Financial strain and smoking cessation among racially/ethnically diverse smokers

Am J Public Health. 2010 Apr;100(4):702-6. doi: 10.2105/AJPH.2009.172676. Epub 2010 Feb 18.


Objectives: We evaluated the influence of financial strain on smoking cessation among Latino, African American, and Caucasian smokers of predominantly low socioeconomic status.

Methods: Smokers enrolled in a smoking cessation study (N = 424) were followed from 1 week prequit through 26 weeks postquit. We conducted a logistic regression analysis to evaluate the association between baseline financial strain and smoking abstinence at 26 weeks postquit after control for age, gender, race/ethnicity, educational level, annual household income, marital status, number of cigarettes smoked per day, and time to first cigarette of the day.

Results: Greater financial strain at baseline was significantly associated with reduced odds of abstinence at 26 weeks postquit among those who completed the study (odds ratio [OR] = 0.77; 95% confidence interval [CI] = 0.62, 0.94; P = .01). There was a significant association as well in analyses that included those who completed the study in addition to those lost to follow-up who were categorized as smokers (OR = 0.78; 95% CI = 0.64, 0.96; P = .02).

Conclusions: Greater financial strain predicted lower cessation rates among racially/ethnically diverse smokers. Our findings highlight the impact of economic concerns on smoking cessation and the need to address financial strain in smoking cessation interventions.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • African Americans / statistics & numerical data
  • Age Factors
  • Aged
  • Confidence Intervals
  • Costs and Cost Analysis / economics*
  • Educational Status
  • Ethnicity / statistics & numerical data*
  • Female
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Income
  • Logistic Models
  • Longitudinal Studies
  • Male
  • Marital Status
  • Middle Aged
  • Odds Ratio
  • Poverty / statistics & numerical data
  • Racial Groups / statistics & numerical data*
  • Sex Factors
  • Smoking Cessation / economics*
  • Socioeconomic Factors
  • United States
  • Young Adult