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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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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