SES, Context and Smoking Cessation (04/07/2014)
Speaker(s): David W. Wetter, PhD, MS
Smoking is not only the leading preventable cause of death and disability in the U.S., but is a major cause of health disparities. The most profound health disparities are concentrated among individuals in the lowest socioeconomic strata of society. Poverty, low education, unemployment, uninsurance, and other factors related to socioeconomic status (SES) are strongly associated with lower rates of smoking cessation, and several major conceptual models have been proposed that delineate hypothesized pathways linking SES to health behaviors. Nevertheless, there are exceedingly few studies prospectively investigating the pathways linking SES to smoking cessation, and as noted in the Surgeon General’s Report on Tobacco Use Among U.S. Racial/Ethnic Minority Groups, “underlying the challenge to eliminate health disparities is the inadequate empirical understanding of the proximal and distal determinants of tobacco use, nicotine addiction, and related consequences among understudied and historically underserved populations.” Our research has included a focus on documenting several of the pathways linking SES and related social determinants with cessation. The presentation will highlight: • Models delineating pathways linking SES to smoking cessation. • Influence of “macro” (i.e., neighborhood) and “micro” contextual factors (i.e., dynamic, momentary) on cessation.