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Smokers Living in Deprived Areas are Less Likely to Quit: A Longitudinal Follow-up

Giskes, Katrina M., van Lenthe, Frank J. , Turrell, Gavin, Brug, Johannes , & Mackenbach, Johan P. (2006) Smokers Living in Deprived Areas are Less Likely to Quit: A Longitudinal Follow-up. Tobacco Control: An International Journal, 15(6), pp. 485-488.

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Abstract

Objective: To follow up smokers to examine whether the likelihood of quitting varied by area deprivation, and whether smoking history, health status, personality characteristics, social support and stressful situations contributed to area deprivation differences in quit rates. Design: Longitudinal data with a 6-year follow up period were analysed using multi-level logistic regression. Area-level deprivation was characterized by a composite measure that was the sum of the proportion of unemployed residents, the percentage of residents in blue-collar occupations and the proportion with only elementary-level education. Previously established predictors of smoking cessation, including education, age at smoking initiation, self assessed health, chronic illness, locus of control, neuroticism, negative life events, long-lasting relationship difficulties, emotional social support and negative neighbourhood conditions were examined separately and in a combined model to assess whether they contributed to neighbourhood deprivation differences in quitting.
Participants: 404 participants (residing in 83 areas) who identified as smokers at baseline and who did not change their residential address over the follow up period.
Main outcome: Being a non-smoker at follow-up. Results: Odds ratios of quitting decreased with greater area-level deprivation, but differences only reached significance between the most and least deprived quartiles. Smoking history, health status, personality characteristics, social support and stressful situations did not contribute to the lower quitting rates seen among smokers in deprived areas. Conclusions: Living in a deprived area appears to reduce the likelihood of quitting smoking, hence individual-level tobacco control efforts should be complemented with area-based interventions. However, we need to identify and understand the underlying factors associated with living in a deprived area that contributes to lower quitting rates.

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ID Code: 7805
Item Type: Journal Article
Keywords: Smoking, Socioeconomic, Area Deprivation, Longitudinal
DOI: 10.1136/tc.2006.015750
ISSN: 0964-4563
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > Research Centres > Centre for Health Research
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Funding:
Copyright Owner: Copyright 2006 BMJ Publishing
Copyright Statement: Reproduced in accordance with the copyright policy of the publisher.
Deposited On: 03 Dec 2007
Last Modified: 09 Apr 2014 22:21

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