wow-inequalities/02-data/intermediate/wos_sample/8e0257a8908094882884fb50e568e0cf-leventhal-adam-m.-a/info.yaml

abstract: 'This study of a nationally representative cross-sectional annual

  household-based probability sample of noninstitutionalized residents

  estimates disparities in smoking prevalence associated with the number

  of socioeconomic and health-related disadvantages faced by US adults

  from 2008 to 2017.

  Key PointsQuestionAre US disparities in smoking prevalence associated

  with the cumulative number of socioeconomic or health-related

  disadvantages faced, and have such disparities widened over time?

  FindingsIn this nationally representative cross-sectional annual

  household-based probability sample of US noninstitutionalized residents,

  the mean current smoking prevalence among 279 559 adults 25 years or

  older collapsed across 2008 to 2017 was successively higher with each

  additional form of disadvantage faced. Odds of current vs never smoking

  decreased from 2008 to 2017 for groups with 0 to 2 disadvantages but did

  not significantly change for groups facing 3 or more disadvantages.

  MeaningMultidisadvantaged groups may constitute a disproportionate

  percentage of US smokers, a disparity that recently widened.

  ImportanceUnderstanding emerging patterns of smoking disparities among

  disadvantaged populations can guide tobacco control policy. ObjectiveTo

  estimate disparities in smoking prevalence associated with the number of

  socioeconomic and health-related disadvantages faced by a population

  among US adults from 2008 to 2017. Design, Setting, and

  ParticipantsNationally representative cross-sectional annual

  household-based probability sample of US noninstitutionalized residents.

  Polytomous regression estimated associations of disadvantage variables,

  survey year, and their interaction with the following 3 pairwise

  contrasts: current vs never smoking (estimate of overall disparities),

  current vs former smoking (unique contribution of disparities in smoking

  cessation), and former vs never smoking (unique contribution of

  disparities in smoking initiation). The setting was in-home face-to-face

  interviews. Participants were respondents in 2008 to 2017 survey years

  who were aged 25 years or older (N=279 559). ExposuresSelf-reported

  past-year unemployment, income below the federal poverty line, absence

  of high school diploma, disability/limitation interfering with daily

  functions, serious psychological distress on the Kessler 6-item screen,

  and at least 60 past-year heavy drinking days, each coded yes or no.

  These indicators were summed in a cumulative disadvantage index (0, 1,

  2, 3, 4, or 5 or 6). Main Outcomes and MeasuresSelf-reported current,

  former (ever smoked 100 cigarettes, had since quit, and not currently

  smoking), and never (<100 cigarettes) smoking. ResultsAmong 278 048

  respondents (mean {[}SD] age, 51.9 {[}16.8] years; 55.7\% female) with

  data on smoking history (99.5\% of the sample), the mean current smoking

  prevalence across 2008 to 2017 compared with populations without

  disadvantages was successively higher among populations with 1

  disadvantage (21.4\% vs 13.8\%; current vs never smoking adjusted odds

  ratio {[}OR], 2.34; 95\% CI, 2.27-2.43), 2 disadvantages (26.6\% vs

  13.8\%; OR, 3.55; 95\% CI, 3.39-3.72), 3 disadvantages (35.1\% vs

  13.8\%; OR, 5.35; 95\% CI, 5.05-5.66), 4 disadvantages (45.7\% vs

  13.8\%; OR, 8.59; 95\% CI, 7.91-9.34), or 5 or 6 disadvantages (58.2\%

  vs 13.8\%; OR, 14.70; 95\% CI, 12.30-17.50). In current vs former and

  former vs never smoking status contrasts, ORs were lower but also showed

  successively greater associations with increasing cumulative

  disadvantage. Current (vs never) smoking odds significantly declined

  each year among populations with 0 (OR, 0.95; 95\% CI, 0.94-0.96), 1

  (OR, 0.96; 95\% CI, 0.95-0.97), or 2 (OR, 0.98; 95\% CI, 0.97-0.99)

  disadvantages but did not change across 2008 to 2017 among those with 3

  or more disadvantages. Conclusions and RelevanceResults of this study

  demonstrate that US disparities in smoking prevalence from 2008 to 2017

  were successively larger with each additional disadvantage faced, were

  expressed in higher smoking initiation odds and lower smoking cessation

  odds, and widened over time.'
affiliation: 'Leventhal, AM (Corresponding Author), Univ Southern Calif, Keck Sch
  Med, Dept Prevent Med, 2001 N Soto St,Ste 302C, Los Angeles, CA 90089 USA.

  Leventhal, Adam M.; Galstyan, Ellen; Barrington-Trimis, Jessica L., Univ Southern
  Calif, Keck Sch Med, Dept Prevent Med, 2001 N Soto St,Ste 302C, Los Angeles, CA
  90089 USA.

  Leventhal, Adam M.; Bello, Mariel S., Univ Southern Calif, Dept Psychol, Los Angeles,
  CA 90089 USA.

  Leventhal, Adam M., Univ Southern Calif, USC Norris Comprehens Canc Ctr, Los Angeles,
  CA USA.

  Higgins, Stephen T., Univ Vermont, Dept Psychiat, Vermont Ctr Behav \& Hlth, Burlington,
  VT USA.

  Higgins, Stephen T., Univ Vermont, Dept Psychol Sci, Vermont Ctr Behav \& Hlth,
  Burlington, VT USA.'
author: Leventhal, Adam M. and Bello, Mariel S. and Galstyan, Ellen and Higgins, Stephen
  T. and Barrington-Trimis, Jessica L.
author-email: adam.leventhal@usc.edu
author_list:
- family: Leventhal
  given: Adam M.
- family: Bello
  given: Mariel S.
- family: Galstyan
  given: Ellen
- family: Higgins
  given: Stephen T.
- family: Barrington-Trimis
  given: Jessica L.
da: '2023-09-28'
doi: 10.1001/jamainternmed.2019.0192
eissn: 2168-6114
files: []
issn: 2168-6106
journal: JAMA INTERNAL MEDICINE
keywords-plus: 'CURRENT CIGARETTE-SMOKING; TOBACCO USE; ADULTS; EMPLOYMENT; ALCOHOL;

  WORKING; SMOKERS; CANCER; RISK; AGE'
language: English
month: JUN
number: '6'
number-of-cited-references: '40'
pages: 777-785
papis_id: 6edb1dca132437d58143b04480cba89f
ref: Leventhal2019associationcumulativ
researcherid-numbers: 'Barrington-Trimis, Jessica/ABE-7311-2020

  Higgins, Stephen/HPG-5751-2023

  Bello, Mariel/HCH-7721-2022'
times-cited: '45'
title: Association of Cumulative Socioeconomic and Health-Related Disadvantage With
  Disparities in Smoking Prevalence in the United States, 2008 to 2017
type: article
unique-id: WOS:000470823400007
usage-count-last-180-days: '0'
usage-count-since-2013: '3'
volume: '179'
web-of-science-categories: Medicine, General \& Internal
year: '2019'