Homelessness, cigarette smoking and desire to quit: results from a US national study

Journal Article

Print(0)

Addiction (Abingdon, England)

Addiction

Nov

108

2009

2018

LR: 20150423; CI: (c) 2013; GR: K23 DA034008/DA/NIDA NIH HHS/United States; GR: K23DA034008/DA/NIDA NIH HHS/United States; JID: 9304118; NIHMS506966; OID: NLM: NIHMS506966; OID: NLM: PMC3797258; OTO: NOTNLM; 2013/02/15 [received]; 2013/04/09 [revised]; 20

England

1360-0443; 0965-2140

PMID: 23834157

eng

Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; IM

10.1111/add.12292 [doi]

Unknown(0)

23834157

AIMS: We determined whether or not homelessness is associated with cigarette smoking independent of other socio-economic measures and behavioral health factors, and whether homeless smokers differ from non-homeless smokers in their desire to quit. DESIGN, SETTING AND PARTICIPANTS: We analyzed data from 2678 adult respondents to the 2009 Health Center Patient Survey, a nationally representative cross-sectional survey of homeless and non-homeless individuals using US federally funded community health centers. MEASUREMENTS: We used multivariable logistic regression to examine the association between homelessness and (i) current cigarette smoking among all adults, and (ii) past-year desire to quit among current smokers, adjusting for demographic, socio-economic and behavioral health characteristics. FINDINGS: Adults with any history of homelessness were more likely than never homeless respondents to be current smokers (57 versus 27%, P 0.001). In multivariable models, a history of homelessness was associated independently with current smoking [adjusted odds ratio (AOR) 2.09; 95% confidence interval (CI) = 1.49-2.93], even after adjusting for age, sex, race, veteran status, insurance, education, employment, income, mental illness and alcohol and drug abuse. Housing status was not associated significantly with past-year desire to stop smoking in unadjusted (P = 0.26) or adjusted (P = 0.60) analyses; 84% of currently homeless, 89% of formerly homeless and 82% of never homeless smokers reported wanting to quit. CONCLUSIONS: Among patients of US health centers, a history of homelessness doubles the odds of being a current smoker independent of other socio-economic factors and behavioral health conditions. However, homeless smokers do not differ from non-homeless smokers in their desire to quit and should be offered effective interventions.

Society for the Study of Addiction

Baggett,T.P., Lebrun-Harris,L.A., Rigotti,N.A.

Tobacco Research and Treatment Center, General Medicine Division, Massachusetts General Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA; Boston Health Care for the Homeless Program, Boston, MA, USA.

20130814

PMC3797258

http://vp9py7xf3h.search.serialssolutions.com/?charset=utf-8&pmid=23834157

2013