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What factors are associated with abstinence amongst socioeconomically disadvantaged smokers? A cross‐sectional survey of use of cessation aids and quitting approach
Author(s) -
Twyman Laura,
Bonevski Billie,
Paul Christine,
Bryant Jamie,
West Robert,
Siahpush Mohammad,
D'este Catherine,
Oldmeadow Christopher,
Palazzi Kerrin
Publication year - 2018
Publication title -
drug and alcohol review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.018
H-Index - 74
eISSN - 1465-3362
pISSN - 0959-5236
DOI - 10.1111/dar.12561
Subject(s) - medicine , odds ratio , odds , smoking cessation , cross sectional study , demography , disadvantaged , psychosocial , logistic regression , abstinence , confidence interval , depression (economics) , psychiatry , pathology , sociology , political science , law , economics , macroeconomics
and Aims This study aimed to compare current and ex‐smokers' sociodemographic and psychosocial characteristics, use of cessation aids and abrupt versus gradual quitting approaches. Design and Methods A cross‐sectional survey of financially disadvantaged adults attending a community service organisation was conducted in New South Wales, Australia, between February 2012 and December 2013. Sociodemographic and psychosocial factors, use of cessation aids and gradual versus abrupt quit approach were assessed. χ 2 tests and logistic regression compared characteristics of current and ex‐smokers. Results 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). Conclusions 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. [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;00:000‐000]