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A cross-sectional study of the relationship of proximal smoking environments and cessation history, plans, and self-efficacy among low-income smokers

Published online by Cambridge University Press:  22 July 2019

Rachel Widome Open the ORCID record for Rachel Widome [Opens in a new window] ,
Patrick J Hammett ,
Anne M Joseph ,
Diana J Burgess ,
Janet L Thomas ,
Jessie E Saul ,
Barbara Clothier  and
Steven S Fu
Rachel Widome*
Affiliation:
Division of Epidemiology and Community Health, University of Minnesota School of Public Health, MN,USA
Patrick J Hammett
Affiliation:
Division of Epidemiology and Community Health, University of Minnesota School of Public Health, MN,USA Department of Medicine, University of Minnesota Medical School, MN, USA VA HSR&D Center for Care Delivery and Outcomes Research (CCDOR), Minneapolis VA Health Care System, MN, USA
Anne M Joseph
Affiliation:
Department of Medicine, University of Minnesota Medical School, MN, USA
Diana J Burgess
Affiliation:
Department of Medicine, University of Minnesota Medical School, MN, USA VA HSR&D Center for Care Delivery and Outcomes Research (CCDOR), Minneapolis VA Health Care System, MN, USA
Janet L Thomas
Affiliation:
Department of Medicine, University of Minnesota Medical School, MN, USA
Jessie E Saul
Affiliation:
North American Quitline Consortium, Phoenix AZ, USA
Barbara Clothier
Affiliation:
VA HSR&D Center for Care Delivery and Outcomes Research (CCDOR), Minneapolis VA Health Care System, MN, USA
Steven S Fu
Affiliation:
Department of Medicine, University of Minnesota Medical School, MN, USA VA HSR&D Center for Care Delivery and Outcomes Research (CCDOR), Minneapolis VA Health Care System, MN, USA
*
Author for correspondence: Rachel Widome, E-mail: chel@umn.edu
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Abstract

Introduction

Proximal environments could facilitate smoking cessation among low-income smokers by making cessation appealing to strive for and tenable.

Aims

We sought to examine how home smoking rules and proximal environmental factors such as other household members' and peers' smoking behaviors and attitudes related to low-income smokers' past quit attempts, readiness, and self-efficacy to quit.

Methods

This analysis used data from Offering Proactive Treatment Intervention (OPT-IN) (randomized control trial of proactive tobacco cessation outreach) baseline survey, which was completed by 2,406 participants in 2011/12. We tested the associations between predictors (home smoking rules and proximal environmental factors) and outcomes (past-year quit attempts, readiness to quit, and quitting self-efficacy).

Results

Smokers who lived in homes with more restrictive household smoking rules, and/or reported having ‘important others’ who would be supportive of their quitting, were more likely to report having made a quit attempt in the past year, had greater readiness to quit, and greater self-efficacy related to quitting.

Conclusions

Adjustments to proximal environments, including strengthening household smoking rules, might encourage cessation even if other household members are smokers.

Keywords

home smoking policylow-income smokerssmoking normssocial environment
Type
Original Articles
Information
Journal of Smoking Cessation , Volume 14 , Issue 4 , December 2019 , pp. 229 - 238
Copyright
Copyright © The Author(s) 2019 Published by Cambridge University Press 

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