TY - JOUR
T1 - Subjective social status predicts long-term smoking abstinence
AU - Reitzel, Lorraine R.
AU - Businelle, Michael S.
AU - Kendzor, Darla E.
AU - Li, Yisheng
AU - Cao, Yumei
AU - Castro, Yessenia
AU - Mazas, Carlos A.
AU - Cofta-Woerpel, Ludmila
AU - Cinciripini, Paul M.
AU - Wetter, David W.
N1 - Funding Information:
This manuscript was supported by grants from the National Institute of Drug Abuse (R01DA014818 to DWW), the Centers for Disease Control and Prevention (K01DP001120 to LRR), and the National Institutes of Health through The University of Texas MD Anderson’s Cancer Center Support Grant (CA016672). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Drug Abuse, the Centers for Disease Control and Prevention, or the National Institutes of Health. We are grateful for the various contributions of the research staff at The University of Texas MD Anderson Cancer Center who assisted with implementation of the original project.
PY - 2011
Y1 - 2011
N2 - Background: The relationship between subjective social status (SSS), a person's perception of his/her relative position in the social hierarchy, and the ability to achieve long-term smoking abstinence during a specific quit attempt is unknown. The purpose of this study was to examine the relationship between SSS and long-term smoking abstinence among 421 racially/ethnically diverse smokers undergoing a specific quit attempt, as well as the interactive effects of race/ethnicity and sex. Methods. The main effects and moderated relationships of SSS on biochemically-confirmed, continuous smoking abstinence through 26 weeks post-quit were examined using continuation ratio logit models adjusted for sociodemographics and smoking characteristics. Results: Even after adjusting for the influence of socioeconomic status and other covariates, smokers endorsing lower SSS were significantly less likely to maintain long-term smoking abstinence during a specific quit attempt than those with higher SSS (OR = 1.14, 95% CI: 1.00 - 1.28; p = 0.044). The statistical significance of this relationship, however, did not vary by race/ethnicity or sex. Conclusions: SSS independently predicts long-term smoking abstinence during a specific quit attempt. SSS may be a useful screener to identify smokers at elevated risk of relapse who may require additional attention to facilitate long-term abstinence. More research is needed to understand the mechanisms underlying the relationship between SSS and long-term smoking abstinence in order to appropriately tailor treatment to facilitate abstinence among lower SSS smokers.
AB - Background: The relationship between subjective social status (SSS), a person's perception of his/her relative position in the social hierarchy, and the ability to achieve long-term smoking abstinence during a specific quit attempt is unknown. The purpose of this study was to examine the relationship between SSS and long-term smoking abstinence among 421 racially/ethnically diverse smokers undergoing a specific quit attempt, as well as the interactive effects of race/ethnicity and sex. Methods. The main effects and moderated relationships of SSS on biochemically-confirmed, continuous smoking abstinence through 26 weeks post-quit were examined using continuation ratio logit models adjusted for sociodemographics and smoking characteristics. Results: Even after adjusting for the influence of socioeconomic status and other covariates, smokers endorsing lower SSS were significantly less likely to maintain long-term smoking abstinence during a specific quit attempt than those with higher SSS (OR = 1.14, 95% CI: 1.00 - 1.28; p = 0.044). The statistical significance of this relationship, however, did not vary by race/ethnicity or sex. Conclusions: SSS independently predicts long-term smoking abstinence during a specific quit attempt. SSS may be a useful screener to identify smokers at elevated risk of relapse who may require additional attention to facilitate long-term abstinence. More research is needed to understand the mechanisms underlying the relationship between SSS and long-term smoking abstinence in order to appropriately tailor treatment to facilitate abstinence among lower SSS smokers.
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U2 - 10.1186/1471-2458-11-135
DO - 10.1186/1471-2458-11-135
M3 - Article
C2 - 21352534
AN - SCOPUS:79951942040
SN - 1471-2458
VL - 11
JO - BMC public health
JF - BMC public health
M1 - 135
ER -