Socioeconomic differences in smoking cessation: the role of social participation

Scand J Public Health. 2000 Sep;28(3):200-8.


Objectives: The aim of this study was to investigate whether psychosocial resources explain socioeconomic differences in smoking cessation and its maintenance.

Methods: A subpopulation of 11,837 individuals from the Malmö Diet and Cancer Study interviewed in 1992-94, age range 45-64 years, was investigated in this cross-sectional study. A multivariate logistic regression model was used to assess relative risks of having stopped smoking, adjusting for age, country of origin, previous/current diseases, and marital status.

Results: An odds ratio of 1.9 (1.4-2.5; 95% CI) for men and 2.0 (1.4-2.7; 95% CI) for women of having stopped smoking was found for higher non-manual employees when compared with unskilled manual workers. A decrease in these odds ratios was found when social participation was introduced into the model. The other three social network and social support variables were non-significant.

Conclusion: High social participation is a predictor of maintenance of smoking cessation. It seems possible to interpret parts of the socioeconomic differences in smoking cessation and its maintenance as a consequence of differing social network resources and social capital between socioeconomic groups.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Female
  • Humans
  • Likelihood Functions
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Occupations
  • Odds Ratio
  • Sex Factors
  • Smoking Cessation* / psychology
  • Smoking Cessation* / statistics & numerical data
  • Social Support
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Sweden