Cited by 1,572Smoking Behavior and CessationHealth disparities and outcomesGlobal Cancer Incidence and Screening

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Socioeconomic status and smoking: a review

Hiscock, Rosemary, Bauld, Linda, Amos, Amanda, Fidler, Jennifer A., Munafò, Marcus·2012·Annals of the New York Academy of Sciences

DOI 10.1111/j.1749-6632.2011.06202.x

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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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Effectiveness of intensive practice nurse counselling versus brief general practitioner advice, both combined with varenicline, for smoking cessation: a randomized pragmatic trial in primary care
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“These three factors are also associated with deprivation (Hiscock et al., 2012; Jääskeläinen et al., 2013; Mateo-Pascual et al., 2014; McLaren, 2007).”
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Heated Tobacco Products Have Reached Younger or More Affluent People in Japan
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Kids Safe and Smokefree (KiSS) Multilevel Intervention to Reduce Child Tobacco Smoke Exposure: Long-Term Results of a Randomized Controlled Trial
Lepore, S. J., Collins, B. N., Coffman, D. L., Winickoff, J. P., Nair, U. S., Moughan, B., Bryant-Stephens, T. C., Taylor, D. R., Fleece, D. M., & Godfrey, M. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15061239 · Cited by 33
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“Much of the concentration of persistent narcotic use in lower-SEP groups is explained by greater likelihood of failure in attempts to quit amongst individuals of lower SEP (Miech, 2008; Hiscock et al., 2012).”
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Education and indoor smoking among parents who smoke: the mediating role of perceived social norms of smoking
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Inclusion of Smoking Data in Cardiovascular Disease Risk Estimation
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“Importantly, this is the group that is of highest risk for heavy smoking and smoking-related morbidity and mortality (Hiscock et al., 2012).”
Background
Socioeconomic inequalities in the impact of tobacco control policies on adolescent smoking. A multilevel study in 29 European countries
Pförtner, T., Hublet, A., Schnohr, C., Rathmann, K., Moor, I., de Looze, M. E., Baška, T., Molcho, M., Kannas, L. K., Kunst, A. E., et al. (2015) · Addictive Behaviors · doi:10.1016/j.addbeh.2015.09.016 · Cited by 31
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BackgroundInfluential
Substance use during pregnancy and risk of postpartum depression: a systematic review and meta-analysis
Pacho, M., Aymerich, C., Pedruzo, B., de Pablo, G. S., Pardo, E. S., Bordenave, M., Dieguez, R., Lopez-Zorroza, I., Herrero, J., Laborda, M., et al. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1264998 · Cited by 30
“It has consistently been reported in the literature that lower socio-economic status has been associated with both higher smoking rates (82) and PPD (9), which could be a mediating factor.”
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Secondhand smoke exposure, illness severity, and resource utilization in pediatric emergency department patients with respiratory illnesses
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The changing patterns and correlates of population‐level polysubstance use in Australian youth: a multi‐group latent class analysis of nationally representative samples spanning 12 years
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Socioeconomic status, mindfulness, and momentary associations between stress and smoking lapse during a quit attempt
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“, 2010), disordered neighborhood environments (Steptoe and Feldman, 2001), unstable work environments (Hiscock et al., 2012), and other economically-related exposures (Santiago et al.”
BackgroundInfluential
Social Inequality in Cigarette Consumption, Cigarette Dependence, and Intention to Quit among Norwegian Smokers
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Zeitliche Entwicklung berufsgruppenspezifischer Unterschiede im Rauchverhalten von erwerbstätigen Männern und Frauen in Deutschland
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Pathways of Disadvantage: Unpacking the Intergenerational Correlation in Welfare
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Public Health Effects of Restricting Retail Tobacco Product Displays and Ads
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Cardiovascular Disease Among Women From Vulnerable Populations: A Review
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Development of the Intimate Partner Violence During Pregnancy Instrument (IPVPI)
Doi, S. K., Fujiwara, T., & Isumi, A. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00043 · Cited by 29
“Previous studies showed that higher socioeconomic status is associated with drinking alcohol during pregnancy (37, 38) and lower socioeconomic status is associated with smoking (39) and also smoking during pregnancy (40).”
Background
Prevalence of Respiratory Health Symptoms among Landfill Waste Recyclers in the City of Johannesburg, South Africa
Tlotleng, N., Kootbodien, T., Wilson, K. S., Made, F., Mathee, A., Ntlebi, V., Kgalamono, S. M., Mokone, M., Preez, K. D., & Naicker, N. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16214277 · Cited by 29
“The prevalence of smoking is higher in low socioeconomic groups, especially among disadvantaged individuals, such as informal workers [22,23].”
Background
A life‐course perspective on economic stress and tobacco smoking: a population‐based study
Lindström, M., Modén, B., & Rosvall, M. (2013) · Addiction · doi:10.1111/add.12143 · Cited by 29
Factors associated with secondhand smoke exposure in different settings: Results from the German Health Update (GEDA) 2012
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“The higher likelihoods of SHS exposure in people with low socioeconomic status and low level of education revealed in this study are comparable with previous literature [28, 33, 34].”
Result
Ethnic disparities in outcomes of patients with complicated type B aortic dissection
Yammine, H., Ballast, J. K., Anderson, W. E., Frederick, J. R., Briggs, C. S., Roush, T. S., Madjarov, J. M., Nussbaum, T., Sibille, J. A., & Arko, F. R. (2018) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2017.10.083 · Cited by 29

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
ORCID: Hiscock, Rosemary
Bauld, Linda
Amos, Amanda
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
DOI: 10.1111/j.1749-6632.2011.06202.x
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
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
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 › Public Health, Environmental and Occupational Health › 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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Socioeconomic status and smoking: a review

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