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Beliefs and Attitudes Associated With Hookah Smoking Among a United States College Population 2017 Department of Health Sciences and Human Performance, University of Tampa, Tampa, Florida. MMartinasek@ut.edu.; College of Nursing, University of Florida, Gainesville, Florida 32610.; Department of Community and Family Health, University of South(TRUNCATED
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Respiratory care
Periodical, Abbrev.
Respir.Care
Pub Date Free Form
Mar
Volume
62
Issue
3
Start Page
370
Other Pages
379
Notes
LR: 20171011; CI: Copyright (c) 2017; JID: 7510357; OTO: NOTNLM; 2016/12/29 06:00 [pubmed]; 2017/10/12 06:00 [medline]; 2016/12/29 06:00 [entrez]; ppublish
Place of Publication
United States
ISSN/ISBN
1943-3654; 0020-1324
Accession Number
PMID: 28028190
Language
eng
SubFile
Journal Article; IM
DOI
10.4187/respcare.05069 [doi]
Output Language
Unknown(0)
PMID
28028190
Abstract
BACKGROUND: This study explores the differences among smokers of waterpipe tobacco in a college population to better inform campaigns to curb waterpipe use. METHODS: Participants included undergraduate and graduate students attending a liberal arts university in Florida. E-mail-based, cross-sectional surveys were collected in 2 sequential years. RESULTS: The majority of respondents (64%) reported having ever smoked a hookah, even if just 1-2 puffs. Of those who had ever smoked a hookah, 34% reported smoking a hookah within the previous 30 d. Constructs from the theory of reasoned action were all correlated with smoking behavior. The range of beliefs endorsed by smokers were more strongly associated with hookah-related attitudes compared with subjective norms. Concerns about health were stronger among never-smokers. CONCLUSIONS: Young adult college students continue to engage in waterpipe tobacco smoking at high rates. Campaigns need to focus on subsets of smokers and nonsmokers, independently.
Descriptors
Links
Book Title
Database
Publisher
by Daedalus Enterprises
Data Source
Authors
Martinasek,M.P., Haddad,L.G., Wheldon,C.W., Barnett,T.E.
Original/Translated Title
URL
Date of Electronic
20161227
PMCID
Editors
The Prevalence, Attitudes, and Correlates of Waterpipe Smoking Among High School Students in Iran: a Cross-Sectional Study 2016 Department of Health Sciences, Unit for Public Health Science, Mid Sweden University, Sundsvall, Sweden. Reza.Ziaei@miun.se.; Department of Neurobiology, Care Sciences and Society, Unit for Family Medicine, Karolinska Institute, Stockholm, Sweden. Reza.Mo
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International Journal of Behavioral Medicine
Periodical, Abbrev.
Int.J.Behav.Med.
Pub Date Free Form
3-Mar
Volume
Issue
Start Page
Other Pages
Notes
LR: 20160305; JID: 9421097; OTO: NOTNLM; aheadofprint
Place of Publication
ISSN/ISBN
1532-7558; 1070-5503
Accession Number
PMID: 26940816
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
10.1007/s12529-016-9555-x [doi]
Output Language
Unknown(0)
PMID
26940816
Abstract
PURPOSE: The purpose of the present study was to determine the correlates of waterpipe (WP) smoking among 15-17-year-old high school students in Iran. METHOD: Data were collected using the Global Youth Tobacco Survey (GYTS), a self-administrated questionnaire distributed to a representative sample of high school students aged 15-17 in the city of Tabriz. Current WP smoking was defined as past 30-day use, and ever WP smoking was defined as at least one or two lifetime puffs. Differences in WP use, knowledge, and attitudes were analyzed using chi-square and Fisher exact tests. Binary logistic regression estimated the association between relevant independent variables (e.g., age) and the dependent variables (current/ever WP smoking). RESULTS: Of 1517 students, 21.6 % (95 % confidence interval [CI] = 19.5, 23.8) were ever WP smokers, and 9.7 % (95 % CI = 8.2, 11.2) were current WP smokers. Of current WP smokers, 40.3 % have stated that they want to stop smoking now. Moreover, 14.1 % of non-WP smokers reported that they might enjoy smoking WP. Of current WP smokers, 49.0 % have smoked at cafes. Additionally, 95.3 % of current WP smokers reported that their age did not prevent them from being served a WP. Studying in high school third grade (adjusted odds ratios (AORs) = 1.70; 95 % CI [1.10, 2.63]), experience of cigarette smoking (AORs = 1.57; 95 % CI [1.12, 2.20]), and being prepared to accept a WP offered by close friends (AORs = 3.31; 95 % CI [2.17, 5.04]) were independently associated with ever WP smoking, and accepting a WP offered by close friends (AORs = 4.36; 95 % CI [2.69, 7.07]) and gender (female) (AORs = 0.45; 95 % CI [0.30, 0.70] were independently associated with current WP smoking. CONCLUSION: Prevalence of current and ever WP smoking is high in Tabriz. There is an urgent need to design interventions in order to increase students' and their parents' awareness regarding the harmfulness of WP, and to establish legal measures to restrict adolescents' access to WPs and tobacco in society.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Ziaei,R., Mohammadi,R., Dastgiri,S., Viitasara,E., Rahimi,V.A., Jeddi,A., Soares,J.
Original/Translated Title
URL
Date of Electronic
20160303
PMCID
Editors
How popular is waterpipe tobacco smoking? Findings from internet search queries 2015 Department of Health Services Policy and Management, Arnold School of Public Health University of South Carolina, Columbia, South Carolina, USA.; Department of Health Promotion, Education, and Behavior, Arnold School of Public Health University of South C
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Sep
Volume
24
Issue
5
Start Page
509
Other Pages
513
Notes
LR: 20150823; CI: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.; GR: R01 DA035160/DA/NIDA NIH HHS/United States; GR: R
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 25052859
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1136/tobaccocontrol-2014-051675 [doi]
Output Language
Unknown(0)
PMID
25052859
Abstract
OBJECTIVES: Waterpipe tobacco smoking (WTS), a traditional tobacco consumption practice in the Middle East, is gaining popularity worldwide. Estimates of population-level interest in WTS over time are not documented. We assessed the popularity of WTS using World Wide Web search query results across four English-speaking countries. METHODS: We analysed trends in Google search queries related to WTS, comparing these trends with those for electronic cigarettes between 2004 and 2013 in Australia, Canada, the UK and the USA. Weekly search volumes were reported as percentages relative to the week with the highest volume of searches. RESULTS: Web-based searches for WTS have increased steadily since 2004 in all four countries. Search volume for WTS was higher than for e-cigarettes in three of the four nations, with the highest volume in the USA. Online searches were primarily targeted at WTS products for home use, followed by searches for WTS cafes/lounges. CONCLUSIONS: Online demand for information on WTS-related products and venues is large and increasing. Given the rise in WTS popularity, increasing evidence of exposure-related harms, and relatively lax government regulation, WTS is a serious public health concern and could reach epidemic levels in Western societies.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Salloum,R.G., Osman,A., Maziak,W., Thrasher,J.F.
Original/Translated Title
URL
Date of Electronic
20140722
PMCID
PMC4420726
Editors
Factors associated with smoking frequency among current waterpipe smokers in the United States: Findings from the National College Health Assessment II 2015 Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA; Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh.; Department of Health Ou
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Drug and alcohol dependence
Periodical, Abbrev.
Drug Alcohol Depend.
Pub Date Free Form
1-Aug
Volume
153
Issue
Start Page
359
Other Pages
363
Notes
LR: 20160801; CI: Copyright (c) 2015; GR: R01 DA035160/DA/NIDA NIH HHS/United States; GR: R01 DA035160/DA/NIDA NIH HHS/United States; JID: 7513587; NIHMS693785; OID: NLM: NIHMS693785; OID: NLM: PMC4821569; OTO: NOTNLM; 2015/03/04 [received]; 2015/05/02 [r
Place of Publication
Ireland
ISSN/ISBN
1879-0046; 0376-8716
Accession Number
PMID: 26036602
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1016/j.drugalcdep.2015.05.015 [doi]
Output Language
Unknown(0)
PMID
26036602
Abstract
BACKGROUND: Some waterpipe smokers exhibit nicotine dependent behaviors such as increased use over time and inability to quit, placing them at high risk of adverse health outcomes. This study examines the determinants of dependence by measuring frequency of use among current waterpipe smokers using a large national U.S. METHODS: Data were drawn from four waves (Spring/Fall 2009 and Spring/Fall 2010) of the American College Health Association-National College Health Assessment datasets. The sample was restricted to students who smoked a waterpipe at least once in the past 30 days (N=19,323). Ordered logistic regression modeled the factors associated with higher frequency of waterpipe smoking. RESULTS: Among current waterpipe smokers, 6% used a waterpipe daily or almost daily (20-29 days). Daily cigarette smokers were at higher odds of smoking a waterpipe at higher frequencies compared with non-smokers of cigarettes (OR=1.81; 95% CI=1.61-2.04). There was a strong association between daily cigar smoking and higher frequency of waterpipe smoking (OR=7.77; 95% CI=5.49-11.02). Similarly, students who used marijuana had higher odds of smoking a waterpipe at higher frequencies (OR=1.57; 95% CI=1.37-1.81). CONCLUSIONS: Daily consumers of other addictive substances are at a higher risk of intensive waterpipe smoking and thus higher risk of waterpipe dependence. Intervention programs must incorporate methods to reduce waterpipe dependence and subsequently prevent its deleterious health effects.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ireland Ltd
Data Source
Authors
Haider,M.R., Salloum,R.G., Islam,F., Ortiz,K.S., Kates,F.R., Maziak,W.
Original/Translated Title
URL
Date of Electronic
20150521
PMCID
PMC4821569
Editors
Water pipe tobacco smoking in the United States: findings from the National Adult Tobacco Survey 2015 Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA. Electronic address: rsalloum@sc.edu.; Department of Health Promotion, Education, and Behavior, Arnold School of Public He
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Preventive medicine
Periodical, Abbrev.
Prev.Med.
Pub Date Free Form
Feb
Volume
71
Issue
Start Page
88
Other Pages
93
Notes
LR: 20160202; CI: Copyright (c) 2014; GR: R01 DA035160/DA/NIDA NIH HHS/United States; JID: 0322116; 059QF0KO0R (Water); NIHMS651207; OID: NLM: NIHMS651207; OID: NLM: PMC4423406; OTO: NOTNLM; 2014/07/02 [received]; 2014/12/08 [revised]; 2014/12/12 [accepte
Place of Publication
United States
ISSN/ISBN
1096-0260; 0091-7435
Accession Number
PMID: 25535678
Language
eng
SubFile
Journal Article; IM
DOI
10.1016/j.ypmed.2014.12.012 [doi]
Output Language
Unknown(0)
PMID
25535678
Abstract
OBJECTIVE: To report prevalence and correlates of water pipe tobacco smoking (WTS) use among U.S. adults. METHODS: Data were from the 2009-2010 National Adult Tobacco Survey, a nationally representative sample of U.S. adults. Estimates of WTS ever and current use were reported overall, and by sex, age, race/ethnicity, educational attainment, annual household income, sexual orientation, and cigarette smoking status. State-level prevalence rates of WTS ever were reported using choropleth thematic maps for the overall population and by sex. RESULTS: The national prevalence of WTS ever was 9.8% and 1.5% for current use. WTS ever was more prevalent among those who are male (13.4%), 18-24 years old (28.4%) compared to older adults, non-Hispanic White (9.8%) compared to non-Hispanic Black, with some college education (12.4%) compared to no high school diploma, and reporting sexual minority status (21.1%) compared to heterosexuals. States with highest prevalence included DC (17.3%), NV (15.8%), and CA (15.5%). CONCLUSION: WTS is now common among young adults in the US and high in regions where cigarette smoking prevalence is the lowest and smoke-free policies have a longer history. To reduce its use, WTS should be included in smoke-free regulations and state and federal regulators should consider policy development in other areas, including taxes, labeling, and distribution.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Inc
Data Source
Authors
Salloum,R.G., Thrasher,J.F., Kates,F.R., Maziak,W.
Original/Translated Title
URL
Date of Electronic
20141220
PMCID
PMC4423406
Editors
Geographic Proximity of Waterpipe Smoking Establishments to Colleges in the U.S 2016 Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida.; Department of Health Outcomes and Policy, Institute for Child Health Policy, University of Florid
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Preventive Medicine
Periodical, Abbrev.
Am.J.Prev.Med.
Pub Date Free Form
Jan
Volume
50
Issue
1
Start Page
e9
Other Pages
e14
Notes
LR: 20160406; CI: Copyright (c) 2016; GR: R01 DA035160/DA/NIDA NIH HHS/United States; JID: 8704773; NIHMS721380; OID: NLM: NIHMS721380 [Available on 01/01/17]; OID: NLM: PMC4821570 [Available on 01/01/17]; PMCR: 2017/01/01 00:00; 2015/03/26 [received]; 20
Place of Publication
Netherlands
ISSN/ISBN
1873-2607; 0749-3797
Accession Number
PMID: 26346294
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.amepre.2015.07.006 [doi]
Output Language
Unknown(0)
PMID
26346294
Abstract
INTRODUCTION: Waterpipe tobacco smoking is prevalent among college students in the U.S. and increasing in popularity. Waterpipe smoking establishments are almost completely unregulated, and limited information exists documenting the expansion of this industry. The objective of this study was to identify U.S.-based waterpipe establishments and measure their proximity to colleges/universities. METHODS: Waterpipe establishments and their addresses were compiled using five Internet-based directories during 2014 and analyzed in 2015. Addresses were geocoded and overlaid on a U.S. map of accredited colleges/universities. Proximity of colleges/universities to the nearest waterpipe establishment was measured in 3-mile increments. Multinomial logistic regression was used to model the factors associated with proximity of waterpipe establishments to colleges/universities. RESULTS: A total of 1,690 waterpipe establishments and 1,454 colleges/universities were included in the study. Overall, 554 colleges/universities (38.1%) were within 3 miles of a waterpipe establishment. Proximity of waterpipe establishments to colleges/universities was associated with higher full-time student enrollment. Public colleges/universities and those with a smoke-free campus policy were at lower odds of having waterpipe establishments within 3 miles of their campuses. CONCLUSIONS: Waterpipe smoking establishments are more likely to be located near large colleges/universities. This study should inform initiatives aimed at reducing retail tobacco establishment exemptions.
Descriptors
Links
Book Title
Database
Publisher
American Journal of Preventive Medicine. Published by Elsevier Inc
Data Source
Authors
Kates,F.R., Salloum,R.G., Thrasher,J.F., Islam,F., Fleischer,N.L., Maziak,W.
Original/Translated Title
URL
Date of Electronic
20150904
PMCID
PMC4821570
Editors
Socio-economic status and smoking in Canada, 1999-2006: has there been any progress on disparities in tobacco use? 2010 Department of Health Studies & Gerontology, University of Waterloo, 200 University Ave. W., Waterloo, ON N2L 3G1. jl3reid@uwaterloo.ca
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Canadian journal of public health = Revue canadienne de sante publique
Periodical, Abbrev.
Can.J.Public Health
Pub Date Free Form
Jan-Feb
Volume
101
Issue
1
Start Page
73
Other Pages
78
Notes
LR: 20130605; GR: Canadian Institutes of Health Research/Canada; JID: 0372714; ppublish
Place of Publication
Canada
ISSN/ISBN
0008-4263; 0008-4263
Accession Number
PMID: 20364543
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
20364543
Abstract
OBJECTIVES: Comprehensive tobacco control policies implemented in Canada have succeeded in lowering overall smoking prevalence; however, the extent to which they have impacted socio-economic disparities in tobacco use is not known. This study examined smoking rates and related measures across socio-economic groups over a 7-year period in Canada. METHODS: Regression analyses tested associations between smoking-related outcomes (prevalence, frequency, consumption, quit intentions and attempts, quit ratios), education level and time, using data from adults 25 years and older who completed the 1999 to 2006 waves of the Canadian Tobacco Use Monitoring Survey (CTUMS), a repeated cross-sectional survey with nationally representative samples (n = 86,971). RESULTS: Between 1999 and 2006, smoking prevalence, daily smoking, and cigarette consumption decreased, while the proportion of smokers who planned to quit increased, as did the proportion of ever-smokers who had quit. However, significant educational differences were observed: Canadians with less education had greater odds of current smoking (prevalence approximately doubled between the most and least educated groups) and daily smoking, and consumed more cigarettes, compared to university graduates. Highly-educated ever-smokers were also more likely to have quit smoking. These disparities remained stable over the time period studied. Intentions and attempts to quit were not consistently associated with education. CONCLUSIONS: The decline in smoking among Canadians between 1999 and 2006 represents a major public health achievement. However, considerable smoking-related disparities exist between socio-economic groups, and have changed very little. Therefore, while recent programs and policies have succeeded in reducing overall tobacco use, they have not addressed socio-economic disparities.
Descriptors
Adult, Aged, Aged, 80 and over, Canada/epidemiology, Cross-Sectional Studies, Female, Health Policy, Health Status Disparities, Health Surveys, Humans, Logistic Models, Male, Middle Aged, Prevalence, Public Health, Risk Factors, Smoking/epidemiology/prevention & control, Smoking Cessation/statistics & numerical data, Social Class
Links
Book Title
Database
Publisher
Data Source
Authors
Reid,J. L., Hammond,D., Driezen,P.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Cigar, cigarillo, and little cigar use among Canadian youth: are we underestimating the magnitude of this problem? 2011 Department of Health Studies and Gerontology, University of Waterloo, 200 University Avenue, Waterloo, ON, N2L 3G1, Canada. sleather@uwaterloo.ca
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The journal of primary prevention
Periodical, Abbrev.
J.Prim.Prev.
Pub Date Free Form
Aug
Volume
32
Issue
4-Mar
Start Page
161
Other Pages
170
Notes
JID: 8213457; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1573-6547; 0278-095X
Accession Number
PMID: 21809109
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1007/s10935-011-0248-6 [doi]
Output Language
Unknown(0)
PMID
21809109
Abstract
Data from 29,296 students in grades 9-12 as part of the 2008-2009 Youth Smoking Survey were used to examine the prevalence of cigar, cigarillo, and little cigar use and factors associated with their use. Among Canadian youth in grades 9-12, 12.9% reported current use of cigarillos or little cigars, and 8.1% reported current use of cigars. The characteristics of youth most likely to use either cigars or cigarillos and little cigars were being male, being in grade 11 or 12, being a daily or occasional cigarette smoker, having more than $20 of weekly spending money, and having ever tried flavored tobacco. Our findings suggest that cigars, cigarillos, and little cigars are used by a substantial number of Canadian youth, many of whom do not smoke cigarettes. As such, current national prevalence estimates of youth smoking may be underestimated, and existing tobacco control prevention programs and policies may be overlooking a large population of at-risk youth.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Leatherdale,S.T., Rios,P., Elton-Marshall,T., Burkhalter,R.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Bidi and hookah use among Canadian youth: an examination of data from the 2006 Canadian Youth Smoking Survey 2011 Department of Health Studies and Gerontology, University of Waterloo, Waterloo, Ontario, Canada.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
Periodical, Abbrev.
J.Adolesc.Health
Pub Date Free Form
Jul
Volume
49
Issue
1
Start Page
102
Other Pages
104
Notes
LR: 20131121; CI: Copyright (c) 2011; JID: 9102136; 059QF0KO0R (Water); 2010/05/25 [received]; 2010/11/16 [revised]; 2010/11/17 [accepted]; 2011/03/12 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1879-1972; 1054-139X
Accession Number
PMID: 21700168
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.jadohealth.2010.11.250 [doi]
Output Language
Unknown(0)
PMID
21700168
Abstract
PURPOSE: To examine the prevalence and associated factors of bidi and hookah use among Canadian youth. METHODS: Data from 41,886 grade 7 to 12 youth were used to examine factors associated with bidi and hookah use. RESULTS: Youth who are current or former cigarette smokers, have tried marijuana or alcohol, were more likely to use bidi or hookah. CONCLUSIONS: Results suggest bidi and hookah use may be an emerging issue in tobacco control among youth. Findings also support an integrated approach where future prevention efforts should address multiple risk behaviors.
Descriptors
Links
Book Title
Database
Publisher
Society for Adolescent Health and Medicine. Published by Elsevier Inc
Data Source
Authors
Chan,W.C., Leatherdale,S.T., Burkhalter,R., Ahmed,R.
Original/Translated Title
URL
Date of Electronic
20110312
PMCID
Editors
Socioeconomic disparities in quit intentions, quit attempts, and smoking abstinence among smokers in four western countries: findings from the International Tobacco Control Four Country Survey 2010 Department of Health Studies and Gerontology, University of Waterloo, Waterloo, Ontario, Canada. jl3reid@uwaterloo.ca
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Oct
Volume
12 Suppl
Issue
Start Page
S20
Other Pages
33
Notes
LR: 20141202; GR: 57897/Canadian Institutes of Health Research/Canada; GR: 79551/Canadian Institutes of Health Research/Canada; GR: C312/A3726/Cancer Research UK/United Kingdom; GR: P50 CA111236/CA/NCI NIH HHS/United States; GR: R01 CA 100362/CA/NCI NIH H
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 20889477
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/ntr/ntq051 [doi]
Output Language
Unknown(0)
PMID
20889477
Abstract
INTRODUCTION: Lower socioeconomic status (SES) groups have higher rates of tobacco use, are less likely to successfully quit, and may also be less likely to intend or attempt to quit. However, results are inconsistent for some outcomes, and little is known about how socioeconomic disparities vary across countries and over time. METHODS: This study examined the associations between SES and quitting-related behaviors among representative samples of smokers in Canada, the United States, the United Kingdom, and Australia, using data from the first five waves (2002-2006/2007) of the International Tobacco Control Four Country Survey (35,532 observations from 16,458 respondents). Generalized estimating equations modeling was used to examine whether education and income were related to intentions to quit, incidence of quit attempts, and smoking abstinence. Potential differences in the associations over time and across countries were also considered. RESULTS: Smokers with higher education were more likely to intend to quit, to make a quit attempt, and to be abstinent for at least 1 and 6 months; smokers with higher income were more likely to intend to quit and to be abstinent for at least 1 month. Some between-country differences were observed: U.K. and U.S. smokers were less likely to intend to quit than Australians and Canadians; and, although U.K. respondents were least likely to attempt to quit, those that did were more likely to be abstinent. DISCUSSION: The results suggest that socioeconomic disparities exist at multiple stages in the path to smoking cessation. Potential effects on socioeconomic disparities should be considered when implementing cessation interventions.
Descriptors
Adult, Attitude to Health, Australia/epidemiology, Canada/epidemiology, Female, Great Britain/epidemiology, Humans, International Cooperation, Male, Middle Aged, Motivation, Multivariate Analysis, Population Surveillance, Poverty/statistics & numerical data, Secondary Prevention, Self Efficacy, Smoking/economics/epidemiology/psychology, Smoking Cessation/economics/psychology/statistics & numerical data, Socioeconomic Factors, Tobacco Use Disorder/economics/epidemiology/psychology, United States/epidemiology, Young Adult
Links
Book Title
Database
Publisher
Data Source
Authors
Reid,J. L., Hammond,D., Boudreau,C., Fong,G. T., Siahpush,M., ITC Collaboration
Original/Translated Title
URL
Date of Electronic
PMCID
PMC2948137
Editors