Predictive factors for smoking cessation among low-income disabled people

People on low incomes are more likely to smoke, but this does not prevent the treatment of their tobacco addiction from being effective, particularly among men over 55, who have already tried to quit and are regularly monitored in consultation.

In France, smoking is both a marker and a factor in the aggravation of socioeconomic and health inequalities. Thus, in 2019, 29.81% of people living in the lowest income tercile were daily smokers, compared to 18.21% of those in the highest tercile.[1].

Method :

The study included 1,624 adults receiving either a disability pension or an adult disability allowance, and whose records were registered in the French national smoking cessation cohort. CDT-net (Tobacco Addiction Consultation)[2]Abstinence was defined by self-reported complete cessation of smoking for at least 28 days, confirmed by a CO level in exhaled air below 10 ppm.

Results :

Complete abstinence at 28 days was observed in 30% of those followed, with a significant predominance in subjects aged over 55 years, having previously attempted to quit, having low dependence and according to the number of follow-up visits. Conversely, symptoms of anxiety, a history of depression and cannabis use were negatively associated with the likelihood of continued abstinence.

Conclusion :

Attempts to quit smoking should be encouraged among all smokers, and particularly among those from lower socioeconomic backgrounds, as they are effective, thanks to the use of specially trained professionals.

Keywords: Smoker, withdrawal, addiction, nicotine, ©Generation Without Tobacco

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[1] Pasquereau A, Andler R, Arwidson P, Guignard R, NguyenThanh V. Tobacco consumption among adults: five-year review of the national tobacco control program, 2014-2019. Bull Epidemiol Weekly. 2020;(14):273-81. http://beh.santepubliquefrance.fr/beh/2020/14/2020_14_1.html [2] Le Faou AL, Allagbé I, Airagnes G, Baha M, Boussadi A, Limosin F. Predictors of Smoking Cessation Attempt and Continued Abstinence among Low-Income Disabled Smokers: Evidence from the French National Smoking Cessation Cohort CDT-Net. Subst Use Misuse. 2020;55(10):1724-1731. doi:10.1080/10826084.2020.1759644 National Committee Against Smoking |