Socioeconomic variations in nicotine dependence, self-efficacy, and intention to quit across four countries: Findings from the International Tobacco Control (ITC) Four Country Survey

Mohammad Siahpush, A. McNeill, R. Borland, G. T. Fong

Research output: Contribution to journalArticle

170 Citations (Scopus)

Abstract

Objective: To examine the effect of socioeconomic status (SES) on nicotine dependence, self-efficacy, and intention to quit. Design setting and participants: Data were from the first wave (2002) of the International Tobacco Control (ITC) Four Country Survey (ITC-4), a panel study of over 2000 adult smokers from each of four countries: the United States, Canada, the United Kingdom, and Australia. Data were collected via telephone interviews. Main outcome measures: Nicotine dependence, intention to quit, and self-efficacy to quit smoking were the main outcome measures used in this study. Results: Lower levels of education were associated with higher nicotine dependence. The effect of lower income on higher heaviness of smoking index (HIS) scores was significant in Canada, the UK, and Australia. Respondents with low education had 35% larger odds of low self-efficacy than those with high education. Respondents with low education had 40% larger odds of having no intention to quit than those with high education. Respondents with low income had 23% larger odds of having no intention to quit than those with high income. Country was not a moderator of the association of SES with self-efficacy and intention to quit. Conclusion: To the extent that lower SES smokers are more addicted, they are likely to need more intensive support if they are to be successful in their attempts to quit. Given their lower incomes, this places a special responsibility on government to provide or subsidise such services. This should include access to the widest possible range of effective pharmacotherapies complemented with evidence based counselling and support.

Original languageEnglish (US)
Pages (from-to)iii71-iii75
JournalTobacco control
Volume15
Issue numberSUPPL. 3
DOIs
StatePublished - Jun 1 2006

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Tobacco Use Disorder
Self Efficacy
nicotine
Tobacco
self-efficacy
Education
Social Class
social status
low income
Canada
smoking
education
Smoking
Outcome Assessment (Health Care)
telephone interview
moderator
level of education
Counseling
counseling
Surveys and Questionnaires

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Socioeconomic variations in nicotine dependence, self-efficacy, and intention to quit across four countries : Findings from the International Tobacco Control (ITC) Four Country Survey. / Siahpush, Mohammad; McNeill, A.; Borland, R.; Fong, G. T.

In: Tobacco control, Vol. 15, No. SUPPL. 3, 01.06.2006, p. iii71-iii75.

Research output: Contribution to journalArticle

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