184 lines
6.2 KiB
YAML
184 lines
6.2 KiB
YAML
abstract: 'This study of a nationally representative cross-sectional annual
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household-based probability sample of noninstitutionalized residents
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estimates disparities in smoking prevalence associated with the number
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of socioeconomic and health-related disadvantages faced by US adults
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from 2008 to 2017.
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Key PointsQuestionAre US disparities in smoking prevalence associated
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with the cumulative number of socioeconomic or health-related
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disadvantages faced, and have such disparities widened over time?
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FindingsIn this nationally representative cross-sectional annual
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household-based probability sample of US noninstitutionalized residents,
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the mean current smoking prevalence among 279 559 adults 25 years or
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older collapsed across 2008 to 2017 was successively higher with each
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additional form of disadvantage faced. Odds of current vs never smoking
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decreased from 2008 to 2017 for groups with 0 to 2 disadvantages but did
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not significantly change for groups facing 3 or more disadvantages.
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MeaningMultidisadvantaged groups may constitute a disproportionate
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percentage of US smokers, a disparity that recently widened.
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ImportanceUnderstanding emerging patterns of smoking disparities among
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disadvantaged populations can guide tobacco control policy. ObjectiveTo
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estimate disparities in smoking prevalence associated with the number of
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socioeconomic and health-related disadvantages faced by a population
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among US adults from 2008 to 2017. Design, Setting, and
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ParticipantsNationally representative cross-sectional annual
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household-based probability sample of US noninstitutionalized residents.
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Polytomous regression estimated associations of disadvantage variables,
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survey year, and their interaction with the following 3 pairwise
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contrasts: current vs never smoking (estimate of overall disparities),
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current vs former smoking (unique contribution of disparities in smoking
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cessation), and former vs never smoking (unique contribution of
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disparities in smoking initiation). The setting was in-home face-to-face
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interviews. Participants were respondents in 2008 to 2017 survey years
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who were aged 25 years or older (N=279 559). ExposuresSelf-reported
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past-year unemployment, income below the federal poverty line, absence
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of high school diploma, disability/limitation interfering with daily
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functions, serious psychological distress on the Kessler 6-item screen,
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and at least 60 past-year heavy drinking days, each coded yes or no.
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These indicators were summed in a cumulative disadvantage index (0, 1,
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2, 3, 4, or 5 or 6). Main Outcomes and MeasuresSelf-reported current,
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former (ever smoked 100 cigarettes, had since quit, and not currently
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smoking), and never (<100 cigarettes) smoking. ResultsAmong 278 048
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respondents (mean {[}SD] age, 51.9 {[}16.8] years; 55.7\% female) with
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data on smoking history (99.5\% of the sample), the mean current smoking
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prevalence across 2008 to 2017 compared with populations without
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disadvantages was successively higher among populations with 1
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disadvantage (21.4\% vs 13.8\%; current vs never smoking adjusted odds
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ratio {[}OR], 2.34; 95\% CI, 2.27-2.43), 2 disadvantages (26.6\% vs
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13.8\%; OR, 3.55; 95\% CI, 3.39-3.72), 3 disadvantages (35.1\% vs
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13.8\%; OR, 5.35; 95\% CI, 5.05-5.66), 4 disadvantages (45.7\% vs
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13.8\%; OR, 8.59; 95\% CI, 7.91-9.34), or 5 or 6 disadvantages (58.2\%
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vs 13.8\%; OR, 14.70; 95\% CI, 12.30-17.50). In current vs former and
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former vs never smoking status contrasts, ORs were lower but also showed
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successively greater associations with increasing cumulative
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disadvantage. Current (vs never) smoking odds significantly declined
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each year among populations with 0 (OR, 0.95; 95\% CI, 0.94-0.96), 1
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(OR, 0.96; 95\% CI, 0.95-0.97), or 2 (OR, 0.98; 95\% CI, 0.97-0.99)
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disadvantages but did not change across 2008 to 2017 among those with 3
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or more disadvantages. Conclusions and RelevanceResults of this study
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demonstrate that US disparities in smoking prevalence from 2008 to 2017
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were successively larger with each additional disadvantage faced, were
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expressed in higher smoking initiation odds and lower smoking cessation
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odds, and widened over time.'
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affiliation: 'Leventhal, AM (Corresponding Author), Univ Southern Calif, Keck Sch
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Med, Dept Prevent Med, 2001 N Soto St,Ste 302C, Los Angeles, CA 90089 USA.
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Leventhal, Adam M.; Galstyan, Ellen; Barrington-Trimis, Jessica L., Univ Southern
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Calif, Keck Sch Med, Dept Prevent Med, 2001 N Soto St,Ste 302C, Los Angeles, CA
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90089 USA.
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Leventhal, Adam M.; Bello, Mariel S., Univ Southern Calif, Dept Psychol, Los Angeles,
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CA 90089 USA.
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Leventhal, Adam M., Univ Southern Calif, USC Norris Comprehens Canc Ctr, Los Angeles,
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CA USA.
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Higgins, Stephen T., Univ Vermont, Dept Psychiat, Vermont Ctr Behav \& Hlth, Burlington,
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VT USA.
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Higgins, Stephen T., Univ Vermont, Dept Psychol Sci, Vermont Ctr Behav \& Hlth,
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Burlington, VT USA.'
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author: Leventhal, Adam M. and Bello, Mariel S. and Galstyan, Ellen and Higgins, Stephen
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T. and Barrington-Trimis, Jessica L.
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author-email: adam.leventhal@usc.edu
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author_list:
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- family: Leventhal
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given: Adam M.
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- family: Bello
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given: Mariel S.
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- family: Galstyan
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given: Ellen
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- family: Higgins
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given: Stephen T.
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- family: Barrington-Trimis
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given: Jessica L.
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da: '2023-09-28'
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doi: 10.1001/jamainternmed.2019.0192
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eissn: 2168-6114
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files: []
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issn: 2168-6106
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journal: JAMA INTERNAL MEDICINE
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keywords-plus: 'CURRENT CIGARETTE-SMOKING; TOBACCO USE; ADULTS; EMPLOYMENT; ALCOHOL;
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WORKING; SMOKERS; CANCER; RISK; AGE'
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language: English
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month: JUN
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number: '6'
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number-of-cited-references: '40'
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pages: 777-785
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papis_id: 6edb1dca132437d58143b04480cba89f
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ref: Leventhal2019associationcumulativ
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researcherid-numbers: 'Barrington-Trimis, Jessica/ABE-7311-2020
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Higgins, Stephen/HPG-5751-2023
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Bello, Mariel/HCH-7721-2022'
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times-cited: '45'
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title: Association of Cumulative Socioeconomic and Health-Related Disadvantage With
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Disparities in Smoking Prevalence in the United States, 2008 to 2017
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type: article
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unique-id: WOS:000470823400007
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usage-count-last-180-days: '0'
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usage-count-since-2013: '3'
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volume: '179'
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web-of-science-categories: Medicine, General \& Internal
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year: '2019'
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