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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.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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“Possible contributing factors are higher smoking rates in homes with higher deprivation [66].”
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Improved Health and Insurance Status Among Cigarette Smokers After Medicaid Expansion, 2011-2016
Brown, C. C., Tilford, J. M., & Bird, T. M. (2018) · Public Health Reports · doi:10.1177/0033354918763169 · Cited by 8
Tobacco industry: a barrier to social justice
Romeo‐Stuppy, K., Huber, L., Toebes, B., Yerger, V. B., & Senkubuge, F. (2022) · Tobacco Control · doi:10.1136/tobaccocontrol-2021-056572 · Cited by 8
Impoverishing effect of tobacco use in Vietnam
Nguyen, M. N., Nguyễn, A. N., Bui, H. T., & Vu, L. H. (2022) · Tobacco Control · doi:10.1136/tc-2022-057299 · Cited by 8
Pisinger, C. H., Toxværd, C. G., & Rasmussen, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191710879 · Cited by 8
“Studies have suggested that the high smoking prevalence may be a result of low tobacco health risk awareness, widespread smoking among family and friends, low social support for quitting, stronger addiction to tobacco, lower likelihood of using pharmacotherapy or completing smoking cessation courses, psychological dif…”
BackgroundElShahawi, H. H., Amin, G. R., Khalil, S. A., Morsy, M. H. A., Farwiez, M. G., & Nawara, M. M. (2022) · Middle East Current Psychiatry · doi:10.1186/s43045-022-00252-7 · Cited by 9
“[29] that showed no significant effect for socioeconomic status on substance use potential including tobacco and that was differed from [30] which revealed that although low socioeconomic status is related to high smoking rates due to lack of social support and poor parenting styles but high socioeconomic status is re…”
BackgroundMomtaz, D., Mirghaderi, P., Gonuguntla, R. K., Singh, A., Mittal, M. M., Burbano, A., & Hosseinzadeh, P. (2024) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.23.00779 · Cited by 8
Pilehvari, A., Chipoletti, A., Krukowski, R. A., & Little, M. A. (2024) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-024-07032-7 · Cited by 8
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Sarkar, B. K., Shahab, L., Arora, M., Ahluwalia, J. S., Reddy, K. S., & West, R. (2016) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntw214 · Cited by 8
Cigarette Purchasing Patterns, Readiness to Quit, and Quit Attempts Among Homeless Smokers
Wrighting, Q., Businelle, M. S., Kendzor, D. E., Leblanc, H., & Reitzel, L. R. (2016) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntw227 · Cited by 8
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“Tobacco tax increases would affect all tobacco users, including those in low socioeconomic groups, which would lead to a decline in overall smoking prevalence.(32,33) The Japanese government has initiated various approaches to reduce health inequalities related to socioeconomic factors.”
Backgroundvan Mourik, D.-J. A., Nagelhout, G. E., de Vries, H., van den Putte, B., Cummings, K. M., Borland, R., Fong, G. T., & Willemsen, M. C. (2019) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.107818 · Cited by 8
Amiri, S., & Hosseini, S. M. (2021) · Journal of Addictive Diseases · doi:10.1080/10550887.2020.1860422 · Cited by 9
“For example, these socioeconomic factors are associated with an increased risk of smoking, low education,(127) income,(128) and socioeconomic status.(129) The finding of this meta-analysis for men and women showed that the prevalence of smoking was 52% in men and while in women the prevalence was 22%.”
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Kang, S. Y., Lim, M. K., & Cho, H. (2021) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntab051 · Cited by 10
Psychological and Demographic Predictors of Vaping and Vaping Susceptibility in Young Adults
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“Even though low SES, tobacco smoking, and excessive alcohol use are all associated with DUD [17, 25–29, 38], these variables could not entirely explain the increased prostate cancer mortality among men with DUD.”
BackgroundInfluentialVallarta‐Robledo, J. R., Marques-Vidal, P. M., Sandoval, J. L., Ridder, D. D., Schaffner, E., Humair, J., Cornuz, J., Probst-Hensch, N. M., Joost, S., & Guessous, I. (2022) · Health & Place · doi:10.1016/j.healthplace.2022.102845 · Cited by 12
Hendi, A. S., & Ho, J. Y. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.942842 · Cited by 8
Yamamoto, T., Abbas, H., Kanai, M., Yokoyama, T., & Tabuchi, T. (2022) · Tobacco Control · doi:10.1136/tc-2022-057353 · Cited by 8
Martens, L. G., van Hamersveld, D., le Cessie, S., van Dijk, K. W., van Heemst, D., & Noordam, R. (2023) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2023.07.009 · Cited by 10
Buss, V. H., Cox, S., Moore, G. F., Angus, C., Shahab, L., Bauld, L., & Brown, J. (2023) · BJGP Open · doi:10.3399/bjgpo.2023.0087 · Cited by 7
“Socioeconomically disadvantaged groups have historically had a higher smoking prevalence and are less likely to be successful in quit attempts compared with people in more advantaged occupations or on higher incomes (11).”
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Social Determinants of Cigarette Smoking
Upson, D. J. (2015) · Progress in respiratory research/Progress in research in emphysema and chronic bronchitis/Progress in respiration research · doi:10.1159/000369508 · Cited by 8
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Tobacco use among low-income housing residents: does hardship motivate quit attempts?
Tucker‐Seeley, R. D., Selk, S., Adams, I. F., Allen, J. D., & Sorensen, G. (2015) · Cancer Causes & Control · doi:10.1007/s10552-015-0662-9 · Cited by 8
“In addition, low-income smokers are less likely to successfully quit smoking when they do make quit attempts [10].”
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“The significant increase in specificity of detection of smoking is likely to be the result of the overall decrease in population smoking rates (3,42).”
BackgroundResultHendricks, P. S., Hall, S. M., Tyus, L. R., Thorne, C. B., Lappan, S. N., McMurray, M., Bailey, W. C., Cropsey, K. L., & Baker, T. B. (2016) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2016.04.022 · Cited by 8
“articipants were middle-aged, and as typical of the smoking opulation (Hiscock et al., 2012), reported modest socioeconomic tatus.”
BackgroundHurtado, D. A., Okechukwu, C. A., Buxton, O. M., Hammer, L. B., Hanson, G. C., Moen, P., Klein, L. C., & Berkman, L. F. (2016) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2015-206953 · Cited by 8
Sherratt, F. C., Field, J. K., & Marcus, M. W. (2017) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2016-208730 · Cited by 8
Benson, F., Nierkens, V., Willemsen, M. C., & Stronks, K. (2016) · Tobacco Prevention & Cessation · doi:10.18332/tpc/61616 · Cited by 7
Metadata
- 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 › 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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