TY - JOUR
T1 - Smoking and finances
T2 - baseline characteristics of low income daily smokers in the FISCALS cohort
AU - Martire, Kristy A.
AU - Clare, Philip
AU - Courtney, Ryan J.
AU - Bonevski, Billie
AU - Boland, Veronica
AU - Borland, Ron
AU - Doran, Christopher M.
AU - Farrell, Michael
AU - Hall, Wayne
AU - Iredale, Jaimi M.
AU - Siahpush, Mohammad
AU - Mattick, Richard P.
PY - 2017
Y1 - 2017
N2 - Background: Financial stress is a barrier to successful smoking cessation and a key predictor of relapse. Little is known about the financial situation of low-income Australian daily smokers. This study aims to describe and investigate associations between the financial functioning, tobacco use and quitting behaviours of low income daily smokers. Methods: Low-income Australian adult smokers in the 'Financial Intervention for Smoking Cessation Among Low-income Smokers (FISCALS) randomised clinical trial completed a structured telephone questionnaire. Results: The median number of cigarettes typically smoked by the 1047 participants was 23 per day. The median spent on tobacco per week was AU$80. Three quarters (73.0%) reported some financial stress and 43.2% reported smoking-induced deprivation. Financial stress was significantly associated with deprivation (IRR: 1.23, 95% CI 1.21, 1.26, p < 0.001). There were no significant associations either between adjusted financial stress or deprivation and motivation to quit or certainty of quit success. Conclusions: Financial stress and smoking induced deprivation were prevalent among low-income daily smokers, but they were not associated with motivation to quit. Smoking cessation interventions need to be responsive to the role financial stress plays in reducing quit attempts and increasing relapse. Trial registration: Australian and New Zealand Clinical trials Registry ACTRN12612000725864 6/07/2012
AB - Background: Financial stress is a barrier to successful smoking cessation and a key predictor of relapse. Little is known about the financial situation of low-income Australian daily smokers. This study aims to describe and investigate associations between the financial functioning, tobacco use and quitting behaviours of low income daily smokers. Methods: Low-income Australian adult smokers in the 'Financial Intervention for Smoking Cessation Among Low-income Smokers (FISCALS) randomised clinical trial completed a structured telephone questionnaire. Results: The median number of cigarettes typically smoked by the 1047 participants was 23 per day. The median spent on tobacco per week was AU$80. Three quarters (73.0%) reported some financial stress and 43.2% reported smoking-induced deprivation. Financial stress was significantly associated with deprivation (IRR: 1.23, 95% CI 1.21, 1.26, p < 0.001). There were no significant associations either between adjusted financial stress or deprivation and motivation to quit or certainty of quit success. Conclusions: Financial stress and smoking induced deprivation were prevalent among low-income daily smokers, but they were not associated with motivation to quit. Smoking cessation interventions need to be responsive to the role financial stress plays in reducing quit attempts and increasing relapse. Trial registration: Australian and New Zealand Clinical trials Registry ACTRN12612000725864 6/07/2012
KW - Financial stress
KW - Low-income
KW - Smoking
KW - Socioeconomic status
KW - Tobacco
UR - http://www.scopus.com/inward/record.url?scp=85028657805&partnerID=8YFLogxK
UR - http://purl.org/au-research/grants/NHMRC/1021862
UR - http://purl.org/au-research/grants/NHMRC/1045318
UR - http://purl.org/au-research/grants/NHMRC/1063206
U2 - 10.1186/s12939-017-0643-6
DO - 10.1186/s12939-017-0643-6
M3 - Article
C2 - 28854980
AN - SCOPUS:85028657805
SN - 1475-9276
VL - 16
JO - International Journal For Equity in Health
JF - International Journal For Equity in Health
M1 - 157
ER -
