Subjective social status predicts long-term smoking abstinence

<p>Abstract</p> <p>Background</p> <p>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 unkno...

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Main Authors: Cofta-Woerpel Ludmila (Author), Mazas Carlos A (Author), Castro Yessenia (Author), Cao Yumei (Author), Li Yisheng (Author), Kendzor Darla E (Author), Businelle Michael S (Author), Reitzel Lorraine R (Author), Cinciripini Paul M (Author), Wetter David W (Author)
Format: Book
Published: BMC, 2011-02-01T00:00:00Z.
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Summary:<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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; <it>p </it>= 0.044). The statistical significance of this relationship, however, did not vary by race/ethnicity or sex.</p> <p>Conclusions</p> <p>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.</p>
Item Description:10.1186/1471-2458-11-135
1471-2458