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Drug Alcohol Rev. 2012 Jul;31(5):653-63. doi: 10.1111/j.1465-3362.2012.00427.x. Epub 2012 Mar 4.

Socio-economic disadvantage at the area level poses few direct barriers to smoking cessation for Australian smokers: findings from the International Tobacco Control Australian cohort survey.

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1
The Cancer Council Victoria, Melbourne, Australia.

Abstract

INTRODUCTION:

Area-level indicators of socio-economic variation are frequently included in models of individual health outcomes. Area disadvantage is linearly related to smoking prevalence, but its relation to cessation outcomes is less well understood.

AIMS:

To explore the relationship between area-level disadvantage and prospective data on smoking cessation.

DESIGN AND METHODS:

The Australian cohort of the International Tobacco Control Four-Country Survey (N = 3503) was used to prospectively examine the contribution of area-level socio-economic disadvantage to predicting three important smoking-cessation outcomes: making a quit attempt, achieving 1 month abstinence and achieving 6 month abstinence from smoking, while controlling for individual-level socio-economic indicators and other individual-level covariates related to smoking cessation.

RESULTS:

Only two independent associations were observed between socio-economic disadvantage and cessation outcomes. Area-level disadvantage was related to 1 month abstinence in a non-linear fashion, and the individual experience of smoking-induced deprivation was associated with a lower likelihood of making quit attempts.

DISCUSSION:

Despite the documented higher prevalence of smoking among the more disadvantaged and in more disadvantaged areas, socio-economic disadvantage was not consistently related to making quit attempts, nor to medium-term success. Nevertheless, indirect effects of disadvantage, like its impact on psychological distress, cannot be ruled out, and considering smokers' individual psychosocial circumstances is likely to aid cessation efforts.

CONCLUSION:

Socio-economic disadvantage, particularly at the area level, poses few direct barriers to smoking cessation.

PMID:
22385265
PMCID:
PMC4594828
DOI:
10.1111/j.1465-3362.2012.00427.x
[Indexed for MEDLINE]
Free PMC Article

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