Travis P Baggett1, Lydie A Lebrun-Harris, Nancy A Rigotti. 1. Tobacco Research and Treatment Center, General Medicine Division, Massachusetts General Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA; Boston Health Care for the Homeless Program, Boston, MA, USA.
Abstract
AIMS: We determined whether or not homelessness is associated with cigarette smoking independent of other socio-economic measures and behavioral health factors, and whether homeless smokers differ from non-homeless smokers in their desire to quit. DESIGN, SETTING AND PARTICIPANTS: We analyzed data from 2678 adult respondents to the 2009 Health Center Patient Survey, a nationally representative cross-sectional survey of homeless and non-homeless individuals using US federally funded community health centers. MEASUREMENTS: We used multivariable logistic regression to examine the association between homelessness and (i) current cigarette smoking among all adults, and (ii) past-year desire to quit among current smokers, adjusting for demographic, socio-economic and behavioral health characteristics. FINDINGS: Adults with any history of homelessness were more likely than never homeless respondents to be current smokers (57 versus 27%, P < 0.001). In multivariable models, a history of homelessness was associated independently with current smoking [adjusted odds ratio (AOR) 2.09; 95% confidence interval (CI) = 1.49-2.93], even after adjusting for age, sex, race, veteran status, insurance, education, employment, income, mental illness and alcohol and drug abuse. Housing status was not associated significantly with past-year desire to stop smoking in unadjusted (P = 0.26) or adjusted (P = 0.60) analyses; 84% of currently homeless, 89% of formerly homeless and 82% of never homeless smokers reported wanting to quit. CONCLUSIONS: Among patients of US health centers, a history of homelessness doubles the odds of being a current smoker independent of other socio-economic factors and behavioral health conditions. However, homeless smokers do not differ from non-homeless smokers in their desire to quit and should be offered effective interventions.
AIMS: We determined whether or not homelessness is associated with cigarette smoking independent of other socio-economic measures and behavioral health factors, and whether homeless smokers differ from non-homeless smokers in their desire to quit. DESIGN, SETTING AND PARTICIPANTS: We analyzed data from 2678 adult respondents to the 2009 Health Center Patient Survey, a nationally representative cross-sectional survey of homeless and non-homeless individuals using US federally funded community health centers. MEASUREMENTS: We used multivariable logistic regression to examine the association between homelessness and (i) current cigarette smoking among all adults, and (ii) past-year desire to quit among current smokers, adjusting for demographic, socio-economic and behavioral health characteristics. FINDINGS: Adults with any history of homelessness were more likely than never homeless respondents to be current smokers (57 versus 27%, P < 0.001). In multivariable models, a history of homelessness was associated independently with current smoking [adjusted odds ratio (AOR) 2.09; 95% confidence interval (CI) = 1.49-2.93], even after adjusting for age, sex, race, veteran status, insurance, education, employment, income, mental illness and alcohol and drug abuse. Housing status was not associated significantly with past-year desire to stop smoking in unadjusted (P = 0.26) or adjusted (P = 0.60) analyses; 84% of currently homeless, 89% of formerly homeless and 82% of never homeless smokers reported wanting to quit. CONCLUSIONS: Among patients of US health centers, a history of homelessness doubles the odds of being a current smoker independent of other socio-economic factors and behavioral health conditions. However, homeless smokers do not differ from non-homeless smokers in their desire to quit and should be offered effective interventions.
Authors: Travis P Baggett; Daniel E Singer; Sowmya R Rao; James J O'Connell; Monica Bharel; Nancy A Rigotti Journal: J Gen Intern Med Date: 2011-01-29 Impact factor: 5.128
Authors: Iris Torchalla; Verena Strehlau; Chizimuzo T C Okoli; Kathy Li; Christian Schuetz; Michael Krausz Journal: Nicotine Tob Res Date: 2011-05-26 Impact factor: 4.244
Authors: Travis P Baggett; Robert Anderson; Paul J Freyder; Jill A Jarvie; Kristi Maryman; Janet Porter; Nancy A Rigotti Journal: J Health Care Poor Underserved Date: 2012-11
Authors: Lydie A Lebrun-Harris; Travis P Baggett; Darlene M Jenkins; Alek Sripipatana; Ravi Sharma; A Seiji Hayashi; Charles A Daly; Quyen Ngo-Metzger Journal: Health Serv Res Date: 2012-11-07 Impact factor: 3.402
Authors: Lorra Garey; Lorraine R Reitzel; Julie Neisler; Darla E Kendzor; Michael J Zvolensky; Clayton Neighbors; Daphne C Hernandez; Michael S Businelle Journal: Behav Med Date: 2018-05-14 Impact factor: 3.104