 week prequit through 26 weeks postquit. We conducted a logistic regression analysis to evaluate the association between baseline financial strain and smoking abstinence at 26 weeks postquit after control forage, gender, race/ ethnicity, educational level, annual household income, marital status, number of cigarettes smoked per day, and time to first cigarette of the day. Results. Greater financial strain at baseline was significantly associated with reduced odds of abstinence at 26 weeks postquit among those who completed the study (odds ratio [OR]=0.77; 95% confidence interval [Cl]=0.62,0.94; P=.01). There was a significant association as well in analyses that included those who completed the study in addition to those lost to follow-up who were categorized as smokers (OR = 0.78; 95% Cl = 0.64, 0.96; P=.02). Conclusions. Greater financial strain predicted lower cessation rates among racially/ethnically diverse smokers. Our findings highlight the impact of economic concerns on smokina cessation and the need to address financial strain in smoking cessation interventions.

Suggested Citation

  • Kendzor, D.E. & Businelle, M.S. & Costello, T.J. & Castro, Y. & Reitzel, L.R. & Cofta-Woerpel, L.M. & Li, Y. & Mazas, C.A. & Vidrine, J.I. & Cinciripini, P.M. & Greisinger, A.J. & Wetter, D.W., 2010. "Financial strain and smoking cessation among racially/ethnically diverse smokers," American Journal of Public Health, American Public Health Association, vol. 100(4), pages 702-706.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.172676_0
    DOI: 10.2105/AJPH.2009.172676
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    Cited by:

    1. Macy, Jonathan T. & Chassin, Laurie & Presson, Clark C., 2013. "Predictors of health behaviors after the economic downturn: A longitudinal study," Social Science & Medicine, Elsevier, vol. 89(C), pages 8-15.
    2. Irina B. Grafova & Alan C. Monheit, 2019. "How does actual unemployment and the perceived risk of joblessness affect smoking behavior? Gender and intra-family effects," Review of Economics of the Household, Springer, vol. 17(1), pages 201-227, March.
    3. Jin E. Kim-Mozeleski & Susan J. Shaw & Irene H. Yen & Janice Y. Tsoh, 2022. "A Qualitative Investigation of the Experiences of Tobacco Use among U.S. Adults with Food Insecurity," IJERPH, MDPI, vol. 19(12), pages 1-13, June.
    4. Hong Guo & Zhihong Sa, 2015. "Socioeconomic Differentials in Smoking Duration among Adult Male Smokers in China: Result from the 2006 China Health and Nutrition Survey," PLOS ONE, Public Library of Science, vol. 10(1), pages 1-11, January.
    5. Cinzia Novi & Rowena Jacobs & Matteo Migheli, 2020. "Smoking inequality across genders and socio-economic positions. Evidence from Italian data," Journal of Bioeconomics, Springer, vol. 22(3), pages 177-203, October.
    6. Željko Pavić & Goran Livazović, 2023. "A social media and substance use among the youth: a test of two mediation mechanisms," Journal of Community Positive Practices, Catalactica NGO, issue 1, pages 116-127.
    7. Ashleigh Guillaumier & Laura Twyman & Christine Paul & Mohammad Siahpush & Kerrin Palazzi & Billie Bonevski, 2017. "Financial Stress and Smoking within a Large Sample of Socially Disadvantaged Australians," IJERPH, MDPI, vol. 14(3), pages 1-9, February.
    8. Irina Grafova, 2011. "Financial Strain and Smoking," Journal of Family and Economic Issues, Springer, vol. 32(2), pages 327-340, June.

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