Samantha Carlson1, Rachel Widome2, Lindsey Fabian2, Xianghua Luo3,4, Jean Forster2. 1. 1 Department of Family Medicine and Community Health, Medical School, University of Minnesota, Minneapolis, MN, USA. 2. 2 Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA. 3. 3 Division of Biostatistics, University of Minnesota School of Public Health, Minneapolis, MN, USA. 4. 4 Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA.
Abstract
PURPOSE: The aims of this analysis were to explore how self-reported barriers to quitting vary by socioeconomic status (SES) among young-adult smokers and to assess their relationship to quitting. DESIGN: This analysis uses 2 waves of telephone-survey data from the Minnesota Adolescent Community Cohort study. SETTING: Midwestern United States. PARTICIPANTS: Participants (n = 419) were smokers aged 17 to 24 years. MEASURES: Socioeconomic status was estimated using the highest level of education completed by the participants' parents. Demographics, smoking behavior, and perceived barriers to quitting were collected via survey questions. ANALYSIS: Differences in barriers by SES were assessed using prevalence ratios (PRs). Relative risks were calculated to assess the association between barriers and quitting status 1 year later, testing for effect modification by SES. RESULTS: Compared to the high SES group (n = 314), the low SES group (n = 105) was more likely to report several barriers to quitting; however, only the risk of gaining weight was significantly more common (PR: 1.38 [1.05-1.83]). There were no significant associations between barriers and quitting status 1 year later, but the number of cigarettes per day was consistently related to the likelihood of quitting 1 year later, regardless of SES. CONCLUSION: Despite the limited generalizability to racially diverse populations and different geographic locations, the results suggest perceived barriers may not differ by SES or predict quitting among young adults; however, nicotine dependence may play an important role.
PURPOSE: The aims of this analysis were to explore how self-reported barriers to quitting vary by socioeconomic status (SES) among young-adult smokers and to assess their relationship to quitting. DESIGN: This analysis uses 2 waves of telephone-survey data from the Minnesota Adolescent Community Cohort study. SETTING: Midwestern United States. PARTICIPANTS: Participants (n = 419) were smokers aged 17 to 24 years. MEASURES: Socioeconomic status was estimated using the highest level of education completed by the participants' parents. Demographics, smoking behavior, and perceived barriers to quitting were collected via survey questions. ANALYSIS: Differences in barriers by SES were assessed using prevalence ratios (PRs). Relative risks were calculated to assess the association between barriers and quitting status 1 year later, testing for effect modification by SES. RESULTS: Compared to the high SES group (n = 314), the low SES group (n = 105) was more likely to report several barriers to quitting; however, only the risk of gaining weight was significantly more common (PR: 1.38 [1.05-1.83]). There were no significant associations between barriers and quitting status 1 year later, but the number of cigarettes per day was consistently related to the likelihood of quitting 1 year later, regardless of SES. CONCLUSION: Despite the limited generalizability to racially diverse populations and different geographic locations, the results suggest perceived barriers may not differ by SES or predict quitting among young adults; however, nicotine dependence may play an important role.
Entities:
Keywords:
barriers; cessation; smoking; socioeconomic status; young adults
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