The social determinants and starting and sustaining quit attempts in a national sample of Aboriginal and Torres Strait Islander smokers.
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Date
2017-12-21
Author(s)
Journal Title
Journal ISSN
Volume Title
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Affiliation(s)
(Thomas) Menzies School of Health Research, Northern Territory
(Panaretto) University of South Australia
(Davey) Tasmanian Aboriginal Centre
(Davey) University of Tasmania
(Briggs) Lowitja Institute, Victoria
(Borland) Cancer Council Victoria
(Panaretto) University of South Australia
(Davey) Tasmanian Aboriginal Centre
(Davey) University of Tasmania
(Briggs) Lowitja Institute, Victoria
(Borland) Cancer Council Victoria
Year
2017
Citation
Australian and New Zealand Journal of Public Health. Vol.41(3), 2017, pp. 230-236.
Journal
Australian and New Zealand Journal of Public Health
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Abstract
Objective: To assess whether social, economic and demographic measures are associated with initiating and sustaining quit attempts in a national sample of Aboriginal and Torres Strait Islander smokers.
METHODS: We analysed data from 759 adults who reported smoking at least weekly in the Talking About The Smokes baseline survey (April 2012 - October 2013) and completed a follow up survey a year later (August 2013 - August 2014).
Results: Almost none of the standard baseline socioeconomic indicators predicted making or sustaining quit attempts. However, becoming employed was associated with making quit attempts (OR 1.88) and both becoming employed (OR 3.03) and moving to purchase a home (OR 2.34) were both positively associated with sustaining abstinence of one month or more. More smokers who had insufficient money for food or essentials because of money spent on cigarettes had made a quit attempt (OR 1.47) and sustained abstinence of one month or more (OR 1.74).
CONCLUSIONS AND IMPLICATIONS: Disadvantage does not seem to have pervasive negative effects on quitting. We should be more optimistic in our tobacco control activities with the most disadvantaged among Aboriginal and Torres Strait Islander smokers. Increasing personal empowerment (e.g. getting a job) may lead to at least short-term improvements in quitting.Copyright © 2017 Public Health Association of Australia.
PubMed ID
28110516 [https://www.ncbi.nlm.nih.gov/pubmed/?term=28110516]
Type
Article
Study type
Observational study (cohort, case-control, cross sectional, or survey)
Subjects
Social determinants of health
Tobacco use
Tobacco use