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Social inequalities in quitting smoking: what factors mediate the relationship between socioeconomic position and smoking cessation?


Reference:

Hiscock, R., Judge, K. and Bauld, L., 2011. Social inequalities in quitting smoking: what factors mediate the relationship between socioeconomic position and smoking cessation? Journal of Public Health, 33 (1), pp. 39-47.

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    Official URL:

    http://dx.doi.org/10.1093/pubmed/fdq097

    Abstract

    Background: Smokers from lower socio-economic groups are less likely to be successful in a quit attempt than more affluent smokers, even when they access smoking cessation services. Methods: Data were collected from smoking cessation service users from three contrasting areas of Great Britain-Glasgow, North Cumbria and Nottingham. Routine monitoring data were supplemented with CO-validated smoking status at 52-week follow-up and survey data on socio-economic circumstances and smoking-related behaviour. Analysis was restricted to the 2397 clients aged between 25 and 59. Results: At 52-week follow-up, 14.3% of the most affluent smokers remained quit compared with only 5.3% of the most disadvantaged. After adjustment for demographic factors, the most advantaged clients at the English sites and the Glasgow one-to-one programme were significantly more likely to have remained abstinent than those who were most disadvantaged [odds ratio: 2.5, confidence interval (CI): 1.44.7 and 7.5 CI: 1.4-40.3, respectively). Mechanisms producing the inequalities appeared to include treatment compliance, household smokers and referral source. Conclusions: Rather than quitting smoking, disadvantaged smokers quit treatment. More should be done to encourage them to persevere through the first few weeks. Other causes of inequalities in quitting varied with the service provided.

    Details

    Item Type Articles
    CreatorsHiscock, R., Judge, K. and Bauld, L.
    DOI10.1093/pubmed/fdq097
    Uncontrolled Keywordssocioeconomic status, inequalities, smoking cessation, uk, medication compliance
    DepartmentsFaculty of Humanities & Social Sciences > Health
    Faculty of Humanities & Social Sciences > Social & Policy Sciences
    Research CentresUK Centre for Tobacco Control Studies
    Publisher StatementHiscock_JoPH_2011_33_1_39.pdf: This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Journal of Public Health following peer review. The definitive publisher-authenticated version Hiscock, R., Judge, K. and Bauld, L., 2011. Social inequalities in quitting smoking: what factors mediate the relationship between socioeconomic position and smoking cessation? Journal of Public Health, 33 (1), pp. 39-47 is available online at: http://dx.doi.org/10.1093/pubmed/fdq097; Hiscock_JoPH_2011_33_1_39.doc: This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Journal of Public Health following peer review. The definitive publisher-authenticated version Hiscock, R., Judge, K. and Bauld, L., 2011. Social inequalities in quitting smoking: what factors mediate the relationship between socioeconomic position and smoking cessation? Journal of Public Health, 33 (1), pp. 39-47 is available online at: http://dx.doi.org/10.1093/pubmed/fdq097
    RefereedYes
    StatusPublished
    ID Code23503

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