Socioeconomic status and smoking: a review
Abstract
Smoking prevalence is higher among disadvantaged groups, and disadvantaged smokers may face higher exposure to tobacco's harms. Uptake may also be higher among those with low socioeconomic status (SES), and quit attempts are less likely to be successful. Studies have suggested that this may be the result of reduced social support for quitting, low motivation to quit, stronger addiction to tobacco, increased likelihood of not completing courses of pharmacotherapy or behavioral support sessions, psychological differences such as lack of self‐efficacy, and tobacco industry marketing. Evidence of interventions that work among lower socioeconomic groups is sparse. Raising the price of tobacco products appears to be the tobacco control intervention with the most potential to reduce health inequalities from tobacco. Targeted cessation programs and mass media interventions can also contribute to reducing inequalities. To tackle the high prevalence of smoking among disadvantaged groups, a combination of tobacco control measures is required, and these should be delivered in conjunction with wider attempts to address inequalities in health.
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More disadvantaged clients were less likely to remain abstinent from smoking at 1 year, as our previous work and that of others has shown.
“More disadvantaged clients were less likely to remain abstinent from smoking at 1 year, as our previous work and that of others has shown.18,91,92”
From Evaluating Long-term Outcomes of NHS Stop Smoking Services (ELONS): a prospective cohort study (2015) · cites this paper as [92]
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- Authors
- Hiscock, R., Bauld, L., Amos, A., Fidler, J. A., & Munafò, M.
- Affiliations
- University of Bath (GB)
- University of Stirling (GB)
- University of Edinburgh (GB)
- University College London (GB)
- Corresponding author
- Hiscock, Rosemary
- Venue
- Annals of the New York Academy of Sciences
- Publisher
- Wiley
- Published
- 2011-11-17
- Volume
- 1248
- Issue
- 1
- Pages
- 107-123
- ISSN
- 0077-8923 (ISSN-L)
- 1749-6632
- OpenAlex
- W1948861157
- Cited by
- 1,572
- References
- 147
- Citations by year
- 2026: 100 · 2025: 125 · 2024: 119 · 2023: 124 · 2022: 132 · 2021: 138 · 2020: 124 · 2019: 147 · 2018: 110 · 2017: 111 · 2016: 104 · 2015: 103 · 2014: 69 · 2013: 44 · 2012: 18
- FWCI
- 4.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of the New York Academy of Sciences (publishedVersion)
- PubMed (publishedVersion)
- Stirling Online Research Repository (University of Stirling) (publishedVersion)
- Stirling Online Research Repository (University of Stirling) (submittedVersion, public-domain)
- Bristol Research (University of Bristol) (submittedVersion)
- Funders
- Cancer Research UK
- British Heart Foundation
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- socioeconomic status, smoking, health disparities, tobacco control, smoking cessation, tobacco industry marketing, self-efficacy, tobacco pricing, mass media interventions, disadvantaged groups
- MeSH terms
- Smoking Prevention, Humans, Poverty, Smoking, Social Support, Socioeconomic Factors, Substance Withdrawal Syndrome, Tobacco Use Disorder, Smoking Cessation, Health Status Disparities
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