Smoking, nicotine dependence and nicotine intake by socio-economic status and marital status
Autor: | Ulla Broms, Annamari Tuulio-Henriksson, Tellervo Korhonen, Tiina Laatikainen, Jaakko Kaprio, Marjaana Pennanen, Kristiina Patja, Timo Partonen, Ari Haukkala |
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Rok vydání: | 2014 |
Předmět: |
Adult
Male Fagerstrom Test for Nicotine Dependence Nicotine media_common.quotation_subject Medicine (miscellaneous) Toxicology chemistry.chemical_compound Risk Factors Surveys and Questionnaires Humans Medicine Cotinine Socioeconomic status Finland Aged Multinomial logistic regression media_common Marital Status business.industry Addiction Smoking Tobacco Use Disorder Middle Aged 3. Good health Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Social Class chemistry Spouse Marital status Female business Demography medicine.drug |
Zdroj: | Addictive Behaviors. 39:1145-1151 |
ISSN: | 0306-4603 |
Popis: | Introduction Low socio-economic status (SES) is strongly related to smoking, but studies examining the association of SES with nicotine dependence (ND) are scarce. The aim of this study was to examine the associations of SES and marital status with smoking, multiple measures of ND, and cotinine as a nicotine intake biomarker. Methods The sample comprised 1746 ever smokers, sampled from the National FINRISK 2007 Study, who had completed a tobacco specific questionnaire in addition to the standard clinical examination. The Fagerstrom Test for Nicotine Dependence (FTND), the Heaviness of Smoking Index (HSI), the Nicotine Dependence Syndrome Scale (NDSS), and the Hooked On Nicotine Checklist (HONC) were assessed, while plasma cotinine was measured as a biomarker of nicotine exposure in daily smokers. Univariate and multivariate associations were assessed by linear regression and multinomial logistic regression. Results In multivariate models, lower education was associated with higher FTND and HSI, income with HSI, and occupation with HSI (men only), FTND, HONC and NDSS scores. Lower education was related to higher cotinine levels among daily smokers, although the association diminished slightly after adjusting for daily smoking amount. Living without a spouse was associated with daily smoking and higher ND. Conclusion In this cross-sectional study low SES was linked with higher ND among current smokers, while low SES was associated with higher cotinine levels among daily smokers. Living alone was linked with higher ND. Longitudinal studies are warranted to further explore these associations. As lower SES smokers are more addicted they may need more targeted cessation services to succeed in quitting smoking. |
Databáze: | OpenAIRE |
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