Socioeconomic disparities in community-based treatment of tobacco dependence

Christine E. Sheffer, Maxine Stitzer, Reid Landes, S. Laney Brackman, Tiffany Munn, Page Moore

Research output: Contribution to journalArticle


Objectives: We examined socioeconomic disparities in a community-based tobacco dependence treatment program. Methods: We provided cognitive-behavioral treatment and nicotine patches to 2739 smokers. We examined treatment use, clinical and environmental, and treatment outcome differences by socioeconomic status (SES). We used logistic regressions to model end-of-treatment and 3- and 6-month treatment outcomes. Results: The probability of abstinence 3 months after treatment was 55% greater for the highest-SES than for the lowest-SES (adjusted odds ratio [AOR]=1.55; 95% confidence interval [CI]=1.03, 2.33) smokers and increased to 2.5 times greater for the highest-SES than for the lowest-SES smokers 6 months after treatment (AOR=2.47; 95% CI=1.62, 3.77). Lower-SES participants received less treatment content and had fewer resources and environmental supports to manage a greater number of clinical and environmental challenges to abstinence. Conclusions: Targets for enhancing therapeutic approaches for lower socioeconomic groups should include efforts to ensure that lower-SES groups receive more treatment content, strategies to address specific clinical and environmental challenges associated with treatment outcomes for lower-SES smokers (i.e., higher dependence and stress levels and exposure to other smokers), and strategies to provide longer-term support.

Original languageEnglish (US)
Pages (from-to)e8-e16
JournalAmerican journal of public health
Issue number3
StatePublished - Mar 2012

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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